System Medical Director Physician Advisors

System Physician Advisor Medical Director Responsibilities and Job Description

Overview

The Lee Health System Physician Advisor Medical Director reports to the Chief Physician Executive for Hospital-Based Care and works closely with the Chief Medical Officer, Chief Nursing and Operational Executives of the Lee Health hospitals, Chief Financial Officer, Chief Technology Officer, medical staff leadership, and other leadership related to case/utilization management and revenue cycle including the Lee Health Physician Advisors.

The primary role of the System Physician Advisor Medical Director is to monitor and foster optimization of all aspects of health system resource management, utilization management, care management (including discharge planning), and social services for all patients while ensuring the highest quality of care is provided. This includes working with health system and hospital leadership to ensure efficient management and delivery of resources, developing case management protocols to optimize length of hospital stay, effectively identify elements of medical necessity for patient placement in appropriate levels of care and patient status, support documentation integrity and compliance, and monitor the appropriate use of diagnostic and therapeutic modalities. Working in tandem with the physician advisors, the System Physician Advisor Medical Director is an expert in Centers for Medicare and Medicaid Services (CMS) rules and regulations related to patient status, clinician documentation, medical necessity, provision of services, and other topics related to case/utilization management.

Responsibilities

This is meant to be a general list of responsibilities, not an exhaustive list. The breadth of the System Physician Advisor Medical Director responsibilities is large; focus on the individual responsibilities below will vary depending upon organizational priorities. The System Physician Advisor Medical Director will also perform other reasonably related business/job duties as assigned. Lee Health reserves the right to revise job duties and responsibilities as the need arises.