Physician Advisor Job at Baptist Health, Boynton Beach, FL

anNHU2FyQkpveUlxTk0wTE5vOTA2Y0Vibmc9PQ==
  • Baptist Health
  • Boynton Beach, FL

Job Description

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 has a matrix reporting structure which includes Corporate Physician Advisor and Corporate CQIO , as well as entity CMO and CEO. The Physician Advisor addresses the following issues: Federal and state compliance, documentation supporting coding/medical necessity/clinical validation, appropriate level of care, length of stay, hospital utilization and quality issues. In collaboration with admitting physician, healthcare team, and case management , the PA proactively manages cases at the point of entry and through the hospital stay , to ensure the patient is placed in the proper level of care classification based on medical necessity, severity of illness and risk of mortality . The PA ensures compliance with CMS for appropriate billing . The PA conducts post-discharge reviews related to payer audits. Promotes understanding and cooperation between the medical staff through communication, collaboration and education. Facilitate improvements in clinical practice to achieve better performance, improved cost, reduced length of stay, fewer readmissions, and superior patient care.

Job Tags

Similar Jobs

Partnership for Maternal & Child Health of Northern New Jers...

Nurse Home Visitor Job at Partnership for Maternal & Child Health of Northern New Jers...

 ...and support families in the community using the Family Connects International home visit protocol. ESSENTIAL DUTIES: Conduct in-...  ...to assess, plan, and document families' physical, emotional, social, and environmental needs. Provide anticipatory and supportive... 

FUJIFILM Diosynth Biotechnologies

Senior Manufacturing Technician Job at FUJIFILM Diosynth Biotechnologies

 ...Analytical Scales, pH/conductivity meters, etc. Perform daily cleaning and sanitization of the laboratory and manufacturing areas....  ...to detail. Must be able to work flexible shifts to include weekend or night shifts, and be willing to work outside of normal scheduled... 

Total Quality Logistics

Entry Level Sales Representative Job at Total Quality Logistics

 ...negotiation skills to secure deals for freight transportation while managing customer shipments from pickup to delivery. No prior experience is necessary; our best in-class paid freight broker training and mentorship program will teach you everything you need to know... 

John Muir Health

RN - Ambulatory Oncology and Infusion - Cancer Services - San Ramon - Part Time - 8 Hour - Days Job at John Muir Health

 ...Description:Working within Ambulatory Oncology, the oncology and infusion nurse provides clinical support to physicians ensuring a highly...  ...growth and satisfaction. The staff registered nurse (RN) is a licensed professional caregiver who assumes responsibility... 

ENP Network & Nursing Network

Sales Associate - Business Development Job at ENP Network & Nursing Network

 ...about helping non profit associations grow, thrive, and succeed, and bring that level of enthusiasm to the role each day. You will work directly with our senior leadership team to develop, test, deploy and maintain software solutions that benefit our core customers and...