Medical Director - Behavioral Health

IMCS Group; United States; À distance; USD 170 822 - 176 332; Plein temps

Résumé du poste

A prominent staffing and recruiting company is seeking a Medical Director - Behavioral Health for a 6-month contract, emphasizing the need for clinical expertise in behavioral health and familiarity with utilization management. The ideal candidate will manage 12-15 cases daily, ensuring quality care and compliance with medical necessity standards while working remotely. Candidates must hold a medical degree and board certification in psychiatry, with the opportunity for FTE conversion based on performance and flexibility in hours.

Qualifications

• Board-certified physician with active practice experience.
• Proven ability to handle high-volume case reviews efficiently.
• Comfortable using EMR systems and collaborating virtually.

Responsabilités

• Reviewing 12-15 cases per day of UM decisions.
• Assessing medical necessity through established guidelines.
• Performing medical review activities pertaining to utilization review.

Connaissances

Clinical Expertise

UM Proficiency

Behavioral Health Experience

Tech Savvy

Adaptability

Regulatory Knowledge

Formation

Medical Doctor or Doctor of Osteopathy

Outils

EMR systems

Description du poste

1 day ago Be among the first 25 applicants

This range is provided by IMCS Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$124.00/hr - $128.00/hr

Direct message the job poster from IMCS Group

Dedicated Manager Leading Service Delivery Success In US Recruitment | Enhancing Processes & Fostering Relationships

Job Title: Medical Director - Behavioral Health

Duration: 6-month contract with potential for extension or FTE conversion based on performance.

Location: Remote

Shift Type: 8 am – 5 pm Flexible for any time zone but mostly need EST and CST.

Pay range: $124-128 /Hr

Note:

• FTE Conversion Salary $310-315K
• Possibility for Saturday and Sunday BH – 1 Weekend call every 4-6 weeks
• Flexible hours are something the team is discussing to ensure there is coverage for as needed weekends and holidays
• There could be an opportunity to be on weekends only, etc

A strong candidate would meet the following:

• Clinical Expertise: Board-certified physician with active practice experience.
• UM Proficiency: Proven ability to handle high-volume case reviews efficiently and accurately.
• Behavioral Health Experience: Essential if applying for roles requiring psychiatry certification.
• Tech Savvy: Comfortable using EMR systems and collaborating virtually.
• Adaptability: Can work independently in a remote setting while engaging with a dynamic team.
• Regulatory Knowledge: Familiarity with accreditation standards and state-specific requirements.

Job Duties:

• 12-15 cases per day of UM decisions (inpatient, outpatient, Prior Auth, etc.)
• Reviewing cases to understand if medical necessity is met
• They will follow established guidelines and determine if the medical necessity is met or not
• Completed through EMR system (Centene system)
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.
• Expansion positions for CMS final rule

Backgrounds that would be helpful

• UM experience (minimum of 1 year experience)

Required Skills/Experience:

• UM experience (minimum of 1 year experience)
• Must have ability to obtain licensure within multiple states
• Not meeting the board certification
• Performance indicators:
• Production capacity around the 12-15 cases per day
• Quality of the review

Education Requirement:

• Medical Doctor or Doctor of Osteopathy.
• Board certification by the American Board of Psychiatry and Neurology. Current state medical license without restrictions.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Health Care Provider

• Industries

  Staffing and Recruiting

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