Psychiatrist Physician Reviewer – PRN
Location
Illinois
Posted
1 day ago
Salary
$70 - $125 / hour
Seniority
Senior
Job Description
Psychiatrist Physician Reviewer – PRN
CNSI
• Conduct peer-to-peer physician consultations as requested/required and document consultations • Provide clinical expertise with respect to planning and establishing goals and policies to improve clinical operations • Represent the organization through state appeal processes • Review medical information trends, experiences, and approaches and assist in the development of strategic plans for clinical improvements • Provide program representation at stakeholder engagement meetings • Ensure compliance with regulatory and accreditation requirements • Analyze and remain current on national, state, and local regulations and legislation which impact the healthcare profession • Represent and promote Acentra Health at seminars, professional societies, medical staff meetings, and other professional settings as appropriate
Job Requirements
- Licensed Physician (MD/DO) to practice in all branches in Illinois
- Board Certification in Psychiatry
- Engaged in active practice
- Have admitting or staff privileges in one or more Illinois hospitals or state facilities
- Experience in Utilization Management, Case and Disease Management with knowledge of Medicaid and Medicare program
- Knowledge of standards of practice related to the determination of level of care
- Computer proficiency in Microsoft Excel, Word, PowerPoint, Teams, and Outlook
Benefits
- comprehensive health plans
- paid time off
- retirement savings
- corporate wellness
- educational assistance
- corporate discounts
Related Guides
Related Categories
Related Job Pages
More General Jobs
Head of Digital Media
The Spark GroupBoutique Digital Marketing Agency. We help you tell and share your story with the world.
• Lead clients’ paid digital media efforts across various campaigns and initiatives to drive efficient results • Direct the development and execution of multi-channel digital media strategies, working with internal teams to ensure marketing strategies are integrated • Accountable for digital plan output timeliness, accuracy, scope, and overall excellence • Present and communicate media & social strategies, plans, and executions to client partners • Accountable for media pacing and budget with assistance from Senior Digital Analyst • Apply an expert understanding of analytics and measurement tools/techniques to provide media strategy support team, and to client and internal marketing goals • Responsible for managing a high-performing team, including individual development, performance management, training, development, and mentorship • Participate in new business pitches and development as needed
Appliance Repair Technician, Washers & Dryers
ERA Real EstateThe local real estate experts with world-class power 🌎
• Diagnose and repair commercial washers and dryers • Install laundry equipment in multi-unit residential buildings • Perform preventative maintenance and service calls • Troubleshoot basic electrical and plumbing issues • Communicate job status with our operations team • Maintain professional appearance at client properties
Senior Reliance Care Associate
Reliance HealthWe use technology to make quality healthcare delightful, affordable, and accessible in emerging markets.
• Check the quality of customer conversations across phone, chat, and email to make sure they meet our standards.• Create and use scorecards to measure how well team members are doing.• Run regular checks (audits) to find problems and areas where we can do better.• Make sure the team follows our rules and meets our service level agreements (SLAs).• Find ways to improve how we work and make customers happier.• Lead and support a team of 10 or more customer support agents.• Have regular one-on-one meetings to give feedback and help team members grow.• Train team members on how to handle difficult customer situations.• Create plans to help each person on the team get better at their job.• Handle escalating customer issues that need senior attention.• Manage difficult customer cases that involve multiple health issues or tricky situations.• Work with other teams (like medical, claims, or operations) to solve complex problems.• Oversee emergency scenarios and make sure serious cases are handled properly.• Make sure problems that are not solved on the first contact are followed up and closed.• Use data to find patterns, problems, and opportunities to improve.• Create reports and dashboards to track team performance (CSAT, AHT, FCR, QA scores).• Share insights with leadership to help make better decisions.• Track and report on whether we are meeting our SLAs and turnaround times.• Set up and manage Zoho Desk to help the team work efficiently.• Create workflows, automation rules, and ticket routing to speed up work.• Design templates and macros so the team can respond to customers faster.• Write and update Standard Operating Procedures (SOPs) for the team to follow.
• Coordinate external client programs assigned to you. • Schedule events, manage registration, and provide logistical support as needed. • Maintain program requirements per customer preferences. • Communicate between various departments regarding program details and participate in internal program-related calls as necessary. • Report data to the client as requested and to the local team to help boost enrollment and confirm class dates. • Coordinate internal client programs assigned to you. • Schedule events, manage class registration, and pull reports related to class attendance • Collaborate with various departments as needed to determine appropriate program requirements. • Create and maintain documentation for each program. • Provide PTO coverage for coworkers in Operations. • Act as the first line of defense for conflict resolution. • Design and implement processes and procedures to improve your program and maintain ongoing customer changes.




