Psychiatrist PRN

Psychiatrist (PRN) Job Opening in McLean, Virginia - APA JobCentral

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Psychiatrist (PRN) (opens in new tab)

Acentra Health · View all jobs

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McLean, Virginia, United States +1

McLean, Maine, United States

(Remote) · Posted 9 hours ago

$100-$180 / hr

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About Community Intel

Work Setting Other

Position Type Psychiatrist

Job Type Part-Time

Job Duration Indefinite

Min Education M.D./D.O.

Min Experience 2-3 Years

Required Travel None

Salary $100.00 - $180.00

Salary - Type Hourly Wage

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Psychiatrist (PRN)

The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.

Psychiatrist (PRN)

The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.

About this role

Acentra Health is looking for a Psychiatrist (PRN) / Claims Reviewer to join our growing team.

Job Summary:

The primary responsibilities of a Psychiatrist (PRN) / Claims Reviewer include conducting independent medical service appeal reviews, providing expert testimony, and ensuring compliance with guidelines. The position is remote and requires a M.D. or D.O. license to practice in the State of Maine.

Job Responsibilities:

Prepare independent reviews of behavioral health services appeals

Review records, prepare and submit all reviews in keeping with the Acentra Health contractual due dates. These may include appeals by members and other key stakeholders.

Critically evaluate the application of guidelines and protocols by managed care organizations, dental benefits manager, and pharmacy benefits manager to the individual enrollee's appeal. Take into consideration Rules of Medical Necessity, standards of care, evidence-based medicine, and hierarchy of evidence.

Review relevant peer reviewed research and evidence-based sources as needed

Edit Medical Necessity Reviews authored by other reviewers

Provide expert medical witness testimony for the State in appeals hearings and consult with the assigned attorney prior to the hearing as needed

Participate in quality assurance activities for medical necessity reviews and hearing outcomes

Regularly review relevant topics via peer reviewed articles and evidence-based sources to identify changes in medical practice, treatments, and medications

Work with medical, nursing, and administrative staff to identify matters needing shared attention

May primarily work remotely but must be available onsite to the client as contractually required

Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

The list of responsibilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.

Key Requirements

• Required Qualifications
• M.D. or D.O., with current non-restricted license to practice medicine by the Board of Medical Examiners in the State of Maine.
• Must have Utilization Review experience in Behavioral Health Services.
• Working knowledge of quality assurance and utilization review is required.
• 3+ years of clinical practice.
• Experience with Medicaid
• Preferred Qualifications
• Ability to work effectively with a diversity of personalities. Must be approachable, show respect for others, and a consensus builder.
• Adaptable with strong collaborative management style, a creative thinker with high energy and enthusiasm, and a team player who promotes the concepts of people working together.
• Excellent writing skills and proficient with MS Office Suite
• Why us?
• We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
• We do this through our people.
• You will have meaningful work that genuinely improves people''s lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
• Benefits
• Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
• Thank You!
• We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
• Visit us at https://careers.acentra.com/jobs
• EEO AA M/F/Vet/Disability
• Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
• Compensation: $100-$180 per hour
• "Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."

+20 more

Job ID: 86854785

About the company

A

Acentra Health

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Community Intel

McLean, Virginia, United States McLean, Maine, United States

Median Salary

Net Salary / Month

$5,733

Net Salary / Year

$68,796

Cost of Living

Median Apt Rent

$2,800-$3,750

1-3 bed, city center

Safety

Safety Index

65/100

Very Good

Utilities

Basic Utilities / Mo

$90-$450

Electricity, heat, water, garbage · 915 sq ft

High-Speed Internet

$40-$114

60 Mbps or more

Transportation

Gas (1 L)

$0.81 / L

Taxi (1 km)

$2.02 / km

Data is collected and updated regularly using reputable sources, including corporate websites and governmental reporting institutions.

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