Community Behavioral Health · 11 hours ago
Physician Advisor (Psychiatrist)
Philadelphia, Pennsylvania
Full-time
Onsite
Senior Level
5+ years expCommunity Behavioral Health (CBH) is focused on providing high-quality behavioral health services, and they are seeking a Physician Advisor (Psychiatrist) to oversee medical necessity determinations. The role involves conducting reviews, directing crisis team activities, and collaborating with clinical providers to ensure effective mental health care for CBH members.
Health CareHealth Diagnostics
No H1B
Responsibilities
Review cases from multiple sites and levels of care for medical necessity
Peer review cases for disputed levels of care
Perform medical reviews
Make denial decisions based on medical necessity
Participate in clinical and administrative meetings
Interact with providers on clinical and administrative matters
Serve as clinical leadership resource and consultant to Clinical Care Managers, offering guidance on complex cases and best practices
Qualification
Required
MD/DO from Accredited Medical School
Current Board certification in Psychiatry and/or Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology
Current and Active State of Pennsylvania Medical License
Minimum of 5 years of clinical psychiatry experience including significant and specific experience with inpatient care and substance abuse treatment
Ability to provide clinical oversight on a wide array of operational activities
Strategic planning
Financial planning
Excellent written and verbal communication skills
Familiarity with medical assistance regulations and managed care principles and practices
Knowledge of Managed Care Organization operations and principles
Demonstrated leadership ability
Current Philadelphia resident or become a resident within six months of hire
Legally authorized to work in the United States without requiring sponsorship now or in the future
Company
Community Behavioral Health
Community Behavioral Health (CBH) provides a variety of behavioral health services to Philadelphia County’s most vulnerable residents.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Alex Gauthier
Chief Financial Officer
Shawna Dandridge
Chief Operating Officer
Recent News
Business Journals
2022-10-13
Company data provided by crunchbase