Psychiatry Physician Child & Adolescent Psychiatrist - Physicians Only Apply - Perm
Company: Nneka Chinyere Anaebonam
Location: Little Rock
Posted on: September 27, 2024
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Job Description:
A Psychiatry Physician Child & Adolescent Psychiatrist practice
is seeking a qualified physician for Little Rock, AR. This and
other physician jobs brought to you by ExactMD. Medical Doctors
Only Apply.
Medical Director (Behavioral Health)
Position Purpose: Assist the CEO to direct and coordinate the
medical management, quality improvement and credentialing functions
for the business unit.
----- Provides medical leadership of all for utilization
management, cost containment, and medical quality improvement
activities. Performs medical review activities pertaining to
utilization review, quality assurance, and medical review of
complex, controversial, or experimental medical services. Supports
effective implementation of performance improvement initiatives for
capitated providers.
----- Assists CEO in planning and establishing goals and policies
to improve quality and cost-effectiveness of care and service for
members. Provides medical expertise in the operation of approved
quality improvement and utilization management programs in
accordance with regulatory, state, corporate, and accreditation
requirements.
----- Assists the CEO in the functioning of the physician
committees including committee structure, processes, and
membership. Oversees the activities of physician advisors. Utilizes
the services of medical and pharmacy consultants for reviewing
complex cases and medical necessity appeals. Participates in
provider network development and new market expansion as
appropriate. Assists in the development and implementation of
physician education with respect to clinical issues and
policies.
----- Identifies utilization review studies and evaluates adverse
trends in utilization of medical services, unusual provider
practice patterns, and adequacy of benefit/payment components.
Identifies clinical quality improvement studies to assist in
reducing unwarranted variation in clinical practice in order to
improve the quality and cost of care. Interfaces with physicians
and other providers in order to facilitate implementation of
recommendations to providers that would improve utilization and
health care quality. Reviews claims involving complex,
controversial, or unusual or new services in order to determine
medical necessity and appropriate payment.
----- Develops alliances with the provider community through the
development and implementation of the medical management programs.
As needed, may represent the business unit before various publics
both locally and nationally on medical philosophy, policies, and
related issues. Represents the business unit at appropriate state
committees and other ad hoc committees
Education/Experience: Board certification by the American Board of
Psychiatry and Neurology. Current state medical license without
restrictions.-- Previous experience within a managed care
organization is preferred. Course work in the areas of Health
Administration, Health Financing, Insurance, and/or Personnel
Management is preferred. Experience treating or managing care for a
culturally diverse population preferred.
Psychiatrist: experience with individuals with severe mental and
intellectual disabilities
Child Psychiatrist Specialize in addiction and substance
abuse
Keywords: Nneka Chinyere Anaebonam, Little Rock , Psychiatry Physician Child & Adolescent Psychiatrist - Physicians Only Apply - Perm, Healthcare , Little Rock, Arkansas
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