Current medical licensure and credentials for the relevant jurisdiction.
Experience in pediatrics, child and adolescent psychiatry, or a related specialty.
Strong understanding of pediatric and adolescent development.
Proficient in clinical assessment and critical thinking.
Ability to synthesize information from various sources and document reasoning clearly.
Excellent written communication skills with a focus on meeting deadlines.
Responsibilities
Serve as the primary clinical reviewer for assigned cases.
Review assessments and supporting medical records thoroughly.
Consider input from members or their healthcare decision-makers.
Obtain necessary consultations when clinically appropriate.
Develop and document clinical recommendations using designated templates.
Evaluate complex cases considering developmental and functional needs.
Complete case reviews within a strict 48-hour turnaround time.
Benefits
Remote work flexibility.
Direct hire position.
Opportunity to impact the lives of children and adolescents.
Engagement with complex clinical cases.
Collaboration with a multidisciplinary team.
Full Job Description
Job title: Child and Adolescent Psychiatrist Location: Phoenix, AZ Job type: Remote - Direct Hire
Position Overview We are seeking experienced physicians, including Child and Adolescent Psychiatrists, to serve as clinical reviewers for the ECR process. Physicians will play an essential role in evaluating complex cases involving members ages 0-18 and providing clear, evidence-based clinical recommendations. Key Responsibilities
Serve as a primary clinical reviewer and certify assigned cases in accordance with the ECR process.
Review assessments and available supporting medical and clinical records.
Consider information submitted by the member or their healthcare decision-maker.
Obtain discipline-specific consultation when clinically indicated.
Develop and document clear clinical recommendations and supporting rationales using the Division's ECR process and designated templates.
Evaluate complex pediatric and adolescent cases, considering developmental, medical, behavioral, and functional needs.
Complete assigned case reviews within the required 48-hour turnaround time from case assignment.
Maintain accurate, thorough, and timely clinical documentation.
Qualifications and Experience
Medical degree (MD or DO).
Appropriate, current medical licensure and credentials for the jurisdiction in which services are provided.
Experience in pediatrics, child and adolescent psychiatry, or a related clinical specialty.
Knowledge of pediatric development, adolescent development, and the needs of children and teenagers ages 0-18.
Strong clinical assessment, critical thinking, and decision-making skills.
Ability to integrate information from multiple sources and clearly document clinical reasoning.
Excellent written communication skills and the ability to meet strict review deadlines.
Preferred Experience
Experience working with individuals with developmental disabilities.
Familiarity with complex medical, behavioral, or psychiatric needs.
