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Commission Physician Advisor Utilization Review Jobs

Medix

Physician Advisor Medical Director

Torrance, CA · On-site

$156.25 - $182.69/hr

Physician Advisor / Utilization Management (UM) Medical Director Location: Torrance, CA Schedule ... Conduct utilization management reviews and peer-to-peer insurance appeals. * Provide clinical ...

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Commission Physician Advisor Utilization Review information

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$33K

$67.2K

$100K

How much do commission physician advisor utilization review jobs pay per year?

As of Aug 26, 2026, the average yearly pay for commission physician advisor utilization review in the United States is $67,203.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,000.00 and $84,500.00 per year, depending on experience, location, and employer.

What is the difference between Commission Physician Advisor Utilization Review vs Commission Physician Advisor Case Management?

AspectCommission Physician Advisor Utilization ReviewCommission Physician Advisor Case Management
Primary FocusReviewing medical necessity and appropriateness of servicesCoordinating patient care and discharge planning
Work EnvironmentUtilization review departments, insurance companies, hospitalsHospitals, clinics, healthcare organizations
CredentialsMedical degree, medical license, often board-certifiedMedical degree, medical license, often board-certified
Employer & Industry UsageInsurance companies, health plans, hospitalsHospitals, healthcare providers, case management firms

The main difference is that Commission Physician Advisor Utilization Review focuses on evaluating the necessity of medical services, while Commission Physician Advisor Case Management emphasizes coordinating patient care and discharge planning. Both roles require similar credentials and are integral in healthcare settings, but their core responsibilities differ in scope and daily tasks.

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Cities with the most Commission Physician Advisor Utilization Review job openings:

What are the most commonly searched types of Physician Advisor Utilization Review jobs?

The most popular types of Physician Advisor Utilization Review jobs are:

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States with the most job openings for Commission Physician Advisor Utilization Review jobs include:

Commission Physician Advisor Utilization Review jobs near you

Physician Advisor Utilization Review(MD/DO)

Fairfax, VA • Hybrid

Inova
Health Care and Social Assistance • 10K+ employees

7.5

Company rating: 7.5 out of 10

Based on 260 frontline employees who took The Breakroom Quiz

239th of 893 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about Inovaexternal

Part-time

Medical, Dental, Vision, PTO

Re-posted 3 days ago

Job description

Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be a part-time position.


The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the centralized system Utilization Review (UR) process for Inova hospital facilities. The Advisor serves an important role in ensuring compliant hospital status/billing for hospital patients. The Advisor interfaces directly with UR nurses and medical staff, providing concurrent communication and education regarding recommended changes in hospital status, pertinent regulatory requirements and guidance impacting the determination, as well as documentation integrity to support medical necessity of services being delivered.


Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. 


Featured Benefits:
      Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
       Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
         Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
         Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
          Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.

MD Physician Advisor Additional Requirements:

  • Completion of an accredited residency training program
  • Active and unrestricted state Virginia medical license
  • Board certification in specialty required at time of hire
  • Possess or acquire a working knowledge of CMS regulatory guidance and requirements as they pertain to UR and site of service decisions 
  • Possess a working knowledge of clinical documentation integrity, hospital billing and coding processes and guidelines, case mix index, and DRG assignments 
  • Familiarity with standard published leveling criteria such as MCG/Interqual and ability to apply professional judgment and patient specific variables as may be necessary or justifiable   
  • Familiarity with (Hospital) organization and case management operations    
  • Excellent customer service and interpersonal skills
  • Able to effectively present information, both formal and informal
  • Superb written and verbal communications skills
  • Ability to set and manage priorities
  • Demonstrate flexibility, teamwork, and a collaborative leadership style
  • Strong technical/computer

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