Psychiatrist Physician Reviewer – PRN

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🔥 0 minutes ago

🌽 Illinois – Remote

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💵 $70 - $125 / hour

⏱ Part Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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CNSI

1001 - 5000 employees

CNSI delivers a broad range of health information technology enterprise solutions and customizable products to a diverse base of state and federal agencies. We align, build, and manage innovative, high-quality, cost-effective solutions that help customers achieve their mission, enhance business performance, reduce costs, and improve the health for over 50 million Americans. With locations throughout the U.S. and in India, CNSI employs a world-class team of technologists, healthcare subject-matter experts and program managers, all of whom have experience with large scale mission-critical information technology implementations.

📋 Description

• Conduct peer-to-peer physician consultations as requested/required and document consultations • Provide clinical expertise with respect to planning and establishing goals and policies to improve clinical operations • Represent the organization through state appeal processes • Review medical information trends, experiences, and approaches and assist in the development of strategic plans for clinical improvements • Provide program representation at stakeholder engagement meetings • Ensure compliance with regulatory and accreditation requirements • Analyze and remain current on national, state, and local regulations and legislation which impact the healthcare profession • Represent and promote Acentra Health at seminars, professional societies, medical staff meetings, and other professional settings as appropriate

🎯 Requirements

• Licensed Physician (MD/DO) to practice in all branches in Illinois • Board Certification in Psychiatry • Engaged in active practice • Have admitting or staff privileges in one or more Illinois hospitals or state facilities • Experience in Utilization Management, Case and Disease Management with knowledge of Medicaid and Medicare program • Knowledge of standards of practice related to the determination of level of care • Computer proficiency in Microsoft Excel, Word, PowerPoint, Teams, and Outlook

🏖️ Benefits

• comprehensive health plans • paid time off • retirement savings • corporate wellness • educational assistance • corporate discounts

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