PRN- Behavioral Health Associate Medical Director - Community Health Choice
Harris Health System
Location: Houston, Texas
Type: Full Time
Internal Number: 156545
PRN Position - No Benefits
Flexible/Evening & Weekend Hours
The Behavioral Health Associate Medical Director (PRN) is responsible for providing clinical guidance and consultation to the Behavior Health Case Management and Utilization Management/Appeals Teams. The Behavior Health Associate Medical Director will facilitate integrated Behavioral Health rounds and interact directly with psychiatrist, BH providers, and other clinical professionals. Additonally, the Behavioral Health Associate Medical Director is responsible for timely coverage determinations, medical necessity reviews and appeals, peer-to-peer discussions and consultations with healthcare providers. The BH AMD will work collaboratively with Chief Medical Officer, Physical Health Associate Medical Directors and other clinical staff.
M.D./D.O., holds licensure in the State of Texas, Completion of Residency and Board Certification in Child/Adolescent and Adult Psychiatry. Must meet credentialing criteria.
Two years prior managed care experience, to include proficiency in performing medical necessity reviews, benefit coverage reviews, and reviews of appeals of adverse determinations preferred;
Five years clinical experience required.
Microsoft Office (Word, Excel, Outlook)
Exceptional Verbal (e.g., Public Speaking)
Analytical, Medical Terminology, Statistical,
Advanced Training Specialty: Psychiatry
Ability to organize, prioritize tasks and work independently, as well as in a team. Strong attention to details.
Please be advised: Effective Wednesday, September 1st, 2021, with the exception of those who receive an approved exemption, all new hires must provide proof of vaccination against COVID-19 or receive the first dose of a COVID-19 vaccine by the second Friday of employment.
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.