Job: Medical Director - Psychiatry(Job Id 33097)

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Job Description

09/22/2017 10/20/2017
HEALTHCARE PROFESSIONALS 1
PHOENIX 150,000.00-207,475.63

Department of Economic Security

Providing Opportunity, Assistance and Care for Arizonans in need!

Medical Director - Psychiatry

Division of Developmental Disabilities

3443 North Central Avenue

Phoenix, AZ, 85012

www.azdes.gov

JOB SUMMARY:

The Medical Director provides clinical oversight and technical assistance in the provision of various community-based, outpatient, inpatient, and crisis services to the Division of Developmental Disabilities (DDD) members through the Division’s subcontracted health plans and the Regional Behavioral Health Authorities (RHBAs). The Medical Director assists the Chief Medical Officer (CMO) with review and approval of durable medical equipment, augmentative communication devices, home modifications, hospice care, sterilizations, transplants, and other medical issues that may arise. The Medical Director provides leadership in the development and implementation of acute care utilization management, medical management, and quality management programs. The Medical Director meets and confers with the Arizona Health Care Cost Containment System (AHCCCS) leadership and health plans Chief Medical Officers on quality performance and medical policy compliance, medical management activities, and quality of care issues. The Medical Director assists in the development of strategic plans, including the preparation of the statewide provider network plan, and participates with Division staff to identify ways to address network sufficiency issues.

JOB DUTIES: 

-        Evaluation and determination of eligibility for DDD services for those who have conditions other than intellectual disability such as autism, cerebral palsy, and epilepsy.

-        Provide oversight, liaison, and technical assistance in behavioral health services to DDD members through AHCCCS, the RHBAs, and DDD subcontracted acute care health plan as well as statewide acute psychiatric hospitals, residential treatment centers, and crisis centers. Collaboration with community providers of psychiatric services and with Children’s Rehabilitation Services behavioral health services.

-        Review and resolution of appeals and grievances related to psychiatric services.

-        Responsible for the direct supervision of the Medical Records Review Specialist (Psychologist), Behavioral Health Administrator, Chief Quality Officer, and two Board Certified Behavior Analysts (BCBAs). Provides leadership, mentoring, coaching, and direct supervision of staff and team members.

-        Evaluation and approval of out-of-home placements for members under 18 years old and the utilization review of out-of-state placements in Residential Treatment Centers. Development and implementation of Clinical Guidance documents, policy, procedure, and plans.

-        Assist the Chief Medical Officer (CMO) with review and approval of durable medical equipment, augmentative communication devices, home modifications, hospice care, sterilizations, transplants, and other medical issues that may arise. Oversight of and second level reviews regarding the provision of psychiatric services; oversight and consultation related to the approval and delivery of Early Childhood Autism Specialist Habilitation Services and Habilitation Consultation Services.

 

KNOWLEDGE, SKILLS AND ABILITIES (KSAs):

Knowledge of:

-        Diagnostic criteria for intellectual disability, various tests used to determine IQ and adaptive functioning, and philosophies and approaches to the provision of supports to persons with developmental disabilities.

-        Presentation and diagnosis of autism, cerebral palsy, epilepsy, and mental illness in the intellectually disabled (ID) population. Understand the difference between behavior and symptoms of mental illness in persons with intellectual disabilities and autism.

-        Behavioral health care delivery system in Arizona, the use of diagnostic criteria and testing/evaluation instruments in the psychiatric field, general medical diagnoses and treatment principles, and federal regulations related to Medicaid, Medicare, and private health insurance programs.

-        The managed care model of healthcare delivery, performance improvement processes, and the AHCCCS rules, regulations, and medical policies.

Skill in:

-        Time management.

-        Oral and written communication.

-        Effective team participation and team management.

-        Using computer software (e.g. Microsoft Word, Excel, databases, etc.), management and leadership techniques.

Ability to:

-        Evaluate data, documentation and meet deadlines.

-        Relate to people with varying levels of knowledge about mental illness and developmental disabilities and work collaboratively with and gain cooperation of other in the face of disagreement and dissent.

-        Establish and maintain positive working relationships, negotiate and manage conflicts, and maintain professional boundaries outside of personal relationships.

-        Understand and participate in budgeting and expenditure management, work within the context of a managed care organization and plan strategically and then execute the plan.

SELECTIVE PREFERENCE(S):

-        The candidate must possess a Medical degree from an accredited school of medicine or Osteopathic medicine with completion of an Accreditation Council for Graduate Medical Education (ACGME) approved internship and residency and three (3) years’ experience beyond completion of a residency in Psychiatry.  

-        The preferred candidate will have experience working with the Developmental Disabilities population, range of disabilities served by DDD in Arizona, and familiarity with the regulations governing the Intermediate Care Facility for individuals with intellectual disabilities.

PRE-EMPLOYMENT REQUIREMENTS: 

-        Valid Arizona Driver license.

-        Subject to a search of the Child Protective Services Central Registry pursuant to A.R.S. 8-804.

-        Fingerprint Clearance Card pursuant to A.R.S. 41-2758.07.

-        Valid Professional License to practice medicine in the state of Arizona granted by the Arizona Medical Board or the Arizona Board of Osteopathic Examiners or the ability to obtain such licensure prior to appointment.

BENEFITS: 

 The Department of Economic Security offers a comprehensive benefits package to include: 

-        Sick leave

-        Vacation with 10 paid holidays per year

-        Health and dental insurance

-        Retirement plan

-        Life insurance and long-term disability insurance

-        Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance

RETIREMENT: 

Positions in this classification participate in the Arizona State Retirement System (ASRS). 

Please note, enrollment eligibility will become effective after 27 weeks of employment.

CONTACT US: 

If you have any questions please feel free to contact Julian Saucedo at [email protected] or 602-542-0082 for assistance.

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting INSERT CONTACT NAME AND CONTACT INFO HERE. Requests should be made as early as possible to allow time to arrange the accommodation. Arizona State Government is an AA/EOE/ADA Reasonable Accommodation Employer.