Behavior Health Care coordinator

ML OUTSOURCING SERVICES PRIVATE LIMITED; Chicago (IL); On-site; USD 144,648 - 165,312; Full time

Job summary

A leading healthcare provider seeks a Medical Director for a remote position eligible for candidates from selected states, including Illinois. The role involves evaluating clinical service requests, contributing to policy development, and participating in quality improvement activities. Candidates must hold a Board Certified SchnABMS M.D. or D.O. and have at least 5 years of clinical experience. The position is focused on oversight, with no direct patient care responsibilities. Competitive pay range of $105/hr - $120/hr is offered for this long-term role.

Qualifications

• At least 5 years of clinical experience, including inpatient experience.
• Unrestricted and active license to practice medicine.
• Position does not provide direct patient care or medical diagnosis.

Responsibilities

• Evaluates clinical service requests made by members and providers.
• Participates in the assessment of clinical service requests.
• Contributes to the development of Physician Review Unit policies.

Skills

Understanding of managed care

Clinical judgment

Anticipatory case management

Education

Board Certified SchnABMS M.D. or D.O.

Job description

Pay Range

$105.00/hr - $120 Σ/hr

Location

Nashville, TN (100% remote). Candidates from Illinois, Tennessee, Montana, New Mexico, Oklahoma, and Texas are eligible.

Term

12+ months (temp to hire)

Start Date

ASAP

Responsibilities

• Evaluates clinical service requests made by members and providers, using clinical judgment and organizational criteria.
• Participates in the assessment of clinical service requests and the Physician Review Unit appeal process of service denials.
• Practices anticipatory case management for members whose cases come for review, in partnership with case managers.
• Contributes to the development of Physician Review Unit policies and procedures.
• Actively participates in continuous quality improvement activities within the unit.
• Performs other duties as assigned by the Medical Director.

Qualifications

• Board Certified SchnABMS M.D. or D.O., unrestricted and active license to practice medicine.
• At least 5 years of clinical experience, including inpatient experience, or an equivalent combination of education and experience.
• Understanding of managed care and expertise in PC proficiency (file review will be conducted via computer).
• Position does not provide direct patient care or medical diagnosis.
• Medical Director candidate must reside in Tennessee, Illinois, Montana, New Mexico, Oklahoma, or Texas.

EEO Statement

Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

Contact

Best Regards,

Ankit Mishra

Email: [e-mail]

Phone: [phone]