Children's Behavioral Health Medical Director - Affinity Health Plan : Job Details

The Behavioral Health Medical Director oversees the practices and corresponding documentation of all mental health and chemical dependence psychiatric services provided to children, adolescents and adults in accordance with governmental regulations. Reporting to the Chief Medical Officer, helps manage health plan behavioral health quality and costs while assuring appropriate health care delivery. ESSENTIAL FUNCTIONS:1. Provides professional expertise and services that support the Care Delivery Division, including, but not limited to, the following. a) Utilization management:implements clinical guidelines and supports UM staff use of guidelines, protocols and criteria in conducting utilization review and case management activities;assures that corporate utilization policies comply with State and industry standards;works with the UM Director to analyze trends in service utilization, and develop and implement innovative care, case and disease management programs based on findings;performs...Behavioral Health, Medical Director, Director, Health, Behavioral, Business Operations, Healthcare