Medical Director - Behavioral Health

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This range is provided by IMCS Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$124.00/hr - $128.00/hr

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Job Title: Medical Director - Behavioral Health

Duration: 6-month contract with potential for extension or FTE conversion based on performance.

Location: Remote

Shift Type: 8 am – 5 pm Flexible for any time zone but mostly need EST and CST.

Pay range: $124-128 /Hr

Note:

• FTE Conversion Salary $310-315K
• Possibility for Saturday and Sunday BH – 1 Weekend call every 4-6 weeks
• Flexible hours are something the team is discussing to ensure there is coverage for as needed weekends and holidays
• There could be an opportunity to be on weekends only, etc

A strong candidate would meet the following:

• Clinical Expertise:
  Board-certified physician with active practice experience.
• UM Proficiency:
  Proven ability to handle high-volume case reviews efficiently and accurately.
• Behavioral Health
  
  Experience:
  
  Essential if applying for roles requiring psychiatry certification.
• Tech Savvy:
  Comfortable using EMR systems and collaborating virtually.
• Adaptability:
  Can work independently in a remote setting while engaging with a dynamic team.
• Regulatory Knowledge:
  Familiarity with accreditation standards and state-specific requirements.

Job Duties:

• 12-15 cases per day of UM decisions (inpatient, outpatient, Prior Auth, etc.)
• Reviewing cases to understand if medical necessity is met
• They will follow established guidelines and determine if the medical necessity is met or not
• Completed through EMR system (Centene system)
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.
• Expansion positions for CMS final rule

Backgrounds that would be helpful

• UM experience (minimum of 1 year experience)

Required Skills/Experience:

• UM experience (minimum of 1 year experience)
• Must have ability to obtain licensure within multiple states
• Not meeting the board certification
• Performance indicators:
• Production capacity around the 12-15 cases per day
• Quality of the review

Education Requirement:

• Medical Doctor or Doctor of Osteopathy.
• Board certification by the American Board of Psychiatry and Neurology. Current state medical license without restrictions.

• Seniority level
  
  Mid-Senior level

• Employment type
  
  Contract

• Job function
  
  Health Care Provider
• Industries Staffing and Recruiting

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