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We are currently looking for a part time Child & Adolescent Psychiatrist Behavioral Health Medical Director to serve as a physician peer reviewer within our Utilization Management program for Maryland Medicaid participants seeking specialty mental health and substance use disorder services. The successful candidate will work collaboratively with other internal partners such as Care Advocacy, Quality Improvement, and State and Legal Compliance, providing medical subject matter expertise and making coverage decisions based on medical necessity criteria from the Maryland Department of Health and from the American Society of Addiction Medicine. Other duties include supervision, case review, training and consultations with licensed clinical Care Advocates and other physician Peer Reviewers. The Behavioral Health Medical Director reports to the Chief Medical Officer.
This is a part-time position for 20 hours per week. Work from home but MUST reside in Maryland
Primary Responsibilities include:
* Perform Clinical Case reviews of minors (occasional adults) in conjunction with Clinical and Quality departments
* Consultation with Maryland Medicaid practitioners
* Direct supervision and mentorship to the clinical team
* Participation in clinical work groups as required
* Participation in committees as needed
* Adhere to operational and clinical policies
Required Qualifications:
* Doctor of Medicine or Osteopathy
* Current license to practice as a physician without restrictions in the state of Maryland;
* Board certified by the American Board of Psychiatry and Neurology in Child and Adolescent Psychiatry
* Understanding of the Maryland Public Behavioral Healthcare System, the services available, and the criteria for receiving services, including Applied Behavioral Analysis (ABA)
* Knowledge of post-acute care planning such as home care, discharge planning, case management, and disease management
* Computer and typing proficiency, data analysis and strong organizational skills
Preferred Qualifications:
* 5 years of clinical experience post residency
* 1 year of managed care experience
* Experience in managing both mental health and substance use disorders
* Experience in public sector delivery systems
* Experience working with community based programs and resources designed to aid the State Medicaid population
* Residing in the state of Maryland
Contractor
Business Services
$134k-171k (estimate)
07/03/2024
07/31/2024
equitystaffing.com
ENGLEWOOD, CO
500 - 1,000
2009
TRAVIS HUNT
$50M - $200M
Business Services
Equity Staffing Group provides innovative workforce solutions to help clients operate more efficiently and more successfully. We provide staffing services to organizations and career opportunities for job seekers in the following disciplines: Information Technology, Professional Services, Finance & Accounting, Healthcare, Legal, Engineering and Light Industrial. Equity Staffing Group is a certified Minority-Owned and Operated (MBE) Consulting, Contingent Labor and Payroll Solutions provider focused on providing strategic solutions for Global 1000 corporations. We are owned and operated by a me...mber of the Potawatomi Nation. Equity is one of the largest and fastest growing Native American owned and operated staffing agencies in the world. Equity Staffing Group provides local expertise backed by national resources and a network of professionals. We are always at work identifying, recruiting, and developing relationships with talented professionals across the country. Companies can trust Equity to provide the most comprehensive Contingent Labor Solutions from Staffing Services, Recruitment Process Outsourcing (RPO), and Payroll Services.
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The job skills required for Behavioral Health Medical Director include Planning, Analysis, Quality Improvement, Managed Care, Utilization Management, Organizational Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Behavioral Health Medical Director. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Behavioral Health Medical Director. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Behavioral Health Medical Director positions, which can be used as a reference in future career path planning. As a Behavioral Health Medical Director, it can be promoted into senior positions as a Top Behavioral Health Executive that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Behavioral Health Medical Director. You can explore the career advancement for a Behavioral Health Medical Director below and select your interested title to get hiring information.