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 calls with external providers to gather clinical information and discuss case outcomes
- Ensure compliance with national guidelines and support internal workflows across teams
Required Qualifications
- MD or DO degree with board certification in Psychiatry; additional certification in Child & Adolescent or Addiction Medicine preferred
- Five years of recent direct patient care experience
- Strong computer literacy and adeptness with technology
- Willingness to obtain additional state licenses as required
- Clean background with no prior licensure issues or pending malpractice
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