Clinical Leadership Specialist

2 days ago


Beverly Hills, California, United States Community Behavioral Health Full time
Job Summary

We are seeking a highly skilled Physician Advisor to join our team at Community Behavioral Health. As a key member of our medical affairs team, you will provide clinical leadership and oversight to ensure the highest quality of care for our members.

Key Responsibilities
  • Perform physician reviews in alignment with best practice standards (NCQA) and state regulatory requirements to improve outcomes for CBH members.
  • Engage with providers and stakeholders to troubleshoot clinical and medical matters, including member placement, coordination of care, and quality concerns.
  • Participate in quality reviews and clinical meetings to ensure medical affairs are represented and aligned with organizational goals.
  • Develop and implement training programs for internal and external stakeholders, including care managers and providers.
  • Review cases from multiple sites and levels of care for medical necessity and perform peer review cases for disputed levels of care.
Requirements
  • Medical degree (MD or DO) and PA licensure.
  • Board certification in Adult or Child Psychiatry.
  • Minimum 2 years of clinical psychiatry experience, including inpatient care and substance abuse treatment.
  • Strong problem-solving, analytical, and interpersonal skills.
  • Excellent verbal and written communication skills.
Work Environment

This role requires regular travel within the City of Philadelphia and the ability to work in a fast-paced environment. You must be able to adapt to continuous changes and demands of the job.

CBH is an equal opportunity employer and is committed to providing a culture of diversity, inclusion, and belonging. We do not discriminate based on race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, disability, or any other characteristic protected by law.



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