Administrative / CEO Physician

Job Title : Physician Advisor

Location : Boynton Beach, FL - Hybrid Remote

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 :

Certifications :

Additional Skills :