Summary The Physician Advisor is responsible for developing positive relationships with both employed and affiliated medical staff members in order to fulfill strategic business growth and objectives. This position manages interactions with physicians and practice managers in a provider or acute care setting in multiple counties within the Hudson/Delaware Valley of New York, New Jersey and Pennsylvania. Responsibilities: * Reviews inpatient cases when clinical determinations cannot be made by initial clinical review. Discusses determinations with requesting physicians or ordering providers when available within the regulatory timeframe of the request. * Provides clinical rational for standard and expedited appeal