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Company

CareSource · 2 days ago

Child And Adolescent Psychiatrist(Part Time, must Live in Georgia)

United States

Part-time

Remote

Senior Level

5+ years exp

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Health CareMedical

Comp. & Benefits

Hiring Manager

Stephen Walker

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Responsibilities

Support staff by providing training, clinical consultation, and clinical case review for members

Participate in Interdisciplinary Care Team meetings, Inpatient Census Rounds and other clinical meetings

Support market provider network development and maintenance

Provides leadership to direct reports to achieve market goals

Provider education, training, data sharing, performance evaluations and orientation to the plan

Participate in peer-to-peer discussions

Participate in market level quality initiatives

Participate in community collaboratives

Participate in the evaluation and investigations of cases suspected of fraud, abuse, and quality of care concerns

Provide cross-coverage for other Medical Directors and/or markets, as needed

Understand and provide support to prior authorization and utilization review functions

Conduct quality of care reviews

Support of regulatory and accreditation functions (eg. CMS, State, NCQA and URAC) and compliance for all programs

Collaborates with the VP, Clinical Operations to identify utilization management and care management trends and take appropriate action

Provides consultation to the Market Operations teams regarding coding and reimbursement policies

Serve as chair/co-chair of Market Committees as needed

Acts as designee for the VP, Market Chief Medical Officer as required

Perform any other job duties as requested

Qualification

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Medical Degree (MD/DO)Child & Adolescent PsychiatryClinical practice experienceBoard CertificationManaged care experienceHealthcare AdministrationMicrosoft WordCritical listeningHealthcare data analysisInfluenza vaccinationRelationship building

Required

Completion of an accredited Medical Degree program as a medical doctor (MD) or Doctor of Osteopathic (DO) medicine is required

Successful completion of a residency training program, preferably in Child & Adolescent Psychiatry is required

Minimum of five (5) years of clinical practice experience is required

Current, unrestricted license to practice medicine in state of practice as necessary to meet regulatory requirements is required

Board Certification, preferably in Child & Adolescent Psychiatrist care specialty is required; re-certification, as required by specialty board, must be maintained

To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.