PSYCHIATRIST

Under the supervision of the Chief Medical Officer, the Psychiatrist will help develop Evidence Based Best Practice Standards for service delivery and perform other clinical duties and activities as directed. 

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Provides direct clinical/patient care duties and responsibilities as required, including psychiatric evaluation, re-evaluation, disposition, coordination of medical services with nurse on duty, medication orders/prescribing, restraint orders, monitoring patients, etc.

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``` - Incorporates Evidenced Based Best Practice Standards into service delivery. - Provides care compliant with licensing regulations and accreditation standards. - Provides expertise on medical topics such as psychotropic medication, psychiatric evaluation, coordination of care, etc. - Supervises coordination of care activities. - Oversees discharge planning. - Completes clinical documentation. - Oversees and provides clinical supervision to Advanced Practice Providers; collaborates, discusses cases, and co-signs notes.

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``` - Provides supervision and direction to the mobile crisis team.

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``` - Completes doctor-to-doctor communications.

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``` - Reviews Eligibility assessments for members contacting the Crisis Care Center.

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``` - Provides oversight for the following: utilization management/review; denial of services, appeals; retrospective reviews; reporting and review of deaths; reporting and review of sentinel events; and clinical aspects of Medicaid Fair Hearings. - Determines medical necessity and conducts peer review which can include on-site consultations with contractors and service providers. - Oversees policy development. - Researches medical topics such as psychotropic medication, psychiatric evaluation, and coordination of care, etc. - Engages in publication opportunities. - Supervises coordination of care activities. - Meets with Medicaid Health Plans (MHP) to coordinate integration of services. - Provides training specific to the application of medical necessity criteria for all referrals to the Network's program for comprehensive mental health services. - Conducts staff development and training for Medical Directors, providers, Network staff, and other professional staff. - Serves in a leadership capacity for the following committees: Medical Advisory, Utilization Management, Peer Review, Sentinel Events, Death Review, Behavioral Treatment Advisory Committee, Credentialing Committee, and others as required or directed by the Chief Medical Officer.  - Provides consultation on cases in Emergency Departments, Inpatient psychiatric units, State hospitals or those receiving services through our providers. - Provides clinical reviews for all cases requiring psychiatric consultation for the Recipient Rights office. - Teaches Psychiatric residents and fellows. - Participates in clinical and administrative meetings. - Oversees the extended length of stays, long-term hospital transfers, discharge planning and annual community hospital surveys. - Participates in Quality Assurance reviews. - Consults with the Quality Management Department to provide continuous quality improvement of services delivered to our members, contractors, and providers. - Consults with the Quality Management Department to provide internal quality improvement.

Analyzes and evaluates patient data.

Provides consultations for Disability Designation of members.

Reviews Eligibility assessments for members contacting the Access Center.

Provides clinical coverage and consultation on any urgent clinical issue that may arise between the time that members contact the Access center and until they are s