Psychiatrist Physician Reviewer - PRN - Remote (reputed company Illinois)

Company Description reputed company exists to reputed company reputed company outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. reputed company the Way is our rallying cry at reputed company. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. reputed company offers you unparalleled opportunities. In fact, you have reputed company you need to take charge of your career and accelerate reputed company outcomes – making this a great time to join reputed company of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Job Description

Acentra seeks a Psychiatrist Physician Reviewer (PRN) to join our growing team. Job Summary: The Psychiatrist Physician Reviewer will provide principal leadership and clinical expertise to operations relating to the peer review process, utilization review activities, and other activities requiring clinical leadership and consultation. They will conduct phone consultations with various Illinois hospitals to establish medical necessity and reputed company stay criteria for IL Medicaid Fee-For-Service beneficiaries.

• Position is PRN and remote reputed company the state of Illinois.

Job Responsibilities:

• 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 reputed company on national, state, and local regulations and legislation which impact the healthcare profession
• Represent and promote reputed company at seminars, professional societies, medical staff meetings, and other professional settings as appropriate
• Read, understand, and adhere to reputed company corporate policies including policies reputed company to HIPAA and its Privacy and reputed company Rules

Qualifications

Required Qualifications

• Licensed Physician (MD/DO) to practice in reputed company 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 reputed company to the determination of level of care
• Knowledge of Medicaid programs with relevant experience navigating similar reputed company projects
• Computer proficiency in reputed company reputed company, Word, PowerPoint, Teams, and Outlook

Additional Information Why us? We are a team of reputed company and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure reputed company healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to reputed company the finest work of your career. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in reputed company and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The reputed company reputed company Team Visit us at Acentra.com/careers/ EEO AA M/F/Vet/Disability reputed company is an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, reputed company, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation

The pay range for this position is $70.97-125.00 per hour. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and reputed company level.” Apply tot his job Apply To this Job