Physician Advisor
4 weeks ago
Essential Functions:
- Performs physician reviews in alignment with best practice standards (NCQA) and state regulatory requirements and with the goal of improved outcomes for CBH members.
- Engages, collaborates and troubleshoots with providers and system stakeholders on clinical and medical matters, including member placement, coordination of care, quality concerns and other challenges.
- Participates in quality reviews as needed for specific member complaints, grievances, and agency reviews.
- Participates in clinical and administrative meetings as representative of medical affairs and clinical as required.
- Participates in training and education with both internal and external stakeholders, including care managers, providers and others as required.
- Reviews cases from multiple sites and levels of care for medical necessity.
- Performs peer review cases for disputed levels of care.
- Interact with providers on clinical and administrative matters.
- Serve as a consultant for Clinical Care Managers.
- Completes other duties as assigned.
Position Requirements:
- Education: Medical degree (MD or DO)
- License/Certification: PA Licensure; Board Certified in Adult or Child Psychiatry
- Relevant Work Experience: Minimum of 5 years of clinical psychiatry experience including significant and specific experience with inpatient care and substance abuse treatment
- Skills:
- Proficient in Microsoft Word and Excel
- Problem solving and analytical skills
- Strong interpersonal skills
- Strong decision making skills
- Excellent verbal and written communication skills
Work Conditions (including travel, overtime required, physical requirements and occupational exposure):
- Must be able to travel within the City of Philadelphia.
- Regularly requires walking, standing, stooping, bending, sitting, reaching, pushing, pulling and/or repetitive wrist/hand movements for various lengths of time throughout the day.
- Ability to utilize computers and office equipment to complete daily work responsibilities.
- Regularly works inside in areas that are adequately lighted and ventilated. Some fluctuation in temperature. No protective equipment routinely needed.
- Must be able to adapt to continuous changes/demands of the job.
Philadelphia Residency Requirement:
- The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.
U.S. Authorization Requirement:
- CBH does not provide sponsorship for applicants requiring future work authorization. All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future.
Equal Employment Opportunity:
- We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.
Requesting An Accommodation:
- CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.
- If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at CBH.Recruitment@Phila.gov
-
Financial Advisor
4 weeks ago
Philadelphia, United States uFinancial Group Full timeJob DescriptionJob DescriptionDo you have a background as a leader on your campus? Are you a current or former student athlete? Have you thought about the idea of working for yourself while also helping young physicians strive to achieve financial freedom? As a Financial Advisor with uFinancial Group, you will work directly with physicians trying to pursue...
-
Physician Advisor
4 days ago
Philadelphia, United States Penn Medicine Full timeDescription Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today...
-
Physician Advisor
2 days ago
Philadelphia, United States Penn Medicine Full time**Description** Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all...
-
Physician Advisor
4 weeks ago
Philadelphia, Pennsylvania, United States Community Behavioral Health. Full timeThe Physician Advisor is responsible for providing clinical leadership through oversight of the clinical management of members. The Physician Advisor provides consultation regarding overall quality of care, medical decision making, case formulations, medication and other safety concerns, specific to case review and levels of care or cohort. Essential...
-
Physician Advisor
2 days ago
Philadelphia, United States Penn Medicine Full timeDescription Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today...
-
Physician Advisor
4 weeks ago
Philadelphia, United States Community Behavioral Health Full timeThe Physician Advisor is responsible for providing clinical leadership through oversight of the clinical management of members. The Physician Advisor provides consultation regarding overall quality of care, medical decision making, case formulations, medication and other safety concerns, specific to case review and levels of care or cohort. Essential...
-
Physician Advisor
3 days ago
Philadelphia, United States Community Behavioral Health. Full timeThe Physician Advisor is responsible for providing clinical leadership through oversight of the clinical management of members. The Physician Advisor provides consultation regarding overall quality of care, medical decision making, case formulations, medication and other safety concerns, specific to case review and levels of care or cohort. Essential...
-
Resident Advisor
2 weeks ago
Philadelphia, United States Friends Hospital Full timeFriends Hospital is the nation's oldest private psychiatric hospital, located on a beautiful 100-acre campus in Philadelphia, PA. Friends Hospital offers a continuum of care including level of care assessments; specially designed inpatient units for adolescents, adults, and older adults; and a private residential rehabilitation program. Friends Hospital is...
-
Resident Advisor
2 weeks ago
Philadelphia, Pennsylvania, United States UHS Full timeResponsibilities One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's...
-
Resident Advisor
3 weeks ago
Philadelphia, United States Friends Hospital Full time**Responsibilities**: One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the...
-
Resident Advisor
1 month ago
Philadelphia, United States Universal Health Services Full timeResponsibilities One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's...
-
Resident Advisor
4 weeks ago
Philadelphia, United States Universal Health Services Full timeResponsibilities One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's...
-
Resident Advisor
3 weeks ago
Philadelphia, United States UHS Full timeResponsibilities One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's...
-
Philadelphia, United States LocumJobsOnline Full timeLocumJobsOnline is working with Healthcare Connections to find a qualified Dermatology MD in Pennsylvania, Pennsylvania!About The PositionPennsylvania GROWING Dermatology GroupAn exciting opportunity awaits in northern Pennsylvania with a physician-led, non-profit hospital system serving New York and Pennsylvania for 100+ years! This is a hospital employed...
-
Philadelphia, United States LocumJobsOnline Full timeLocumJobsOnline is working with Healthcare Connections to find a qualified Dermatology MD in Pennsylvania, Pennsylvania!About The PositionPennsylvania GROWING Dermatology GroupAn exciting opportunity awaits in northern Pennsylvania with a physician-led, non-profit hospital system serving New York and Pennsylvania for 100+ years! This is a hospital employed...
-
Philadelphia, United States LocumJobsOnline Full timeLocumJobsOnline is working with Healthcare Connections to find a qualified Otolaryngology MD in Pennsylvania, Pennsylvania!About The PositionPennsylvania Otolaryngology + $200,000 DIRECT Loan RepaymentAn exciting opportunity awaits in the Penn-York Valley with a hospital system serving New York and Pennsylvania for more than 100 years! This is a hospital...
-
Philadelphia, United States LocumJobsOnline Full timeLocumJobsOnline is working with Healthcare Connections to find a qualified Otolaryngology MD in Pennsylvania, Pennsylvania!About The PositionPennsylvania Otolaryngology + $200,000 DIRECT Loan RepaymentAn exciting opportunity awaits in the Penn-York Valley with a hospital system serving New York and Pennsylvania for more than 100 years! This is a hospital...
-
Philadelphia, United States LocumJobsOnline Full timeLocumJobsOnline is working with Healthcare Connections to find a qualified Internal Medicine MD in Pennsylvania, Pennsylvania!About The PositionPrimary Care Physicians Needed in Eastern PAA pillar in the community has hung up their hat by putting in their retirement notice. This hospital-owned primary care practice in a growing community just north of...
-
Clinical Care Management Specialist
3 weeks ago
Philadelphia, United States Community Behavioral Health. Full timeThe Clinical Care Manager is responsible for utilization management by conducting utilization review activities, population management, cross-system consultation, provider management and treatment quality monitoring. The Clinical Care Manager must utilize clinical knowledge of best practices and evidence based treatments to ensure CBH members receive timely...
-
Medical Director
4 weeks ago
Philadelphia, United States Community Behavioral Health Full timeThe Medical Director of Quality Management is responsible for the overall medical leadership to the department of Quality Management and the implementation of continuous quality improvement throughout the provider network, as well as within the departments at CBH. He/she provides supervision to the Physician Advisors performing quality reviews. Core...
