Psychiatrist (Part-Time)
Under the supervision of the Chief Medical Officer, the Psychiatrist will help develop Evidence Based Best Practice Standards for service delivery and perform other clinical duties and activities as directed.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Develops Evidenced Based Best Practice Standards for service delivery.
- Provides oversight for the following: utilization management/review; denial of services, appeals; retrospective reviews; reporting and review of deaths; reporting and review of sentinel events; and clinical aspects of Medicaid Fair Hearings.
- Determines medical necessity and conducts peer review which can include on site consultations with contractors and service providers.
- Oversees policy development.
- Researches medical topics such as psychotropic medication, psychiatric evaluation, and coordination of care, etc.
- Engages in publication opportunities.
- Supervises coordination of care activities.
- Meets with Medicaid Health Plans (MHP) to coordinate integration of services.
- Provides training specific to the application of medical necessity criteria for all referrals to the Network’s program for comprehensive mental health services.
- Conducts staff development and training for Medical Directors, providers, Network staff, and other professional staff.
- Serves in a leadership capacity for the following committees: Medical Advisory, Utilization Management, Peer Review, Sentinel Events, Death Review, Behavioral Treatment Advisory Committee, Credentialing Committee and others as required or directed by the Chief Medical Officer.
- Provides consultation on cases in Emergency Departments, Inpatient psychiatric units, State hospitals or those receiving services through our providers.
- Provides clinical reviews for all cases requiring psychiatric consultation for the Recipient Rights office.
- Teaches Psychiatric residents and fellows.
- Participates in clinical and administrative meetings.
- Oversees the extended length of stays, long-term hospital transfers, discharge planning and annual community hospital surveys.
- Participates in Quality Assurance reviews.
- Consults with the Quality Management Department to provide continuous quality improvement of services delivered to our members, contractors and providers.
- Consults with the Quality Management Department to provide internal quality improvement.
- Analyzes and evaluates patient data.
- Provides consultations for Disability Designation of members.
- Reviews Eligibility assessments for members contacting the Access Center.
- Provides clinical coverage and consultation on any urgent clinical issue that may arise between the time that members contact the Access center and until they are seen by our Clinically Responsible Service Providers.
- Provides direct clinical/patient care duties and responsibilities as required.
- Performs related duties as assigned.
REQUIRED EDUCATION:
A Medical Degree from an accredited School of Medicine.
Board Certification in Psychiatry.
NOTE: Additional Board certification in Child and Adolescent psychiatry is preferred.
REQUIRED EXPERIENCE:
Three (3) years of experience in a Mental Health Program with experience in the following areas:
- policy writing
- accreditation activities
- staff development
- peer review management of direct report staff
REQUIRED LICENSE(S).
- A valid and current Michigan License to practice as a physician.
- A valid and current Michigan controlled substance license.
- Valid and current Drug Enforcement Agency Registration.
- A valid State of Michigan Driver’s License with a safe and acceptable driving record.
WORKING CONDITIONS:
Work is usually performed in an office setting but requires the employee to drive to different sites throughout Wayne County and the State of Michigan.
This description is not intended to be a complete statement of job content, rather to act as the essential functions performed. Management retains the discretion to add or change the position at any time.
Please Note: DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodations or other exemptions that may be required by law, will be approved when properly supported. Further information will be provided during the recruitment process.
The Detroit Wayne Integrated Health Network is an Equal Opportunity Employer
