Psychiatrist PRN (Remote)

Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose.

People Focused. Mission Driven.

Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose.

Singularly Focused. Mission Driven

Accelerating Better Outcomes is our Mantra! We are mission-driven to innovate health solutions that deliver maximum value and impact.

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 are a key component of your rewards package. Our benefits are designed to provide you additional protection, security, and support for both your career and your life away from work. We offer competitive salaries/pay, fantastic benefits including comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more.

Position Overview

The Psychiatrist provides the principal leadership and clinical expertise to BH/SUD operations on all medical aspects relating to the peer review process, utilization review activities, case management, and other activities requiring clinical leadership and consultation. Additional key responsibilities may include assisting and promoting business development and strategic planning activities.

Job Responsibilities

• Evaluate, redirect and/or respond to inquiries from physicians, providers and customers. Consult with general and/or specialty practitioners regularly and as necessary as business needs require.
• Foster appropriate external relationships with attending physicians/surgeons/behavioral health providers by response to telephone calls and letters.
• Analyze and remain current on national, state, and local regulations and legislation, which impacts the health care profession.
• Review pediatric and adult medical literature, information trends, experiences, and approaches, and assists in the development of strategic plans for clinical improvements.
• Ensures compliance with regulatory and accreditation requirements.
• Participate in activities specific to contractual arrangements, i.e., Fair Hearings, Appeals.
• Provide medical expertise with respect to planning and establishing goals and policies to improve medical management.
• Conducts peer-to-peer physician consultations as requested/required, documents consultations.
• Work with medical, nursing, and administrative staff to identify matters needing shared attention.
• Discuss, inform, and facilitate communication and interaction between staff with customers.
• Provide and review for medical necessity for services such as: PRTF, ABA, Mental Health (including Psychiatry).

The list of accountabilities 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.

Required Qualifications, Experience and Skills

• 10+ years of clinical practice preferred.
• Psychiatrist with current non-restricted license to practice in the State of Virginia
• Minimum 2 years as a Medical Director in a managed care company preferred.
• Experience with programs and coaching medical staff on healthcare business and practice issues.
• Experience in Utilization Management with knowledge of Medicaid and Medicare programs.
• Prior review experience or quality assurance committee responsibility in a hospital setting preferred.
• Board certification in a clinical specialty is required.

• Strong knowledge in quality assurance and utilization review is required.
• Contemporary clinician who understands major trends in healthcare and managed care.
• Ability to work effectively with a diversity of personalities. Must be approachable; show respect for others, and a consensus builder.
• Systems thinker with strong organizational skills who can pull all the pieces together and deliver on time and within