Associate Medical Director (part time) in Rocky Hill, CT at Beacon Health Options

Date Posted: 11/29/2019

Job Snapshot

Job Description

About the Position:

Beacon Health Options is currently seeking a dynamic part-time Associate Medical Director to join our team in Rocky Hill, CT! The Associate Medical Director assists the Medical Director in providing quality, cost-effective utilization management for mental health and alcohol/drug rehabilitation, through the use of the care authorization and utilization management processes for mental health and drug/alcohol rehabilitation services.

Position Responsibilities:

  • Assists in the development, implementation, and evaluation of utilization management policies and procedures to support medical management objectives.
  • Educates peer advisors and care managers about utilization management policies and procedures. Works with medical/clinical staff on outlier management issues and corrective actions.
  • Completes peer advisory reviews to determine medical necessity as part of utilization management process.
  • Assists in developing and evaluating the collection and analysis of data and formulation of clinical utilization.
  • Provides medical leadership to the clinical provider network and clinical and Intensive Care Management staff. Participates in and facilitates various utilization and quality management committees, task forces, work groups, and clinical rounds.
  • Assists in the development and design of performance standards, clinical policies and procedures and utilization management clinical criteria
  • Assists in monitoring and ensuring compliance with state and federal regulatory requirements as they relate to access and medical care issues.
  • Participates in after-hours coverage as required by the Service Center

Position Requirements:

  • Education: M.D. or D.O. degree from an accredited medical school with Board Certification in Psychiatry by the American Board of Psychiatry and Neurology required
  • Licensures: CT Medical License required
  • Relevant Work Experience: 5 years of clinical practice in mental health required, inpatient and outpatient care is desirable
  • Knowledge, Skills, & Abilities:
    • Knowledge of medical care delivery systems, utilization management, quality improvement, peer review, contracting, benefits interpretation, provider relations, and member services required
    • Demonstrated success in medical/clinical management operations in a managed care environment is preferred

To Apply:

Click below on “Apply for this Position” to create a profile and apply for the position

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

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

#CB

#GD

PM16