Associate Medical Director, Physician Advisor for Utilization Management

**Job Description**
**Overview:**
The Associate Medical Director, Physician Advisor supports Utilization Management by providing clinical oversight, education, and guidance on medical necessity, Centers for Medicare and Medicaid Services (CMS) compliance, documentation, and resource utilization. This role partners with medical staff, hospital leadership, and payers to promote appropriate patient status, optimize length of stay, and ensure high-quality, cost-effective care. As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor conducts case reviews and helps drive compliance with regulatory standards while improving clinical and operational efficiency.
**Responsibilities:**
This is meant to be a general list of responsibilities, not an exhaustive list. The breadth of responsibilities is large; focus on the individual responsibilities below will vary depending upon evolving organizational priorities. The Associate Medical Director and Phy...