Advanced Psychiatrist
8 hours ago
Job Summary:
We are seeking an experienced Advanced Psychiatrist to join our team at Health Advocates Network, Inc. as a Medical Specialist.
About the Role:
As a Medical Specialist, you will be responsible for reviewing medical records and providing written decisions on continuity of care requests.
Key Responsibilities:
- Review medical records and other materials associated with the case electronically, by fax, or by mail.
- Provide a written decision upholding or overturning the continuity of care denial based on the definition of continuation of care, the member's physical condition, medical records, and other relevant materials.
- Provide the Department with a written decision in a regular case review within 7 business days of receiving all the case materials.
- Reimbursement for regular or expedited reviews shall be made based on the total number of hours needed to review the case and submit the written decision to the Department.
Requirements:
- Physician shall possess an unrestricted license to practice medicine within the Commonwealth of Pennsylvania.
- Physician shall be certified by the American Board of Medical Specialties or the American Osteopathic Association for his or her area of medical specialty and currently be in active clinical practice.
What We Offer:
Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability
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