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Behavioral Health Medical Director-Psychiatrist Leader
2 months ago
CNSI, a leading healthcare technology and services company, is seeking a highly skilled and experienced Behavioral Health Medical Director-Psychiatrist to join our team. As a key member of our leadership team, you will play a critical role in shaping the future of healthcare and driving innovation in the industry.
Key Responsibilities- Evaluate and respond to inquiries from physicians, providers, and customers, providing expert guidance and support.
- Consult with general and specialty practitioners regularly, staying up-to-date on national, state, and local regulations and legislation that impact the healthcare profession.
- Analyze and remain current on pediatric medical literature, information trends, experiences, and approaches, and assist in the development of strategic plans for clinical improvements.
- Ensure compliance with regulatory and accreditation requirements, working closely with medical, nursing, and administrative staff to identify matters needing shared attention.
- Provide medical expertise with respect to planning and establishing goals and policies to improve medical management, conducting peer-to-peer physician consultations as requested or required and documenting consultations.
- Work with medical, nursing, and administrative staff to identify matters needing shared attention, discussing, informing, and facilitating communication and interaction between staff and customers.
- Provide and review medical necessity for services, including PRTF, ABA, and Mental Health, including Psychiatry.
- Psychiatrist (MD/DO) or Health Services Provider in Psychology (HSPP) (Ph.D.) with a current non-restricted license to practice medicine by the Board of Medical Examiners in the State of Indiana.
- Board certification in a clinical specialty.
- Utilization Management (UM) review experience.
- Experience as a physician executive with significant accomplishments in developing managed care strategies, integrating delivery systems, improving quality and utilization management programs, and coaching medical staff on healthcare business and practice issues.
- A strong knowledge of Quality Assurance (QA) and Utilization Review (UR).
- A contemporary clinician who understands major trends in healthcare and managed care.
- Ability to work effectively with a diversity of personalities, approachable, showing respect for others, and building consensus.
- A systems thinker with strong organizational skills, able to pull all the pieces together and deliver on time and within budget.
- Adaptable with a strong collaborative management style, a creative thinker with high energy and enthusiasm, and a team player who promotes the concepts of people working together.
- Able to adapt to frequently changing work parameters.
- 10+ years of clinical practice.
- 2+ years as a Medical Director in a managed care company.
- Experience in Utilization Management (UM) with knowledge of Medicaid and Medicare programs.
- Prior Review experience or Quality Assurance committee responsibility in a hospital setting.
CNSI is a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
We do this through our people.
You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement you need to achieve the finest work of your career.
