Senior Psychiatrist, Medical Leadership in Utilization Management
2 months ago
Position Overview: This role is part of a newly established unit operating under the guidance of the Director of Behavioral Health Services Managed Care and the Utilization Management Unit Manager. The ideal candidate will offer clinical leadership, mentorship, and support to the team while collaborating closely with the UM Unit Manager as Co-Chair of the Utilization Management Committee. Initially, this position is structured as a 0.6 Full-Time Equivalent (FTE), with the potential to expand to a full 1.0 FTE as the unit develops and operational efficiencies are realized.
Role Responsibilities: The Utilization Management Medical Director is the appointed physician responsible for the development and evaluation of the San Francisco Department of Public Health Behavioral Health Services Utilization Management program. This role includes providing clinical oversight of UM activities and offering consultation to UM Clinical Reviewers as necessary. The Medical Director will review data and reports with the UM Unit Manager to identify necessary actions and make recommendations grounded in evidence-based clinical practices.
Key Qualifications:
- Possession of a current, valid, and unrestricted medical license issued by the Medical Board of California or the Osteopathic Medical Board of California.
- Successful completion of an accredited residency program in a psychiatric specialty area recognized by the Accreditation Council for Graduate Medical Education or the American Osteopathic Association.
- Valid registration with the Drug Enforcement Administration (DEA) of the United States Department of Justice.
Preferred Qualifications:
- A minimum of seven years of clinical practice experience in behavioral health.
- At least two years of experience in utilization management, ideally in a hospital setting or as a Medical Director within a Behavioral Health or Mental Health Plan review team.
- Demonstrated leadership capabilities, problem-solving skills, and the ability to manage multiple priorities effectively.
- A results-oriented mindset with a strong sense of ownership for initiatives and a collaborative approach to achieving team goals.
- Basic understanding of CPT coding and related guidelines.
Position Details:
- 1.0 FTE position (0.6 FTE dedicated to UM medical director responsibilities plus 0.4 FTE for clinical duties in a low-barrier clinical environment).
- Standard working hours are from 8:30 AM to 5:00 PM.
- This position operates in a hybrid model, requiring three days in-person attendance and two days of remote work, subject to operational needs.
- The clientele served includes safety net populations, Medi-Cal recipients, individuals with severe mental illness, those with dual diagnoses, and the homeless or housing-unstable.
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Mountain View, California, United States San Francisco Department of Public Health Full timePosition Overview: This role is part of a newly established unit operating under the guidance of the Director of Behavioral Health Services Managed Care and the Utilization Management Unit Manager. The selected candidate will provide essential clinical leadership, direction, and support for the team, collaborating closely with the UM Unit Manager as Co-Chair...
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