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Clinical Advisor

2 months ago

Altamonte Springs, Florida, United States AdventHealth Central Florida Full time
Position Overview

Comprehensive Benefits and Advantages:

· Immediate access to benefits

· Paid time off available from the start

· Tuition-free education opportunities* (Certifications and degrees without personal financial burden)

Our Commitment to You:

Becoming a part of AdventHealth Central Florida means joining a larger mission. It’s about being part of a community that values the holistic well-being of every individual and strives to uplift others in body, mind, and spirit. AdventHealth is a place where you can excel in your career while also nurturing your spiritual growth, all while extending the Healing Ministry of Christ. Here, you will be appreciated for your individuality and the distinct experiences you contribute to our purpose-driven team. Together, we achieve greater outcomes.

Work Schedule: Full-Time

Shift: Daytime

Your Role:

The Onsite Clinical Advisor plays a pivotal role in supporting Care Management (CM) and Clinical Documentation Integrity (CDI). This position acts as a bridge between the CDI and CM teams and the medical staff, as well as serving as the medical liaison for payer-related issues. The Clinical Advisor is tasked with educating and advising members of the Care Management, Clinical Documentation, and Managed Care departments, while also collaborating with various disciplines to enhance clinical documentation, patient safety, and quality outcomes.

The Clinical Advisor is responsible for conducting clinical reviews of utilization and quality assurance concerning inpatient care, outpatient care/observation stays, and referral services. This individual serves as a key contact for clinicians, external providers, contracted health insurance payors, and regulatory bodies. Additionally, the Clinical Advisor provides expert clinical knowledge and strategic direction to support medical management initiatives, promoting the delivery of high-quality, patient-centered, and cost-effective healthcare.

Value You Bring to the Team:

· Proven ability to cultivate and maintain relationships within the medical community and corporate settings

· Successful background as a practicing physician

· Strong organizational skills with meticulous attention to detail

· Excellent analytical and problem-solving capabilities

· Proficient oral and written communication skills, with the ability to convey complex information in clear terms to all staff levels

· Capacity to operate within a matrix-management structure to meet organizational objectives

· Ability to translate ethical and legal standards into practical, sustainable policies that balance business needs with patient and physician interests

· Expertise in providing medical advice and clarifying complex medical scenarios

· Established history as a practicing physician

Qualifications Required for Success:

LICENSURE, CERTIFICATION, OR REGISTRATION:

· Valid State of Florida physician license

· Board certification and eligibility for hospital medical staff membership

EDUCATION REQUIRED:

· Graduate from an accredited medical school and residency program

EDUCATION PREFERRED:

· Master’s degree in Business or Healthcare Administration or a related field

EXPERIENCE REQUIRED:

· Minimum of five years of recent clinical practice experience

EXPERIENCE PREFERRED:

· Familiarity with hospital Utilization Management/Medicare Regulations

· At least two years of experience as a Clinical Advisor

· Three or more years of leadership experience

This organization is an equal opportunity employer and adheres to all federal, state, and local anti-discrimination laws, regulations, and ordinances. The salary range reflects the anticipated base pay for this position, with individual compensation determined by skills, experience, and other relevant factors. Minimums and maximums for each position may vary based on geographical location.

Category: Physician Services

Organization: AdventHealth Central Florida

Schedule: Full-time

Shift: Day

Req ID:

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age, or disability/handicap regarding recruitment, selection, placement, promotion, wages, benefits, and other employment terms and conditions.