Job Details
CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Thinkof it as an open invitation to embrace the companys mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes, making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Acentra seeks a Psychiatrist PRN to join our growing team.
Job Summary:
- Provides the principal leadership and clinical expertise to operations on all medical aspects relating to the peer review process, utilization review activities, case management, and other activities requiring clinical leadership and consultation.
- Additional key responsibilities may include assisting and promoting business development and strategic planning activities.
** This is a Remote based position. The selected candidate must reside and work in the United States. **
** Work Hours: This is a PRN role, with most of the work required Monday through Friday between 8:00 AM and 5:00 PM Eastern. At times, some work may be available on Evenings or Weekends.
** The selected candidate must be legally authorized to work in the United States, now or in the future, without the need for employer visa sponsorship. **
Job Responsibilities:
- Review trends, experiences, and approaches in medical information.
- Assist in developing strategic plans for clinical improvements.
- Ensure compliance with regulatory and accreditation requirements.
- Analyze and stay current on national, state, and local regulations and legislation that impact the healthcare profession.
- Evaluate, redirect, and/or respond to inquiries from physicians, providers, and customers. Consult with general and/or specialty practitioners regularly and as necessary as business needs require.
- Foster appropriate external relationships with attending physicians/ surgeons/behavioral health providers by response to telephone calls and letters.
- Analyze and remain current on national, state, and local regulations and legislation that impact the healthcare profession.
- Review pediatric medical literature, information trends, experiences, and approaches, and assist in the development of strategic plans for clinical improvements.
- Ensures compliance with regulatory and accreditation requirements.
- Participate in activities specific to contractual arrangements, e.g., Fair Hearings and Appeals.
- Provide medical expertise with respect to planning and establishing goals and policies to improve medical management.
- Conducts peer-to-peer physician consultations as requested/required and documents consultations.
- Work with medical, nursing, and administrative staff to identify matters needing shared attention.
- Discuss, inform, and facilitate communication and interaction between staff with customers.
- Provide and review for medical necessity for services such as Psychiatric Residential Treatment Facilities (PRTF), Applied Behavior Analysis (ABA), and Mental Health (including Psychiatry).
- Strong knowledge of quality assurance and utilization review.
- Contemporary clinician who understands major trends in healthcare and managed care.
- Ability to work effectively with a diversity of personalities. Must be approachable, show respect for others, and build consensus.
- A systems thinker with strong organizational skills who can pull all the pieces together and deliver on time and within budget.
- Adaptable with a strong collaborative management style, a creative thinker with high energy and enthusiasm, and a team player who promotes the concepts of people working together.
- Able to adapt to frequently changing work parameters.
The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.
Requirements
Required Qualifications/Experience:
- Psychiatrist with a current non-restricted license to practice in the State of North Dakota or able to obtain licensure in the State of North Dakota.
- Board certification in Psychiatry.
- Experience in Utilization Management with knowledge of Medicaid.
- Must be proficient in MS Office and Internet/web navigation.
Preferred Qualifications/Experience:
- 10+ years of clinical practice.
- 2+ years of experience as a Medical Director in a managed care company.
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes
We do this through our people.
You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.
Thank You!
We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
Visit us at Acentra.com/careers/
EOE AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.
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Benefits
Compensation
The pay rate for this position is $125.00 hourly.
Based on our compensation philosophy, an applicants placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.