Associate Medical Director in Linthicum Heights, MD at Beacon Health Options

Date Posted: 10/21/2018

Job Snapshot

Job Description

About The Position:

The Associate Medical Director will be responsible for the Engagement Center to ensure access and delivery of cost-effective, quality care and service to members.

Position Responsibilities:

• Collaborates with and functions as back-up coverage for Medical Director in the development, implementation, evaluation and modification of Utilization Management policies and procedures

• Educates Physician/Peer Advisors and Care Managers about Beacon policies and procedures.

• Participates in the formulation of clinical utilization forecasts.

• Provides medical leadership to the clinical provider network and Maryland clinical and Intensive Case Management staff.  Participates in and facilitates various utilization and quality management committees, task forces, work groups, and clinical rounds.

• Participates in development of local Behavioral Health/Primary Care initiatives

• Supervises the part-time psychologist for all work and completes determinations for denials when needed on cases reviewed by psychologist.

• Conducts peer clinical reviews with providers and consults on cases referred by Care Managers or supervisors to ensure quality and consistent application of Beacon standards for Medical Necessity Criteria.  Collaborates with providers to determine alternate levels when needed.

• Must act as lead on C&A services management for Maryland providers and consult with Behavioral Health Administration and Medicaid on Child and Adolescent services.

Position Requirements:

  • Education: M.D. or D.O. degree from an accredited medical school. Board certified in Child and Adolescent as defined by the American Board of Psychiatrists and Neurology required 
  • Licenses: Active Medical License in Maryland required.
  • Relevant Work Experience: A minimum of (5) years of clinical practice and board certification; Three years direct managed care experience preferred. Experience at a behavioral health facility with inpatient and outpatient care required.

To Apply:

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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