ASSOCIATE MEDICAL DIRECTOR in Seven Fields, PA at Beacon Health Options

Date Posted: 2/2/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Full Time Associate Medical Director to join our team at our office in Cranberry, PA.  The Associate Medical Director assists the Medical Director in providing quality, cost-effective utilization management for mental health and alcohol/drug rehabilitation, through the use of the care authorization and utilization management processes for mental health and drug/alcohol rehabilitation services. 

Position Responsibilities:

  • Assists in the development, implementation, and evaluation of utilization management policies and procedures to support medical management objectives.

  • Educates peer physicians and Care Managers about utilization management policies and procedures.Works with medical/clinical staff on outlier management issues and corrective actions.

  • Assists in developing and evaluating the collection and analysis of data and formulation of clinical utilization.

  • Provides medical leadership to the clinical provider network and clinical and Intensive Case Management staff. 

  • May assist in and coordinates the development and design of performance standards, clinical policies and procedures, and utilization management clinical criteria.

  • Assists in monitoring and ensuring compliance with state and federal regulatory requirements as they relate to access and medical care issues.

  • Participates in after-hours coverage as required by the Engagement Center.

Position Requirements:

Education : M.D. or D.O. degree from an accredited medical school, with Board certification in Psychiatry by the American Board of Psychiatrists and Neurology required.

Licensure:  Unrestricted Active Medical License in Pennsylvania required.

Relevant Work Experience:    Position requires a minimum of five (5) years of clinical practice in mental health.  Experience at a mental health facility with inpatient and outpatient care is desirable. Position requires familiarity with medical care delivery systems, and experience with utilization management, quality improvement, and peer review is an advantage.  Knowledge, experience, and demonstrated success in medical/clinical management operations in a managed care environment is preferred.

Knowledge, Skills & Abilities:

  • Demonstrates skills suitable to working with contracts, provider relations, and member services and interpreting benefits.

  • Excellent written and oral communication organizational skills.

  • Detail orientated, able to work independently in an ever changing environment.

  • Proficient in MS Office Word, Excel, Project, and Outlook

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment.

EOE/AA/M/F/Veterans/Disabled

$NFD

#CB

PM16 

CHECK OUT OUR SIMILAR JOBS

  1. Care Manager Jobs
  2. Program Manager Jobs