Peer Review Psychiatrist

🕒 August 11

🥔 Idaho, Iowa, +4 more states – Remote

🥔 Idaho – Remote 🌾 Iowa – Remote 🦬 Montana – Remote 🌪️ Oklahoma – Remote 🎸 Mississippi – Remote 🦬 Wyoming – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 23%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Telligen

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1978

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Telligen is a trusted partner for U. S. government health agencies, state Medicaid agencies, self-funded employer and Taft-Hartley health plans, and managed care organizations. The company aims to improve health outcomes for millions of people nationwide through proven health management solutions and healthcare expertise. Telligen provides quality improvement, data analytics, quality measures, program management, and health information technology solutions to federal and state health agencies and national programs. It also offers utilization management, care management, and wellness solutions for health plans and employers. Their work includes efforts as a Quality Innovation Network-Quality Improvement Organization and a Hospital Quality Improvement Contractor across multiple states. Telligen has received Population Health Program Accreditation for its expertise in population health management.

📋 Description

• Conduct peer reviews and appeals for Concurrent Acute Inpatient Psychiatric requests • Evaluate healthcare services to ensure medical necessity, appropriateness, and quality standards • Direct medical review activities across assigned contracts • Serve as the subject matter expert on peer review processes • Articulate Telligen’s policies to diverse medical and non-medical audiences

🎯 Requirements

• Active, unrestricted medical license in California (or willingness to obtain) and the contracted state • Board certification in Psychiatry or Neurology by a US board (active and unrestricted) • Proven background in utilization management and several years of hands-on clinical practice • Working knowledge of MCG or InterQual medical necessity criteria • Mastery of DSM-5 and ICD-10 criteria preferred • Deep understanding of psychiatric medications, side effects, and evidence-based treatment algorithms preferred • Comfort with electronic health records and utilization review software preferred • Familiarity with state and federal guidelines, HIPAA compliance, and insurance or Medicaid-specific medical necessity criteria preferred • Clear, professional, and respectful communication with treating clinicians preferred • Ability to write clear, concise, evidence-based rationales preferred

🏖️ Benefits

• 100% employee-owned company with employee-owners sharing in company success • Equal opportunity employer • Reasonable accommodations during the employment process • Mission-driven, inclusive, and collaborative work environment