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Are you a Psychiatrist who is ready for a change? Outstanding opportunity for a Practicing Board Certified Psychiatrist who is interested in working a Utilization Review role in the Spring Valley/ Las Vegas area. It is required you have a Nevada State license that is in good standing. It is a plus if you have Medical Director experience or even experience working with a health plan company.and working a a culturally diverse population.
NEWLY CREATED POSITION.  This opportunity come with a 20% performance bonus structure and there is the potential to earn more. Client is willing to offer regional relocation.
This is an opportunity that will allow you to use all your years of clinical knowledge giving back in which you would be working for a health plan advising on the best care for patients through case reviews and peer to peer reviews.
In this role you will :

  • report to the Senior Medical Director
  • 4 days a week Administrative with one day a week clinical practice in either your own practice or in an under-served area.
  • In addition to doing utilization management activities, but also medical review activities pertaining to utilization review, quality assurance, medical review of complex, and controversial or experimental medical services such as transplants utilizing the services of consultants
  • Operate in accordance with regulatory, state, corporate, and accreditation requirements.
  • Identify unusual provider practice patterns, and adequacy of benefit/payment components
  • Assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.
  • Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment

Our client offers a robust benefits package which includes:
• Competitive pay • Health, Vision and Dental Benefits • Life Insurance • Tuition Reimbursement • 401 (k) Retirement Program • Employee Stock Purchase Program • Generous Paid Time Off • Flexible Spending Accounts • Wellness Program To learn more about this great opportunity please email your resume along with salary requirements.
 
 
Salary : $205,000 – $267,000

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