Behavioral Health Medical Director at The Judge Group Inc. in Wheeling, West Virginia

Job Description:

Location: Wheeling, WV

Salary: $250,000.00 USD Annually - $275,000.00 USD Annually

Description: Judge Healthcare is currently seeking a Behavioral Health Medical Director for one of our biggest clients in Wheeling, WV!

Hours: Full time Mon-Fri 8am-5pm
Location: Wheeling WV in office but may move to hybrid. RELOCATION ASSISTANCE AVAILABLE!

Type: Permanent!
Pay: Flexible and based on experience

Summary: The Behavioral Health Medical Director position involves providing clinical guidance to the Behavioral Health Care Coordination and Utilization Management teams. Key responsibilities include facilitating integrated BH rounds, making clinical coverage determinations, maintaining clinical integrity, and ensuring compliance with evidence-based guidelines. The role requires collaboration with various clinical professionals and leadership teams, focusing on recovery oriented and cost-effective care. This will be a Dyad relationship with the Directors and VP's of the Clinical Services Department

Responsibilities:

1. Provide Physician oversight for activities related to the company's Behavioral Health Utilization Management, Care and Disease Management and Quality Management programs ensuring compliance with NCQA, Medicare, Medicaid, and other regulatory entities. Play an active role in preparing for related audits and information requests from such entities.
2. Establish the highest standards of best behavioral health practices for care provided to members through participation in the development of clinical practice guidelines and selection and procurement of suitable proprietary criteria and clinical pathways.
3. Provide physician education regarding The BH utilization management and quality management protocols and initiatives. Work with individual physicians or physician groups to achieve acceptance and understanding of medical/BH appropriateness criteria, practice guidelines and patient care programs.

Qualifications & Requirements:

1. MD/DO with board certification in Psychiatry, with qualifications in Addiction Psychiatry or Medicine.
2. A West Virginia and Ohio Physician License is required. Or willingness to obtain them within 90 days.
3. A minimum of three years of clinical experience beyond residency/fellowship is necessary, with supervisory and teaching experience preferred
4. ASAM Certified highly preferred



Are you or someone you know interested? Reach out to Britney Bishop at bbishop@judge.com with any questions!

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Contact: bbishop@judge.com


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