Child and Adolescent Psychiatrist - Remote Clinical Case Reviewer

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.
• Experience conducting interdisciplinary clinical reviews.
• Experience reviewing clinical assessments, medical records, and supporting documentation.
• Familiarity with utilization review, medical necessity review, or similar clinical review processes.

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