Psychiatrist Physician Reviewer

2 months ago

Lombard, United States Acentra Health Full time

CNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company's mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra seeks a Psychiatrist Physician Reviewer (Illinois Remote, 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. Conducts phone consultations with various Illinois hospitals to establish medical necessity and continued stay criteria for IL Medicaid Fee-For-Service beneficiaries.

*Position is PRN and remote within 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 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.
Why us?

We are a team of experienced 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 better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve 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 Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EOE AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.

Requirements
  • Licensed Physician (MD/DO) to practice in all branches in Illinois.
  • Board Certification in your specialty.
  • 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 programs.
  • Knowledge of standards of practice related to the determination of level of care.
  • Knowledge of Medicaid programs with relevant experience navigating similar complex projects.
  • Computer proficiency in Microsoft Excel, Word, PowerPoint, Teams, and Outlook.

Benefits

Compensation

The pay rate for this position is $125 per hour.

Based on our compensation philosophy, an applicant's placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

  • Psychiatrist Physician Reviewer

    2 months ago

    Lombard, United States CNSI Full time

    Company Description CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission...

  • Psychiatrist Physician Reviewer

    3 months ago

    Lombard, United States Acentra Health Full time

    Job DescriptionJob DescriptionCNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace...

  • OBGYN Physician Reviewer

    3 months ago

    Lombard, United States Acentra Health Full time

    Job DescriptionJob DescriptionCNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace...

  • Internal Medicine or Family Practice Physician Reviewer

    3 months ago

    Lombard, United States Acentra Health Full time

    Job DescriptionJob DescriptionCNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace...

  • Nurse Practitioner/Physicians Assistant

    4 weeks ago

    Lombard, United States The Nurse Practitioner Group LLC Full time

    Job DescriptionJob DescriptionDescription:Nurse Practitioner/Physicians AssistantThe Nurse Practitioner Group, LLC is guided by our commitment to excellence and compassion in all that we do. At the Nurse Practitioner Group, each member plays a vital role, every day, every time, as we could not accomplish what we do without our team. We continue to be guided...

  • Licensed Practical Nurse

    19 hours ago

    Lombard, United States Lifespace Communites Full time

    Overview: Live your purpose. Grow your career. Thrive through teamwork. Create meaningful, personalized experiences.At Lifespace, team members are at the center of delivering a purpose driven experience for our residents! We provide an environment where each team member can live their aspirations, developing in their career, making a difference, and being a...

  • Polysomnographic Technologist

    5 days ago

    Lombard, United States Dupage Medical Group Full time

    Overview Position Hightlights: * Position: Polysomnographic Technologist - Sleep Technican * Location: Lombard, IL - must be willing to travel to Lockport as needed * Full Time/Part Time: Full-time * Hours: 8:00pm-6:30am; 10-Hour Overnight Shifts Biweekly; Every other weekend required Benefits: * Comprehensive medical and prescription drug benefits that...

  • Polysomnographic Technologist

    2 days ago

    Lombard, United States Dupage Medical Group Full time

    Overview Position Hightlights: * Position: Polysomnographic Technologist - Sleep Technican * Location: Lombard, IL - must be willing to travel to Lockport as needed * Full Time/Part Time: Full-time * Hours: 8:00pm-6:30am; 10-Hour Overnight Shifts Biweekly; Every other weekend required Benefits: * Comprehensive medical and prescription drug benefits that...

  • Occupational Therapist

    1 month ago

    Lombard, United States HealthPRO Heritage Full time

    Overview HealthPRO Heritage is seeking a PRN Occupational Therapist to assist in our senior living division in the Lombard, IL area. Flexible scheduling Competitive wages from $48 - $55 per hour. At HealthPro Heritage we hire people who share our vision, who work diligently and provide the kind of care that will help change patient's lives for the...

  • Licensed Practical Nurse

    1 month ago

    Lombard, United States Lifespace Communites Full time

    Overview: Live your purpose.  Grow your career. Thrive through teamwork. Create meaningful, personalized experiences. At Lifespace, team members are at the center of delivering a purpose driven experience for our residents! We provide an environment where each team member can live their aspirations, developing in their career, making a difference, and...

  • Licensed Practical Nurse

    1 month ago

    Lombard, United States Lifespace Communites Full time

    Overview: Live your purpose.  Grow your career. Thrive through teamwork. Create meaningful, personalized experiences. At Lifespace, team members are at the center of delivering a purpose driven experience for our residents! We provide an environment where each team member can live their aspirations, developing in their career, making a difference, and...

  • Licensed Practical Nurse

    1 month ago

    Lombard, United States Lifespace Communites Full time

    Overview: Live your purpose.  Grow your career. Thrive through teamwork. Create meaningful, personalized experiences. At Lifespace, team members are at the center of delivering a purpose driven experience for our residents! We provide an environment where each team member can live their aspirations, developing in their career, making a difference, and...

  • Licensed Practical Nurse

    1 month ago

    Lombard, United States Lifespace Communites Full time

    Overview: Live your purpose.  Grow your career. Thrive through teamwork. Create meaningful, personalized experiences. At Lifespace, team members are at the center of delivering a purpose driven experience for our residents! We provide an environment where each team member can live their aspirations, developing in their career, making a difference, and...

  • RN - Central Nurse Triage- Western Suburbs -Multiple Locations

    6 days ago

    Lombard, United States Duly Health and Care Full time

    Overview:Location: Multiple locations available (Lisle, Lombard, Hinsdale, Downers Grove, Glen Ellyn)**Please note this position will start off in Downers Grove, a minimum of 4 weeks**Hours: M-F 8:30am-5:00pm,1 Saturday per month from 8:00am-12:00pm and rotating Holidays.Good enough isn't for us. Duly Health and Care's team members show up every day driven...

  • RN - Central Nurse Triage- Western Suburbs -Multiple Locations

    15 hours ago

    Lombard, United States Duly Health and Care Full time

    Overview:Location: Multiple locations available (Lisle, Lombard, Hinsdale, Downers Grove, Glen Ellyn)**Please note this position will start off in Downers Grove, a minimum of 4 weeks**Hours: M-F 8:30am-5:00pm,1 Saturday per month from 8:00am-12:00pm and rotating Holidays.Good enough isn't for us. Duly Health and Care's team members show up every day driven...

  • Polysomnographic Technologist

    2 weeks ago

    Lombard, United States Duly Health and Care Full time

    OverviewPosition Hightlights: Position: Polysomnographic Technologist - Sleep Technican Location: Lombard, IL - must be willing to travel to Lockport as needed Full Time/Part Time: Full-time Hours: 8:00pm-6:30am; 10-Hour Overnight Shifts Biweekly; Every other weekend required Benefits: Comprehensive medical and prescription drug benefits that include...

  • Polysomnographic Technologist

    1 week ago

    Lombard, United States Duly Health and Care Full time

    OverviewPosition Hightlights: Position: Polysomnographic Technologist - Sleep Technican Location: Lombard, IL - must be willing to travel to Lockport as needed Full Time/Part Time: Full-time Hours: 8:00pm-6:30am; 10-Hour Overnight Shifts Biweekly; Every other weekend required Benefits: Comprehensive medical and prescription drug benefits that include...

  • Receptionist - Specialty Suite

    2 months ago

    Lombard, United States Duly Health and Care Full time

    OverviewLocation: LombardHours: Monday - Friday 8am - 5pm, 1 Saturday per month. Good enough isn't for us. Duly Health and Care's team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work. Duly Health and Care works to understand what matters most to you. We...

  • Medical Assistant

    16 hours ago

    Lombard, United States Balance Health Full time

    Job DescriptionJob DescriptionDescription:For over 55 years, we have been considered one of the innovative world leaders in enhancing and improving care for foot and ankle medical conditions, sports medicine, and clinical programs. Our mission is to improve the quality of life in a patient-focused environment by providing the most advanced and knowledgeable...

  • Respiratory Therapist

    1 month ago

    Lombard, United States Advocate Aurora Health Full time

    Advocate Aurora Health is seeking a Respiratory Therapist for a job in Lombard, Illinois. Job Description & Requirements Specialty: Respiratory Therapist Discipline: Allied Health Professional Duration: Ongoing 36 hours per week Shift: nights Employment Type: Staff Sign-On Bonus Available - Up to $20,000 May be eligible for our Loan Forgiveness program...