Mental Health Psychiatrist

As a Peer Review Psychiatrist, you will conduct peer reviews and appeals to ensure the level of care is appropriate and necessary for Concurrent Acute Inpatient Psychiatric requests.

Candidate must possess a California medical license with a psychiatry specialty, or have the ability to obtain one with reimbursement.

Evaluate Care Quality:

Perform peer reviews to ensure healthcare services meet necessity and appropriateness standards

Manage Contract Reviews:

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

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)

Working knowledge of MCG or InterQual medical necessity criteria

Mastery of DSM-5 and ICD-10 criteria to accurately evaluate complex mental health conditions

Deep understanding of psychiatric medications, side effects, and evidence-based treatment algorithms

Comfort with electronic health records (EHRs) and utilization review software

Familiarity with state and federal guidelines, HIPAA compliance, and insurance or Medicaid-specific medical necessity criteria

Capacity to write clear, concise, and evidence-based rationales for decisions or quality evaluations

Telligen is one of the most respected population health management organizations in the country. We offer clinical, analytical, and technical expertise to support local, Tribal, and national partners, state and federal government programs, and employers and health plans.

Over our 50-year history, health care has evolved - and so have we. Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and help shape the future of health.

We're on a mission to transform lives and economies by improving health.

Community:
We show up - for our clients, our communities and each other. We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.

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If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.

Qualified applicants will be considered without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, protected veteran status, disability or any other protected class.

Telligen is committed to ensuring that our employment process is open to all individuals, and provides reasonable accommodations to individuals who need assistance during any part of the employment process due to a disability, medical condition, or physical or mental impairment.