Physician Advisor, Miami, Florida, Full-Time
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can decide which sections to include based on content. We have: - Description: The Physician Advisor (PA) serves as a clinical resource... etc. That's responsibilities. - Full-Time Opportunity (Job ID: FY26-MIA-CC-00) Provide physician-level leadership regarding ... etc. That's more responsibilities. - Compensation is commensurate with training and experience. (Pay) but it's vague "commensurate with training and experience" - we should NOT create Pay section if content is just placeholder like "commensurate with experience". The rule: never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. So we cannot include Pay section because it's just "commensurate with training and experience". So we omit Pay. - Benefits: "Benefits are designed to support professional and personal growth and include medical and dental coverage, generous paid time off, CME opportunities, retirement benefits, access to Baptist Health University for professional development, and more. In addition, Florida has no state individual income tax." That's specific benefits. So we can include Benefits section. - Schedule: Not mentioned. So omit Schedule. - Qualifications: There's a "Qualifications" heading in the posting: "Qualifications Requirements include an MD or DO degree and an active, unrestricted medical license..." etc. So we can have Qualifications section. - Requirements: The posting also has "Requirements" maybe same as Qualifications? Actually they have "Qualifications Requirements include..." Might combine. But we need separate sections if content distinct. There's also "Physician Advisor certification from a nationally recognized physician advisor organization, ABQAURP certification, or a comparable credential must be obtained within one year of hire." etc. That's qualifications. - Skills: Not explicitly listed, but there are skill-like items: ability to accurately analyze, organize, prioritize work, communicate effectively, critical thinking, professional composure, sound independent judgment, use job-related technology, commitment to maintaining current knowledge via CME. Those could go under Skills. However the instruction: Prefer a few substantive sections over many thin ones. We could combine skills into Qualifications or Requirements. But we have separate headings allowed. Might be better to have a Skills section for those abilities. However we need to see if there is enough content. There is a paragraph: "Ability to accurately analyze, organize, and prioritize work while managing multiple deadlines; communicate effectively in written and verbal form; use critical thinking and professional composure in difficult or stressful situations; exercise sound independent judgment; and use job-related technology and software applications. Commitment to maintaining current knowledge of CMS guidelines, quality standards, and utilization-management practices through continuing medical education and independent study." That's skills. So we can make a Skills section. - Responsibilities: The description and full-time opportunity bullet points constitute responsibilities. We'll put them under Responsibilities. - About the role: Could include the introductory paragraph about Baptist Health South Florida and Bethesda Health merger, description of system, invitation. That's substantive. So we can have About the role. We must not include Job ID as heading; we can fold into a short p maybe under About the role or Responsibilities. The instruction: "do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it." So we can include a short p with the Job ID maybe after the About the role section. We must remove boilerplate: EOE, Join our Talent Community..., etc. Also remove duplicated lines. Also remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. So we need to strip those. Now produce HTML fragment with
headings and appropriate - for lists,
for prose.
We need to preserve all substantive information; do not invent or summarize away detail. So we need to keep the details exactly as given, but we can format into lists.
Let's extract content.
About the role (intro):
"Baptist Health South Florida and Bethesda Health have merged to launch a new era of healthcare in Palm Beach County. Together, we are developing and sharing best practices that enhance the level of care we deliver to patients and families. Bethesda Health is a comprehensive, community-based hospital system that has grown with our community. One of the few remaining not-for-profit health systems in Palm Beach County. Our flagship hospital, Bethesda Hospital East (formerly known as Bethesda Memorial), has been a cornerstone of South Palm Beach County since 1959. The new Bethesda Hospital West opened its doors on January 8, 2013, ready to serve the expanding western communities of South Palm Beach County. Bethesda Health is also an Accredited Chest Pain Center, an Accredited Heart Failure Program, and Joint Commission certified in Hip and Knee Replacement Surgery. Bethesda Health employs over 2,500 employees and has 675 physicians. We invite you to join us now as we expand upon our promise to be the voice for each and every patient and nurse, providing quality health services in a caring manner."
We can keep that as a
under About the role.
Then maybe a short p for Job ID: "Job ID: FY26-MIA-CC-00". Could be placed after About the role.
Now Responsibilities: Let's gather all responsibility statements.
From 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."
From Full-Time Opportunity bullet points (they are sentences):
"Provide physician-level leadership regarding federal and state compliance, documentation supporting coding, medical necessity and clinical validation, appropriate levels of care, length of stay, hospital utilization, and quality matters.
Collaborate with admitting physicians, Case Management, and the healthcare team to proactively manage cases from admission through discharge and ensure appropriate level-of-care classifications based on medical necessity, severity of illness, and risk of mortality.
Meet with Case Management and Denials and Appeals teams to review selected cases, recommend the appropriate level and progression of care, and communicate with payer medical directors to facilitate approvals and prevent avoidable denials or carved-out days.
Serve as a consultant and educational resource for physicians and other providers regarding hospitalization, continued stays, resource utilization, payer requirements, utilization and quality regulations, alternative levels of care, community resources, and end-of-life care.
Advise Emergency Department for physicians and Case Management teams regarding patient-status determinations and alternatives to acute care when inpatient treatment is not medically warranted.
Conduct second-level medical-record reviews, patient-status and length-of-stay determinations, post-discharge payer-audit reviews, and Medicare and Medicaid billing recommendations, including inpatient Part B, Condition Code 44, and other CMS contractor requirements.
Support denial-management efforts through payer peer-to-peer discussions, secondary appeal reviews, and contributions to appeal letters.
Review long-stay cases and identify appropriate transitions to skilled nursing, palliative care, long-term care, assisted living, long-term acute care hospitals, hospice, or other lower levels of care.
Promote continuity of care, appropriate resource utilization, reduced lengths of stay, and fewer avoidable readmissions.
Recommend complete and accurate medical-record documentation and support clinical documentation integrity, coding, clinical validation, quality improvement, and evidence-based care initiatives requiring physician input.
Document reviews, recommendations, decisions, and responses to referrals in the electronic health record while appropriately applying InterQual and MCG criteria, the CMS Two-Midnight Rule, current insurance regulations, and established quality metrics.
Participate in entity and system utilization-review committees, peer-review activities, medical staff and leadership presentations, length-of-stay reduction initiatives, utilization-management program evaluations, provider education, and order-set development and implementation.
Maintain professional independence and disclose potential conflicts of interest.
Physician Advisors may not review their own patient assignments while serving in an advisory capacity."
We need to preserve all these. We can format as
- each sentence.
Now Qualifications: The posting says:
"Qualifications Requirements include an MD or DO degree and an active, unrestricted medical license. If the license is not issued by the State of Florida, an active Florida medical license must be obtained within one year of hire or entry into the position. Physician Advisor certification from a nationally recognized physician advisor organization, ABQAURP certification, or a comparable credential must be obtained within one year of hire. Minimum of three years of experience as a practicing physician, including experience performing case reviews. Experience applying MCG and/or InterQual criteria, with knowledge of the CMS Two-Midnight Rule, Conditions of Participation, inpatient billing requirements, utilization management, and quality principles."
We can put that as a
- list.
Now Skills: The abilities:
"Ability to accurately analyze, organize, and prioritize work while managing multiple deadlines; communicate effectively in written and verbal form; use critical thinking and professional composure in difficult or stressful situations; exercise sound independent judgment; and use job-related technology and software applications. Commitment to maintaining current knowledge of CMS guidelines, quality standards, and utilization-management practices through continuing medical education and independent study."
We could split into list items: each ability.
Now Benefits:
"Benefits are designed to support professional and personal growth and include medical and dental coverage, generous paid time off, CME opportunities, retirement benefits, access to Baptist Health University for professional development, and more. In addition, Florida has no state individual income tax."
We can make a
- list: medical and dental coverage, generous paid time off, CME opportunities, retirement benefits, access to Baptist Health University for professional development, and more. Also Florida has no state individual income tax (maybe as separate item).
Now we must not include Pay section.
Now we must not include Schedule.
Now we need to output only HTML fragment, no /, no markdown fences.
Let's structure:
About the role
...intro...
Job ID: FY26-MIA-CC-00
Responsibilities
- ... each responsibility ...
...
Qualifications
- ... each qualification ...
for prose. We need to preserve all substantive information; do not invent or summarize away detail. So we need to keep the details exactly as given, but we can format into lists. Let's extract content. About the role (intro): "Baptist Health South Florida and Bethesda Health have merged to launch a new era of healthcare in Palm Beach County. Together, we are developing and sharing best practices that enhance the level of care we deliver to patients and families. Bethesda Health is a comprehensive, community-based hospital system that has grown with our community. One of the few remaining not-for-profit health systems in Palm Beach County. Our flagship hospital, Bethesda Hospital East (formerly known as Bethesda Memorial), has been a cornerstone of South Palm Beach County since 1959. The new Bethesda Hospital West opened its doors on January 8, 2013, ready to serve the expanding western communities of South Palm Beach County. Bethesda Health is also an Accredited Chest Pain Center, an Accredited Heart Failure Program, and Joint Commission certified in Hip and Knee Replacement Surgery. Bethesda Health employs over 2,500 employees and has 675 physicians. We invite you to join us now as we expand upon our promise to be the voice for each and every patient and nurse, providing quality health services in a caring manner." We can keep that as a
under About the role. Then maybe a short p for Job ID: "Job ID: FY26-MIA-CC-00". Could be placed after About the role. Now Responsibilities: Let's gather all responsibility statements. From 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." From Full-Time Opportunity bullet points (they are sentences): "Provide physician-level leadership regarding federal and state compliance, documentation supporting coding, medical necessity and clinical validation, appropriate levels of care, length of stay, hospital utilization, and quality matters. Collaborate with admitting physicians, Case Management, and the healthcare team to proactively manage cases from admission through discharge and ensure appropriate level-of-care classifications based on medical necessity, severity of illness, and risk of mortality. Meet with Case Management and Denials and Appeals teams to review selected cases, recommend the appropriate level and progression of care, and communicate with payer medical directors to facilitate approvals and prevent avoidable denials or carved-out days. Serve as a consultant and educational resource for physicians and other providers regarding hospitalization, continued stays, resource utilization, payer requirements, utilization and quality regulations, alternative levels of care, community resources, and end-of-life care. Advise Emergency Department for physicians and Case Management teams regarding patient-status determinations and alternatives to acute care when inpatient treatment is not medically warranted. Conduct second-level medical-record reviews, patient-status and length-of-stay determinations, post-discharge payer-audit reviews, and Medicare and Medicaid billing recommendations, including inpatient Part B, Condition Code 44, and other CMS contractor requirements. Support denial-management efforts through payer peer-to-peer discussions, secondary appeal reviews, and contributions to appeal letters. Review long-stay cases and identify appropriate transitions to skilled nursing, palliative care, long-term care, assisted living, long-term acute care hospitals, hospice, or other lower levels of care. Promote continuity of care, appropriate resource utilization, reduced lengths of stay, and fewer avoidable readmissions. Recommend complete and accurate medical-record documentation and support clinical documentation integrity, coding, clinical validation, quality improvement, and evidence-based care initiatives requiring physician input. Document reviews, recommendations, decisions, and responses to referrals in the electronic health record while appropriately applying InterQual and MCG criteria, the CMS Two-Midnight Rule, current insurance regulations, and established quality metrics. Participate in entity and system utilization-review committees, peer-review activities, medical staff and leadership presentations, length-of-stay reduction initiatives, utilization-management program evaluations, provider education, and order-set development and implementation. Maintain professional independence and disclose potential conflicts of interest. Physician Advisors may not review their own patient assignments while serving in an advisory capacity." We need to preserve all these. We can format as
- each sentence.
Now Qualifications: The posting says:
"Qualifications Requirements include an MD or DO degree and an active, unrestricted medical license. If the license is not issued by the State of Florida, an active Florida medical license must be obtained within one year of hire or entry into the position. Physician Advisor certification from a nationally recognized physician advisor organization, ABQAURP certification, or a comparable credential must be obtained within one year of hire. Minimum of three years of experience as a practicing physician, including experience performing case reviews. Experience applying MCG and/or InterQual criteria, with knowledge of the CMS Two-Midnight Rule, Conditions of Participation, inpatient billing requirements, utilization management, and quality principles."
We can put that as a
- list.
Now Skills: The abilities:
"Ability to accurately analyze, organize, and prioritize work while managing multiple deadlines; communicate effectively in written and verbal form; use critical thinking and professional composure in difficult or stressful situations; exercise sound independent judgment; and use job-related technology and software applications. Commitment to maintaining current knowledge of CMS guidelines, quality standards, and utilization-management practices through continuing medical education and independent study."
We could split into list items: each ability.
Now Benefits:
"Benefits are designed to support professional and personal growth and include medical and dental coverage, generous paid time off, CME opportunities, retirement benefits, access to Baptist Health University for professional development, and more. In addition, Florida has no state individual income tax."
We can make a
- list: medical and dental coverage, generous paid time off, CME opportunities, retirement benefits, access to Baptist Health University for professional development, and more. Also Florida has no state individual income tax (maybe as separate item).
Now we must not include Pay section.
Now we must not include Schedule.
Now we need to output only HTML fragment, no /, no markdown fences.
Let's structure:
About the role
...intro...
Job ID: FY26-MIA-CC-00
Responsibilities
- ... each responsibility ... ...
Qualifications
- ... each qualification ...
- list: medical and dental coverage, generous paid time off, CME opportunities, retirement benefits, access to Baptist Health University for professional development, and more. Also Florida has no state individual income tax (maybe as separate item).
Now we must not include Pay section.
Now we must not include Schedule.
Now we need to output only HTML fragment, no /, no markdown fences.
Let's structure:
- list.
Now Skills: The abilities:
"Ability to accurately analyze, organize, and prioritize work while managing multiple deadlines; communicate effectively in written and verbal form; use critical thinking and professional composure in difficult or stressful situations; exercise sound independent judgment; and use job-related technology and software applications. Commitment to maintaining current knowledge of CMS guidelines, quality standards, and utilization-management practices through continuing medical education and independent study."
We could split into list items: each ability.
Now Benefits:
"Benefits are designed to support professional and personal growth and include medical and dental coverage, generous paid time off, CME opportunities, retirement benefits, access to Baptist Health University for professional development, and more. In addition, Florida has no state individual income tax."
We can make a