Board-Certified Behavioral Health Physician

A company is looking for a Remote Behavioral Health Physician Reviewer. Key Responsibilities Review medical records and determine service authorization based on clinical guidelines and health plan criteria Conduct peer-to-peer calls with providers to gather additional clinical information Collaborate with internal teams and adhere to URAC standards and regulatory compliance Required Qualifications MD or DO, Board Certified in General Psychiatry and either Child & Adolescent Psychiatry or Addiction Medicine 5+ years of clinical experience, including residency Recent direct patient care experience within the last 6 months Clean medical license and background from any U.S. state Above-average computer skills and comfort with multiple systems

Jun 17, 2025 - 20:50

A company is looking for a Remote Behavioral Health Physician Reviewer. Key Responsibilities Review medical records and determine service authorization based on clinical guidelines and health plan criteria Conduct peer-to-peer calls with providers to gather additional clinical information Collaborate with internal teams and adhere to URAC standards and regulatory compliance Required Qualifications MD or DO, Board Certified in General Psychiatry and either Child & Adolescent Psychiatry or Addiction Medicine 5+ years of clinical experience, including residency Recent direct patient care experience within the last 6 months Clean medical license and background from any U.S. state Above-average computer skills and comfort with multiple systems