Job #: 5947
Title: Medical Director - Psychiatrist
Job Location: Des Moines, Iowa - United States
Salary: $120,000.00 - $230,000.00 - US Dollars - Yearly
Employer Will Recruit From: Nationwide
Relocation Paid?: Yes
WHY IS THIS A GREAT OPPORTUNITY?
Our client is an MCO focused on serving Medicaid, Medicare and uninsured individual Its the foundation upon which they are creating greater access to care for their members, greater value for customers and greater health for communities. JOB DESCRIPTION
Will consider PT for Des Moines based candidates. Will consider relocation for FTE.
Responsible for providing day to day guidance, support, and leadership for the clinical and quality activities and supporting the Medical Director in ensuring the clinical integrity of broad and significant clinical programs and identifies and develops opportunities for innovation to increase effectiveness and quality.
Primary duties may include, but are not limited to:
- Provides support to clinicians in daily tasks and ensuring timely and consistent responses to members and providers, conducts peer to peer clinical reviews with attending physicians or other ordering providers to discuss review determinations, office visits with providers and external physicians as necessary.
- May participate in a physician on-call rotation for a 24x7 pre-certification unit, assists in the practitioner appeal reviews, appropriateness criteria reviews, medical policy and technology assessments, setting and implementing QI initiatives, and practitioner/provider credentialing.
- Serves as a resource and consultant to other areas of the company and may be required to represent the company to external entities and/or serve on external committees, and conduct peer clinical and/or appeal case reviews and peer to peer clinical reviews with attending physicians or other ordering providers to discuss review determinations.
Are you currently board certified by the ABPN? (board eligible or expired boards do not qualify)
Do you hold a current, unrestricted license to practice medicine in Iowa?
Do you have at least 5 years of post-residency clinical experience as a psychiatrist?
ABPN board certified, more than 5 years of post-residency clinical experience, looking for a position doing primarily UM work. Ideal candidate will reside in and be licensed in IA
University - MD
How to Apply: