Physician Advisor (Psychiatrist)

at  Community Behavioral Health

CBH has a great Part-Time Physician Advisor opportunity for a Pennsylvania-licensed Psychiatrist. The Physician Advisor is responsible for providing clinical leadership through oversight of the clinical management of members. The Physician Advisor provides consultation regarding overall quality of care, medical decision making, case formulations, medication and other safety concerns, specific to case review and levels of care or cohort.
Hours Per week: 15 (Two 7.5 hours work days)

Essential Functions:

• Performs physician reviews in alignment with best practice standards (NCQA) and state regulatory requirements and with the goal of improved outcomes for CBH members.
• Engages, collaborates and troubleshoots with providers and system stakeholders on clinical and medical matters, including member placement, coordination of care, quality concerns and other challenges.
• Participates in quality reviews as needed for specific member complaints, grievances, and agency reviews.
• Participates in clinical and administrative meetings as representative of medical affairs and clinical as required.
• Participates in training and education with both internal and external stakeholders, including care managers, providers and others as required.
• Reviews cases from multiple sites and levels of care for medical necessity.
• Performs peer review cases for disputed levels of care.
• Interact with providers on clinical and administrative matters.
• Serve as a consultant for Clinical Care Managers.
• Completes other duties as assigned

POSITION REQUIREMENTS:

• Education: Medical degree (MD or DO)
• License/Certification: PA Licensure; Board Certified in Adult or Child Psychiatry
• Relevant Work Experience: Minimum of 2 years of clinical psychiatry experience including significant and specific experience with inpatient care and substance abuse treatment

Skills:

• Proficient in Microsoft Word and Excel
• Problem solving and analytical skills
• Strong interpersonal skills
• Strong decision making skills
• Excellent verbal and written communication skills

WORK CONDITIONS (INCLUDING TRAVEL, OVERTIME REQUIRED, PHYSICAL REQUIREMENTS AND OCCUPATIONAL EXPOSURE):

• Must be able to travel within the City of Philadelphia.
• Regularly requires walking, standing, stooping, bending, sitting, reaching, pushing, pulling and/or repetitive wrist/hand movements for various lengths of time throughout the day.
• Ability to utilize computers and office equipment to complete daily work responsibilities.
• Regularly works inside in areas that are adequately lighted and ventilated. Some fluctuation in temperature. No protective equipment routinely needed.
• Must be able to adapt to continuous changes/demands of the job.

• Performs physician reviews in alignment with best practice standards (NCQA) and state regulatory requirements and with the goal of improved outcomes for CBH members.
• Engages, collaborates and troubleshoots with providers and system stakeholders on clinical and medical matters, including member placement, coordination of care, quality concerns and other challenges.
• Participates in quality reviews as needed for specific member complaints, grievances, and agency reviews.
• Participates in clinical and administrative meetings as representative of medical affairs and clinical as required.
• Participates in training and education with both internal and external stakeholders, including care managers, providers and others as required.
• Reviews cases from multiple sites and levels of care for medical necessity.
• Performs peer review cases for disputed levels of care.
• Interact with providers on clinical and administrative matters.
• Serve as a consultant for Clinical Care Managers.
• Completes other duties as assigne