Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois)

Acentra seeks a Psychiatrist Physician Reviewer (PRN) to join our growing team.Job Summary:The Psychiatrist Physician Reviewer will provide principal leadership and clinical expertise to operations relating to the peer review process, utilization review activities, and other activities requiring clinical leadership and consultation. They will conduct phone consultations with various Illinois hospitals to establish medical necessity and continued stay criteria for IL Medicaid Fee-For-Service beneficiaries.Position is PRN and remote within the state of Illinois.Job Responsibilities:   Conduct peer-to-peer physician consultations as requested/required and document consultationsProvide clinical expertise with respect to planning and establishing goals and policies to improve clinical operationsRepresent the organization through state appeal processesReview medical information trends, experiences, and approaches and assist in the development of strategic plans for clinical improvementsProvide program representation at stakeholder engagement meetingsEnsure compliance with regulatory and accreditation requirementsAnalyze and remain current on national, state, and local regulations and legislation which impact the healthcare professionRepresent and promote Acentra Health at seminars, professional societies, medical staff meetings, and other professional settings as appropriateRead, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules