Job Summary
A company is looking for a Behavioral Health Physician Reviewer (Medical Director).
Key Responsibilities
- Leverage medical expertise to review service requests and deliver evidence-based determinations
- Conduct peer-to-peer phone calls with external providers to discuss case determinations
- Ensure compliance with national guidelines and support internal workflows
Required Qualifications
- MD or DO degree with current board certification in Psychiatry; additional certification in Child & Adolescent or Addiction Medicine preferred
- 5 years of recent direct patient care experience
- Strong computer literacy and adeptness with technology
- Clean background without prior licensure issues or pending malpractice
- Must be fully committed to the job during scheduled hours, residing and working within the United States
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