Medical Director, Psychiatry & Behavioral Health- Ohio and Indiana

Job Description : About the Role : The Medical Director, Psychiatry and Behavioral Health (MD, PBH)  is responsible for providing oversight to behavioral health programming in the market. In partnership with the Market Medical Director and the Manager of Behavioral Health, collaborates with our health plan partners, and leads the development and refinement of clinical practices, policies and programming related to behavioral health. The role works collaboratively with an interdisciplinary team of clinical and non-clinical leadership to support the market. The MD, PBH also provides comprehensive behavioral health care, including assessments, diagnosis, treatment recommendations, treatment planning, clinical treatment, medication management, and follow up planning. The MD, PBH provides members with a necessary bridge to ongoing behavioral health services in the community and manages the most behaviorally complex patients in their market. Responsibilities : StrategyDevelop and implement cost of care initiatives based on segmentation and other population health drivers and partner with your local care teams to further evaluate and iterate initiatives to support high quality member care, for both consented and pre-consented membersPartner with Cityblock’s Data and Analytics and Population Health teams to understand and map solutions to address drivers of utilization and translate this information to local care teams for iteration of potential data-driven solutionsLead clinical quality improvement initiatives that may span multiple locations and that focus on HEDIS, contracted or other determined behavioral health clinical quality metrics, in partnership with Cityblock’s Quality Improvement teamDecrease unnecessary hospitalizations, emergency room visits, and unnecessary speciality referralsCase Review and EducationParticipate in case conferences to bring a psychiatric lens to member careSupport care team in developing members’ care plans when behavioral health interventions applyGuide clinical team on complex clinical cases. Be available for escalation questions at the point of care.Participate in the delivery of educational content around behavioral health, and integration of primary and behavioral health needs, across the entire care team including non-clinical staffClinical CareConduct psychiatric evaluations for members referred to BH or identified through segmentation and develop comprehensive biopsychosocial formulations and treatment plansConduct visits for medication bridging for any member, and provide medication management for high- or risking-risk membersPrescribe, as clinically indicated, psychiatric medications, including Medication Assisted Treatment, Long-Acting Injectable medications, Clozapine and certain controlled substancesComplete comprehensive, compliant diagnosis captureAddress contracted and company prioritized quality gaps and ensure proper chart documentation and codes (ICD or CPT) are included in the encounter as supporting evidence of gap closureFollow-UpWork with members until they are stabilized in the communitySupport care team providers prescribing psychiatric medications and / or Medication Assisted TreatmentCollaborate with the care team to determine need for member placement in a different program (e.g., lower or higher intensity programs)Facilitate behavioral health and SUD referrals with internal and external providers and develop strong relationships with community and external providersSupport members in achieving their behavioral health care plan goalsPartner and Network ManagementAttend external meetings and activities to further the business goals of the organizationOperationsWork a full-time week and be prepared to join the Cityblock on-call schedule as needed. You may need to work outside of regular business hours to execute on the market’s clinical or business needs.Utilize our care facilitation, electronic health record and scheduling platforms as needed to collect data, document member interactions, organize information, track tasks, and communicate with your team, members, and community resourcesCross cover other Cityblock markets in your division Requirements for the Role : Job Requirements : MD degree requiredSpecialty in PsychiatryCertification : Board certified in PsychiatryLicense : MD, DEA licensure (or willingness to acquire)At least 2 years of post-residency experience, with some clinical leadership experience preferredCredentialed roleSkills Required :  Comfortable using technology to support members without in-person contact (telephone and text etiquette, virtual visit platforms, scheduling platforms etc.)Understanding of how to use electronic health record systems and / or care facilitation platforms to ensure accurate documentationProficient in collecting member clinical and demographic data and documenting appropriately in a timely manner Extensive experience in, and able to educate on, Motivational Interviewing, Cognitive Behavioral Therapy and Trauma informed Care principlesExtensive experience in applying, and able to educate on, Behavioral Activation Therapy and / or problem solving treatment in practiceComfortable providing short-term therapyAble to model and teach these principles to the teamStrong problem solving skills - can make difficult decisions and knows when to collaborate with other team membersAble to provide creative solutions to challenges within the healthcare system that are impeding optimization of members’ care and healthAnalytical and empirical focused on optimizing return on investment of resources against stated objectives.Knowledgeable about what drives outcomes in this space.Have a growth and learning mentality, ability to think outside the box, go outside the bounds of “traditional” responsibilities.Adaptable to change and prepared for frequent, fast-paced changes and shifting prioritiesCross cover other Cityblock markets in your division Experience building and implementing new or evolving programs and processes Understands company Objective and Key Results and contributes to program strategy through data-driven approaches.Play a lead role in monitoring, evaluating, and driving quality improvement activities across hubs, home-based care, and virtual care. Oversee and be accountable for the performance of in-market behavioral health programs.Has experience building and managing clinical programs.Ability and experience supervising APCs We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave.The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location. The expected salary range for this position is :  $191,828 – $280,000Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.Covid 19 Update - Please Read : Cityblock requires those hired into this position to provide proof that they have received the COVID-19 vaccine.  Any individuals subject to this requirement may submit for consideration a request to be exempted from the requirement (based on a valid religious or medical reason) on forms to be provided by Cityblock.  Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption.  Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. This vaccination requirement is based, in part, on recently established government requirements.  The requirement is also based on the safety and effectiveness of the vaccine in protecting against COVID-19, and our shared responsibility for the health and safety of members, colleagues, and community.The COVID-19 pandemic has severely impacted the health and lives of people around the world, including the vulnerable populations Cityblock serves. As a healthcare provider, Cityblock holds ourselves to the highest standards when promoting the health and safety of those who we serve. Given that the COVID-19 vaccines are one of the most powerful tools to fight this disease and save lives, Cityblock is implementing a COVID-19 booster mandate for Washington, D.C. employees under the guidance of local / state mandates.Medical Clearance (for Member-Facing Roles) : You must complete Cityblock’s medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.We do not accept unsolicited resumes from outside recruiters / placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.SummaryLocation : USA; Ohio (Market wide); Indiana (Market Wide)Type : Full time

Salary : $191,828 - $280,000