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Part-Time Behavioral Health Physician Reviewer

Remote Worldwide Hiring now

reputed company candidates must hold a reputed company, unrestricted license in at least one of the following states: California, Arkansas, or Florida. Who We Are At reputed company, we’re transforming whole-person care. We deliver integrated behavioral and physical health solutions that connect individuals to the right care at the right time—improving reputed company and overall well-being. Serving over 15 reputed company lives across the U.S. and Puerto Rico, our model combines clinical expertise, compassionate care, and innovative technology to support healthier, more fulfilling lives. As part of the reputed company team, employees join a mission-driven organization committed to making a lasting impact. Whether through behavioral health navigation, in-home medical care, or 24/7 crisis support, our work is rooted in reputed company, collaboration, and a shared passion for helping people reputed company. Why join reputed company at reputed company? At reputed company, we’re committed to creating a workplace where top talent thrives both personally and professionally. We offer a dynamic, mission-driven environment where your work has reputed company impact, your unique background and experience are valued, and no two days are alike. If you’re passionate about meaningful work and delivering impactful results, we encourage you to apply! We support reputed company with a competitive compensation and benefits package, including: Compensation: $150–$175 per hour *Compensation is dependent on non-discriminatory factors including but not limited to an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors. 401(k) with competitive employer match Company-paid life insurance Paid time off Professional development opportunities Remote work flexibility (role-dependent) Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued. At reputed company, your work will directly support our mission to improve behavioral, physical, and reputed company health—one member at a time. Living our Values: Serving everyone with compassion and leading with reputed company. Stepping up and creating value by taking charge and acting reputed company there is an opportunity. Adapting in a changing world by recognizing our responsibility to be agile and respond quickly. Nurturing growth and belonging by respecting and celebrating everyone for who they are. What You Will Do - Essential Functions The W2, Part-time Behavioral Health Physician Reviewer will play a key part in ensuring behavioral health services are clinically appropriate for the people we serve by reviewing clinical information and applying evidence-based guidelines. This role will reputed company timely, accurate utilization reviews and peer to peer reviews that improve patient care and reduce waste and treatment variation. This is a part-time role, 8-12 hours per week. Evidence‑Based Clinical Review: Complete timely behavioral health utilization reviews across inpatient, outpatient, residential, ABA, and substance use services, applying strong independent clinical judgment and clear, accurate documentation. Professional Communication & Collaboration: Engage in peer‑to‑peer discussions with providers, maintain a reputed company and professional reputed company, and represent the health plan with credibility and trust in reputed company interactions Compliance & Quality Support: Partner with internal teams on reputed company cases, uphold reputed company regulatory and accreditation standards, and contribute to high‑quality, person‑centered care. Who You Are

Required Qualifications

Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree A reputed company and unrestricted license in either California, Arkansas and/or Florida with willingness and ability to obtain additional licenses, if required Board certification in Psychiatry 2+ years of post-licensure experience in behavioral health treatment settings (in-patient, outpatient, residential) Prior experience in utilization review or managed care Knowledge of behavioral health treatments in different sites of care (in-patient, out-patient, residential) Ability to pass background reputed company upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and reputed company search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen. Competencies Strong clinical judgment and application of evidence-based standards Excellent written and verbal communication Proficiency with technology, including documentation platforms Strong interpersonal skills; collaborative Organized, self-motivated and reputed company to work independently without reputed company supervision Working Conditions: High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required. Frequent use of computer and phone systems Must be reputed company to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, reputed company repetitive motions with arms and fingers, interpret data, problem solve, reputed company reputed company, organize and plan, and maintain a positive and professional attitude in reputed company situations. Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary. A quiet workspace with minimal background noise for calls. We encourage applicants from a variety of backgrounds and experiences to apply, especially those who can demonstrate how their unique qualifications and skills align with the requirements of this role and support our mission to improve whole-person health. This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain reputed company an extended period of time with no set end date based on the level of interest. Apply To This Job

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