Provider Network Director directs and develops a healthcare provider network. Designs and administers policies and services that comply with all contractual and regulatory requirements. Being a Provider Network Director requires a bachelor's degree. Typically reports to top management. The Provider Network Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Provider Network Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
The Medical Director provides on-site clinical oversight of all licensed psychiatric services provided at Heart of Texas Behavior Health Network and is responsible for the effective and efficient leadership of provider performances. This position involves directing psychiatric activities; monitoring trends and activities, making recommendations for improvement as appropriate; diagnosing and treating patients and administering specialized psychiatric treatments and/or procedures in/for all counties. This position is responsible for making recommendations on medical/clinical policies, new forms of treatment, the needs for equipment, facilities, staff and budgeting, and maintains the security of own working areas and work materials for confidentiality and compliance.
All staff Psychiatrists and Psychiatric Nurse Practitioners will report to the Medical Director and will be responsible for supervising, training, monitoring, and annually evaluating their performance. Provide clinical oversight and consultation to all locum tenens on-site and telemedicine psychiatrists while also performing random chart audits and monitoring their performance/productivity in order to provide feedback that promotes improvements.
This position is responsible for psychiatric services and to implement performance standards, monitoring, and applying continuous improvement processes to achieve high quality medical outcomes while appropriately managing compliance and risk. Also responsible for conducting psychiatric examinations, prescribing, and monitoring of psychotropic medications and other consumer/patient related services and completed associated documentation. Clinical services include psychiatric evaluations, diagnosis, referral and recommendation for services, court ordered evaluations, admissions for hospitalizations, medication management and cost savings through effective writing of prescriptions and other outpatient psychiatric services and outpatient psychiatric duties as assigned.
Participate in Management Team Meetings and will serve as the Utilization Management psychiatrist for the Center and will develop, review and implement medical policies and procedures and other policies and procedures relating to Utilization Management.
Provides consultation on all adverse determinations upon the request of the UM Manager, and for reviewing all first level appeals of adverse determinations. Resolve conflicts that may arise regarding the authorization of services that are not resolved through the usual procedures.
The Medical Director will serve on the Death Review Committee and works under general directions with considerable latitude for the use of initiative and independent judgement.
Knowledge, Skills, and Abilities:
Education and Experience:
Hours: 8:00AM-5:00PM (:Monday - Friday) Fulltime:
Salary Negotiable depending on license and experience
Benefits:
Heart of Texas Behavioral Health Network strives to offer competitive compensation and a comprehensive benefits package that includes:
Employer paid Health Insurance
Employer paid Dental Insurance
Employer paid Life Insurance
Payroll Direct Deposit
10 paid Holidays per year
Generous Paid Time Off (PTO)
Excellent 401-K Retirement Plan (Center will contribute 12% of employee earnings)
**Certain Requirements Needed**:
Location: 110 S 12th St. Waco, TX:
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