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Be Valued
for Being You.

At Lee Health, it’s all about you.

Physician Advisor Peer-to-Peer

Job Details

Location:
2776 Cleveland Ave, Fort Myers, FL 33901

Category:
Physician

Type:
Full Time

Schedule:
Days

Job Ref:
92239

Be Valued for Being You.

At Lee Health, its all about you.

Lee Health is proud to be named on the Forbes list of Americas Best-in-State Employers for the second year in a row

HealthPark Medical Center and Lee Memorial Hospital have been awarded the highest five-star accolade, putting Lee Health hospitals in the top 15% of hospitals in the country for the second year in a row

All Lee Health hospitals received honors as Best Hospitals by U.S. News & World Report for the high-quality care they provide to the Southwest Florida community

Lee Health is honored to be the first healthcare system in Florida to be recognized with the Governors Sterling Award, granted by the Sterling Council.

Lee Health has been honored with the inaugural Pinnacle of EHR Experience Award from the KLAS Arch Collaborative, recognizing our health system's efforts to enhance the electronic health record (EHR) experience for physicians and providers. The award places Lee Health among an elite group of only 10 organizations nationwide to receive this honor.

Lee Health is seeking a Physician Advisor Peer-to-Peer!

Lee Health is a nonprofit organization with more than 18,000 employees, 4,500 volunteers, and more than 1,300 employed primary care and specialty care providers with multiple practice locations throughout Southwest Florida. The organization has four acute care hospitals and one specialty hospital that together house over 1,800 hospital beds.

Position Information:

The Physician Advisor Peer-to-Peer (PA P2P) is responsible for assessing patient hospital encounters, denied Inpatient classification and/or expected payment by payers and adjudicating qualified cases via the payers P2P process. Utilizing medical judgement and where applicable and appropriate payer guidelines and criteria, the PA P2P is instrumental in Lee Healths efforts to ensure proper hospital reimbursement for services and care provided to the patients they serve.

In collaboration with the System Medical Director Physician Advisors (SMDPA), the PA P2P contribute to Lee Healths efforts involving the teaching, consulting, and advising of Case and Utilization Management Departments, medical staff, and others within the health system on matters regarding medical necessity; Centers for Medicare and Medicaid Services (CMS) compliance including rules and regulations; collaboration and relationships with payers; physician practice patterns; and documentation.

The PA P2P is a key member of Lee Healths Utilization Review Committee which is charged with regulatory goals of ensuring high levels of healthcare quality and acceptable levels of cost. They work closely with each other, the SMDPA, Chief Nursing and Operations Executives at the respective hospitals, medical staff, medical residents and fellows, and other leadership related to case/utilization management and revenue cycle.

Benefit Highlights:

- Generous paid time off to enjoy the Beautiful Southwest Florida weather and beaches!

- Sign on bonus & relocation package

- Dedicated CME time and funding

- Malpractice Insurance and Tail Coverage

- 403(b) retirement plan with match and 457(b) enhanced retirement option

- Short term/long term disability

- Participation in the Federal Public Service Loan Forgiveness Program

Fort Myers:

Come live the beach/vacation lifestyle youve always dreamed of in coastal southwest Florida! We have warm weather year-round, beautiful beaches, amazing sunsets, dozens of recreational parks and ecological preserves, as well as numerous world-renowned golf courses. There are a variety of restaurants, plenty of shopping at nearby malls and outlets, art, history and a wide variety of festivals year-round. There is truly something for everyone! Plus, no state income tax!

Southwest Florida International Airport is easy to access and offers numerous direct flights and connections to meet all your travel needs. Those in this area are also able to enjoy the Key West Express which allows for a 3-hour boat ride down to Key West! Fort Myers is minutes away from Sanibel Island, Captiva, and Naples. This area is also centrally located between three of Floridas major cities: Orlando, Tampa, and Miami.

If you are interested in learning more about this opportunity, please email your CV to our Physician Recruitment Office at physicianrecruitment@leehealth.org.

As a community-focused nonprofit health system in Florida, it's our mission to build a healthier future for our community.

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Lee Health
is located in
Fort Myers/
Cape Coral,
Florida
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