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Medical Director, Behavioral Health

Impresiv Health

divh2Medical Director, Behavioral Health/h2pLocation: Remote (eligible states: AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI, WY)/ppThe Medical Director, Behavioral Health provides clinical oversight for behavioral health activities across the West Region. This role serves as a senior clinical consultant within medical management, partnering closely with leadership and reporting to the Behavioral Health Chief Medical Officer. The position is responsible for guiding clinical decision-making, ensuring quality of care, and supporting integrated behavioral health strategies./ph3What You Will Do:/h3ulliProvide clinical oversight and consultation for behavioral health programs and initiatives/liliServe as a subject matter expert and clinical authority on behavioral health issues/liliPartner with CMOs, Medical Directors, and leadership to develop and implement integrated care strategies/liliConduct medical necessity reviews and participate in peer-to-peer consultations/liliSupport clinical case reviews, audits, and quality improvement initiatives/liliAdvise utilization management, quality management, case management, and disease management teams/liliCollaborate with internal teams and external providers to improve clinical outcomes and practice patterns/liliParticipate in committees, projects, and cross-functional initiatives supporting medical management programs/liliProvide clinical guidance and supervision to behavioral health staff and team coordinators/li/ulh3You Will Be Successful If:/h3ulliDemonstrated ability to influence clinical decision-making and drive quality improvement initiatives/liliExperience operating as a senior clinical advisor to executive leadership/liliAbility to function effectively within a matrixed, managed care environment/liliStrong clinical judgment in utilization and medical necessity determinations/liliProven ability to build and maintain collaborative relationships with internal and external stakeholders/liliAbility to balance strategic oversight with hands-on clinical consultation/li/ulh3What You Will Bring:/h3ulliMD or DO with a current, unrestricted license to practice medicine in the United States/liliBoard Certification in Psychiatry/liliMinimum of 5 years of clinical practice experience/liliMinimum of 5 years of medical management experience within a managed care environment/liliExperience with utilization management, quality management, case management, and disease management/liliU.S. Citizenship and ability to obtain Department of Defense clearance/liliStrong knowledge of managed behavioral health, regulatory requirements, and compliance standards/liliPreferred: experience with TRICARE, VA, or other government healthcare programs/liliPreferred: advanced training or certification in medical management/li/ulpImpresiv Health is a healthcare consulting partner specializing in clinical operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges./ppOur approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it./ppThats Impresiv!/p/div

Impresiv Health
Vacancy posted 4 days ago
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