Clinical Leader for Utilization Review

3 weeks ago


Lombard, Illinois, United States CNSI Full time
Job Description:

At CNSI, we are seeking a highly skilled Patient Advocate to join our team. As a Clinical Leader, you will be responsible for providing expert guidance on Utilization Review and Peer Review processes. Your primary focus will be on ensuring the highest quality of care for our patients, while also promoting efficient and effective use of healthcare resources.

Key Responsibilities:
  • Conduct phone consultations with healthcare professionals to establish medical necessity and continued stay criteria for patients.
  • Provide clinical expertise on utilization management and case management practices.
  • Develop and implement strategic plans to improve clinical operations and patient outcomes.
  • Represent CNSI at stakeholder engagement meetings and professional societies.

Requirements:
  • Licensed Psychiatrist (MD/DO) with active practice in Illinois.
  • Board Certification in Psychiatry.
  • Experience in utilization management and case management with knowledge of Medicaid and Medicare programs.
  • Knowledge of parity in mental health and substance use disorder services regulations.

What We Offer:
  • A competitive hourly rate of $125.
  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.

How to Apply:

Please submit your application, including your resume and a cover letter, to [insert contact information]. We thank all applicants for their interest; however, only those selected for an interview will be contacted.



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