LinkedIn and 3rd parties use essential and non-essential cookies to provide, secure, analyze and improve our Services, and to show you relevant ads (including professional and job ads) on and off LinkedIn. Learn more in our Cookie Policy.
Select Accept to consent or Reject to decline non-essential cookies for this use. You can update your choices at any time in your settings.
This remote role offers the opportunity to utilize your Behavioral Health expertise in supporting the approval and denial of claims across various business lines, including Utilization Management, Quality Management, and Case Management. This position is flexible, allowing you to work from home while occasionally visiting the office. Ideal candidates are located in or around Orange County or San Bernardino County, California.
Key Responsibilities
Assess and determine the appropriateness of claims using your Behavioral Health expertise.
Collaborate with multidisciplinary teams to enhance the quality of care and improve operational efficiency.
Provide leadership and maintain high standards in psychiatric care.
Engage in ongoing quality improvement initiatives and care coordination efforts.
Qualifications
A minimum of 5 years of clinical experience in the psychiatric specialty.
Demonstrated leadership and administrative experience within a healthcare setting.
Doctorate of Medicine from an accredited institution.
A valid California Medical Doctor license.
Board certification in Psychiatry from an American Specialty Board.
Preferred experience in quality, care coordination, and utilization management within inpatient psychiatry, Accountable Care Organizations (ACOs), or Federally Qualified Health Centers (FQHCs).
Benefits
Affordable healthcare premiums ranging from \(35 to \)100, depending on the selected plan.
Enjoy 3½ weeks of paid time off (18 days) plus 11 paid holidays annually.
Fitness reimbursement of up to $125 each year and access to an on-site fitness facility.
Tuition reimbursement available after one year of employment for professional development.
Participation in a 457(b) retirement plan with a 3% match of your base salary.
Benefit from the CalPERS Retirement Plan, offering full vesting after five years.
Compensation
The annual salary ranges from \(246,000 to \)344,000, with the potential for a 5% bonus based on HEDIS measures.
Employment Type: Full-Time
Seniority level
Director
Employment type
Full-time
Job function
Health Care Provider
Industries
Human Resources Services
Referrals increase your chances of interviewing at Get It Recruit - Healthcare by 2x