Psychiatrist Physician Reviewer – PRN

GeneralGeneralPart TimeRemoteSeniorTeam 1,001-5,000H1B SponsorCompany SiteLinkedIn

Location

Illinois

Posted

1 day ago

Salary

$70 - $125 / hour

Seniority

Senior

Postgraduate DegreeEnglish

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

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