Child and Adolescent Psychiatrist – Clinical Case Reviewer

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🔥 18 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 15%

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📋 Description

• Serve as a primary clinical reviewer and certify assigned cases in accordance with the ECR process • Review assessments and available supporting medical and clinical records • Consider information submitted by the member or their healthcare decision-maker • Obtain discipline-specific consultation when clinically indicated • Develop and document clear clinical recommendations and supporting rationales using the Division’s ECR process and designated templates • Evaluate complex pediatric and adolescent cases, considering developmental, medical, behavioral, and functional needs • Complete assigned case reviews within the required 48-hour turnaround time from case assignment • Maintain accurate, thorough, and timely clinical documentation

🎯 Requirements

• Medical degree (MD or DO) • Appropriate, current medical licensure and credentials for the jurisdiction in which services are provided • Experience in pediatrics, child and adolescent psychiatry, or a related clinical specialty • Knowledge of pediatric development, adolescent development, and the needs of children and teenagers ages 0–18 • Strong clinical assessment, critical thinking, and decision-making skills • Ability to integrate information from multiple sources and clearly document clinical reasoning • Excellent written communication skills and the ability to meet strict review deadlines • Preferred: Experience working with individuals with developmental disabilities • Preferred: Familiarity with complex medical, behavioral, or psychiatric needs • Preferred: Experience conducting interdisciplinary clinical reviews • Preferred: Experience reviewing clinical assessments, medical records, and supporting documentation • Preferred: Familiarity with utilization review, medical necessity review, or similar clinical review processes

🏖️ Benefits

• Direct hire position

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