Medical Director - Psychiatry (Fully Remote)

Confidential; United States; Remoto; USD 180.000 - 240.000; Tempo integral

Resumo da vaga

Confidential is seeking a clinical leader to oversee utilization management, including medical necessity reviews and prior authorization decisions. You will lead initiatives to ensure appropriate care and consistent decision-making across medical policies.

You will engage in peer-to-peer discussions with practitioners to explain clinical rationales and explore alternative care options, and collaborate cross-functionally to improve processes, develop medical policies, and participate in quality

Qualificações

• Provide clinical leadership in utilization management, including medical necessity reviews and prior authorization decisions.

Responsabilidades

• Provide clinical leadership in utilization management, including medical necessity reviews and prior authorization decisions.
• Engage in peer-to-peer discussions with practitioners to explain clinical rationales and explore alternative care options.
• Collaborate cross-functionally to improve utilization management processes, develop medical policies, and participate in quality improvement initiatives.

Descrição da vaga

• Provide clinical leadership in utilization management, including medical necessity reviews and prior authorization decisions.
• Engage in peer-to-peer discussions with practitioners to explain clinical rationales and explore alternative care options.
• Collaborate cross-functionally to improve utilization management processes, develop medical policies, and participate in quality improvement initiatives.