MASC Medical Recruitment Firm
Physician Advisor (Administrative Role)- Hybrid, Remote
MASC Medical Recruitment Firm, Delray Beach, Florida, United States, 33483
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Physician Advisor (Administrative Role)- Hybrid, Remote
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MASC Medical Recruitment Firm Position Summary:
We are seeking a
Physician Advisor
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. Location:
Boynton Beach, FL Relocation Assistance:
Available 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 Seniority level:
Mid-Senior level Employment type:
Full-time Job function:
Health Care Provider Industries:
Staffing and Recruiting
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Physician Advisor (Administrative Role)- Hybrid, Remote
role at
MASC Medical Recruitment Firm Position Summary:
We are seeking a
Physician Advisor
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. Location:
Boynton Beach, FL Relocation Assistance:
Available 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 Seniority level:
Mid-Senior level Employment type:
Full-time Job function:
Health Care Provider Industries:
Staffing and Recruiting
#J-18808-Ljbffr