New Leadership Opportunity in Behavioral Health - North Carolina

NORTH CAROLINA: Alliance Behavioral Healthcare is seeking an Associate Medical Director to ensure delivery of cost effective, quality care that incorporates recovery, resiliency and person-centered services. Alliance Behavioral Healthcare manages the public mental health, intellectual/developmental disability and substance abuse services for the citizens of Durham, Wake, Cumberland and Johnston counties. Although we do not actually provide services, our job is to ensure that individuals who seek help receive the quality services and supports they are eligible for to help them achieve their goals and live as independently as possible. These services are delivered by a network of private providers who contract with Alliance. 'The Associate Director is responsible for (though not limited to):

• Applying service definition criteria and other standards of care to requests for services
• Assists the Chief Medical Officer in overseeing the application of medical necessity criteria for service eligibility in regards to type, amount and duration of service; and in developing the process to assess and document medical necessity;
• Reviews the approval and denial of care ensuring protocols are in place and audits are completed by appropriately credentialed staff;
• Assists in functions related to UM, UR, QM, CS, Credentialing, Peer reviews, Appeals, Reconsiderations and the like;
• Assists the Chief Medical Officer in ensuring that a complete utilization management plan is developed and implemented;
• Analyzes and evaluates patient data and test findings to diagnose nature and extent of mental disorders;
• Collaborates with physicians, psychologists, pharmacists, social workers, psychiatric nurses, or other professionals to discuss treatment plans and progress;
• Reviews consumer information and records, including social and medical history obtained from patients, relatives, and other professionals;
• Teaches, participates in continuing education classes, attends conferences and seminars, and may conduct research and publish findings to increase understanding of mental, emotional, and behavioral states and disorders;
• Reviews and evaluates treatment procedures and outcomes of other psychiatrists and medical professionals in the community;
• Provides consultation as well as training and education to staff and community partners on relevant topics;
• Serves as a member of The Credentialing Committee. In the absence of the Chief Medical Officer, the Credentialing Committee may delegate the authority to the Associate Medical Director(s) to review and approve credentialing applications that are complete and meet all requirements set forth in the credentialing plan. The Associate Medical Director will chair the Credentialing Committee in the absence of the Chief Medical Officer;
• Assists in supervision of other members of the Medical team including Physician Peer Reviewer(s), Senior Psychologist, and Pharmacist.

If you are a board-certified Psychiatrist, with at least four years of clinical experience and interested in a new career opportunity in helping lead our organization in the ever-changing world of behavioral healthcare, please contact:

Dave Duncan
800-467-3737
dduncan@enterprisemed.com
www.enterprisemed.com

Job ID#: DD-1703-71408