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Physician Advisor (Psychiatrist)

Company: Community Behavioral Health.
Location: Philadelphia
Posted on: May 7, 2024

Job Description:

The Physician Advisor is responsible for providing clinical leadership through oversight of the clinical management of members. The Physician Advisor provides consultation regarding overall quality of care, medical decision making, case formulations, medication and other safety concerns, specific to case review and levels of care or cohort. Essential Functions:

  • Performs physician reviews in alignment with best practice standards (NCQA) and state regulatory requirements and with the goal of improved outcomes for CBH members.
  • Engages, collaborates and troubleshoots with providers and system stakeholders on clinical and medical matters, including member placement, coordination of care, quality concerns and other challenges.
  • Participates in quality reviews as needed for specific member complaints, grievances, and agency reviews.
  • Participates in clinical and administrative meetings as representative of medical affairs and clinical as required.
  • Participates in training and education with both internal and external stakeholders, including care managers, providers and others as required.
  • Reviews cases from multiple sites and levels of care for medical necessity.
  • Performs peer review cases for disputed levels of care.
  • Interact with providers on clinical and administrative matters.
  • Serve as a consultant for Clinical Care Managers.
  • Completes other duties as assigned.Position Requirements:
    • Education: Medical degree (MD or DO)
    • License/Certification: PA Licensure; Board Certified in Adult or Child Psychiatry
    • Relevant Work Experience: Minimum of 5 years of clinical psychiatry experience including significant and specific experience with inpatient care and substance abuse treatment
    • Skills:
    • Proficient in Microsoft Word and Excel
    • Problem solving and analytical skills
    • Strong interpersonal skills
    • Strong decision making skills
    • Excellent verbal and written communication skillsWork Conditions (including travel, overtime required, physical requirements and occupational exposure):
      • Must be able to travel within the City of Philadelphia.
      • Regularly requires walking, standing, stooping, bending, sitting, reaching, pushing, pulling and/or repetitive wrist/hand movements for various lengths of time throughout the day.
      • Ability to utilize computers and office equipment to complete daily work responsibilities.
      • Regularly works inside in areas that are adequately lighted and ventilated. Some fluctuation in temperature. No protective equipment routinely needed.
      • Must be able to adapt to continuous changes/demands of the job.Philadelphia Residency Requirement:
        • The successful candidate must be a current Philadelphia resident or become a resident within six months of hire. U.S. Authorization Requirement:
          • CBH does not provide sponsorship for applicants requiring future work authorization. All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future.Equal Employment Opportunity:
            • We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.Requesting An Accommodation:
              • CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.
              • If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at

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Keywords: Community Behavioral Health., Philadelphia , Physician Advisor (Psychiatrist), Healthcare , Philadelphia, Pennsylvania

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