Offer summary

Qualifications:

Medical Doctor Degree required., Current unrestricted license to practice medicine in a state or territory of the United States required., Board Certified in Psychiatry required., 5+ years clinical practice experience and medical management experience in a Managed Care environment required..

Key responsabilities:

Provides clinical oversight to client-directed Behavioral Health activities throughout the West Region.

Consults directly with staff on clinical Behavioral Health issues and supports medical management staff in clinical case reviews.

Collaborates with CMOs and other medical directors on integrated behavioral healthcare management practices.

Advises on Behavioral Health matters and reviews operations to implement quality improvements.

Job description

Title: Medical Director, BH Corp
Location: Remote, must work PST hours
Schedule: up to 25 hours per week, Holidays, no nights or weekends
Duration: Through 12/31/2025

Description:
Provides clinical oversight to client-directed BH activities throughout the West Region. Functions as the senior Behavioral Health clinical consultant for medical management reporting to the Behavioral Health Chief Medical Officer (CMO). Consults directly with staff on clinical Behavioral Health issues.

What You Will Do:

Consults with practitioners in the field.
Functions as the Behavioral Health clinical authority.
Collaborates with CMOs, other medical directors, medical management leadership, and staff, on the development and implementation of integrated behavioral healthcare management practices.
Acts as lead consultant to Sr. VP Medical Management & Chief Medical Officers, VP, and other senior staff on BH-related matters.
Supports medical management staff in the conduct of clinical case reviews and focused studies and reviews.
Conducts medical necessity review and is available for peer-to-peer discussions.
Assists in physician-to-physician communications with BH clinicians related to practice pattern enhancement.
Consults, advises, and provides clinical supervision to clinical staff on Behavioral Health- related responsibilities.
Provides direct support to Team Coordinators, Behavioral Health and other Medical Directors.
Works with other Medical Directors on committees and projects to support Medical Management program.
Works with BH clinical advisors and local BH advisory committees in the Service Areas.
Advises Directors of Utilization Management (UM), Quality Management (QM), Case Management (CM), and Disease Management (DM) and staff on Behavioral Health matters.
Provides clinical consultation to staff and oversight for decisions effecting beneficiaries.
Chairs committees as required.
Reviews Behavioral Health operations with management team to identify and implement quality and process improvements.
Consults with staff on clinical decisions and reviews.
Performs other duties as assigned.
Regular and reliable attendance is required.

You Will Be Successful If:

Knowledge of health care cost containment and continuous quality improvement; familiar with Child and Adolescent Psychiatric services, levels of care, and neuropsychiatric testing; Knowledge of Managed Care practices, URAC standards and process, HIPPA regulations and requirements and Managed Behavioral Health care practices; ability to work in a matrix environment.
Influence the actions and opinions of others in a positive direction and build group commitment.
Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.
Ability to function in a multi-system Microsoft environment using Word, Outlook, Intranet, the Internet, and department software applications.
Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.
Actively foster actions required for desired business outcomes through ongoing constructive feedback.
Availability to work non-regular hours as required
Works in a standard office environment, with minimal travel
Extensive computer work with prolonged sitting
Department of Defense security clearance required

What You'll Bring:

Medical Doctor Degree required.
Current unrestricted license to practice medicine in a state or territory of the United States required.
Board Certified in Psychiatry required.
5+ years clinical practice experience required.
5+ years medical management experience in a Managed Care environment required.
Experience with utilization Management, Quality Management, Case Management, and Disease Management required.
Advanced Degree or certificate in medical management preferred.
TRICARE or Government Experience preferred.

About Impresiv Health:

Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.

Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do – provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it.

That's Impresiv!

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