Administrative/CEO Physician - Delray Beach - MASC Medical Recruitment Firm

    MASC Medical Recruitment Firm
    MASC Medical Recruitment Firm Delray Beach

    3 days ago

    Description

    Job Title:
    Physician Advisor

    Location:
    Boynton Beach, FL

    Relocation Assistance:
    Available


    Position Summary:
    We are seeking a

    Physician Advisor (PA)

    to serve as a key clinical liaison between the medical staff, case management, and hospital leadership. This role is focused on optimizing hospital utilization, ensuring compliance with federal and state regulations, and improving clinical outcomes.


    The Physician Advisor works collaboratively with case managers, social workers, and admitting physicians to ensure patients are placed at the correct level of care and that medical necessity is well-documented.

    The PA also addresses issues around clinical documentation, billing compliance (including CMS 2-Midnight Rule), length of stay, readmissions, and quality metrics.

    This position reports through a matrix structure to the Corporate Physician Advisor, Chief Quality and Integration Officer (CQIO), and entity-level CMO/CEO.


    Key Responsibilities:
    Provide real-time clinical guidance to ensure appropriate level of care and utilization

    Support accurate clinical documentation to reflect severity of illness and medical necessity

    Collaborate with providers and hospital staff to improve care transitions and reduce LOS/readmissions

    Conduct post-discharge audits and respond to payer reviews or appeals

    Educate medical staff on CMS regulations, InterQual/MCG criteria, and billing requirements

    Drive clinical practice improvements that enhance patient care and hospital performance

    Promote interdepartmental collaboration and communication through education and support

    Maintain knowledge of current compliance standards and payer guidelines through ongoing education


    Qualifications:
    MD or DO degree from an accredited institution

    Active medical license in Florida

    Minimum 3 years of clinical practice experience

    Experience with medical necessity reviews and use of MCG or InterQual criteria

    Knowledge of CMS Conditions of Participation, billing regulations, and the 2-Midnight Rule

    Strong communication, organization, and critical thinking skills


    Certifications:
    Board Certification by ABQAURP (or equivalent) required within 1 year of hire

    Physician Advisor Certification preferred at time of hire


    Additional Skills:
    Ability to manage multiple deadlines and shifting priorities

    Proficiency in relevant technology and EMR systems

    Ability to lead and educate in both individual and group settings

    Demonstrated professionalism and sound clinical judgment

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