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Clinical Oversight Physician
2 months ago
The Medical Advisor plays a crucial role in delivering clinical guidance by overseeing the management of patient care within the organization. This position involves providing expert consultation on the quality of care, medical decision-making, and safety concerns related to case evaluations and levels of care.
Benefits Offered:
- Family Planning, Fertility, and Adoption Support
- 403B Retirement Savings Plan
- Paid Time Off and Sick Leave
- Wellness Initiatives
- Employee Assistance Services
- Comprehensive Health, Dental, and Vision Coverage
- Medical and Prescription Drug Coverage
- Tuition Assistance Programs
- Commuter Benefits
- Flexible Spending Accounts
- Conducts physician evaluations in accordance with best practice standards and regulatory requirements, aiming for enhanced outcomes for members.
- Collaborates with healthcare providers and stakeholders to address clinical and medical issues, including patient placement and care coordination.
- Engages in quality assessments for specific member complaints and agency reviews.
- Represents medical affairs in clinical and administrative meetings as required.
- Facilitates training and educational sessions for internal and external stakeholders, including care managers and providers.
- Reviews cases across various care levels for medical necessity.
- Performs peer reviews for contested levels of care.
- Interacts with providers on clinical and administrative issues.
- Acts as a consultant for Clinical Care Managers.
- Completes additional tasks as assigned.
Qualifications:
- Education: Medical degree (MD or DO)
- Licensure/Certification: Valid PA Licensure; Board Certification in Adult or Child Psychiatry
- Experience: At least 2 years of clinical psychiatry experience, particularly in inpatient care and substance abuse treatment.
Required Skills:
- Proficient in Microsoft Word and Excel
- Strong analytical and problem-solving abilities
- Excellent interpersonal communication skills
- Decisive and effective in decision-making
- Outstanding verbal and written communication skills
Work Environment:
- Travel within the designated service area is required.
- Regular physical activities include walking, standing, and sitting for extended periods.
- Must be able to operate computers and office equipment to fulfill daily responsibilities.
- Work is typically performed indoors in well-lit and ventilated areas.
- Adaptability to changing job demands is essential.
U.S. Work Authorization:
- Applicants must be legally authorized to work in the United States without requiring future sponsorship.
Diversity and Inclusion:
- Community Behavioral Health is committed to fostering a diverse and inclusive workplace. We are an equal opportunity employer and do not discriminate based on any protected characteristic.
Accommodation Requests:
- We are dedicated to providing equal employment opportunities for individuals with disabilities or religious observance. Reasonable accommodations will be made as needed.
