Job Description
Department: Physician Advisors
Location: 1611 NW 12 Ave., Miami, FL 33136
Hours: Variable weekends and holidays as needed (On site).
Summary
The Physician Advisor (PA) serves as a clinical resource to the medical staff and CM/SW by providing identification, facilitation, and resolution of utilization issues. The PA role reports to the Chief Medical Officer, Chief Utilization Officer, or his/her designee. The Physician Advisor addresses the following issues: level of care, payer peer to peer correspondence, documentation, compliance, discharge planning, and hospital reimbursement and quality issues. Additionally, the Physician Advisor role ensures proper status determination with support of CM/SW (case manager/social worker. Additionally, Physician Advisors promote understanding and cooperation between the medical staff through communication, collaboration, and education.
Responsibilities
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