Psychiatrist

Apply online at http://www.alohacare.org/Careers/Default.aspx The Company: AlohaCare is a local, non-profit health plan serving Hawai`i�s low-income residents with free Medicaid and dual Medicare health insurance coverage. Our members include children, seniors and adults residing on all islands. We provide comprehensive benefits and managed care services with an emphasis on healthy living habits and preventive primary health care. Our approach is to meet the whole-person health and social needs of members. Through our community partnerships we offer innovative services such as connection to social service agencies, Native Hawaiian healing services and in-home primary care for qualified members. Our mission is to serve in the true spirit of aloha by ensuring and advocating for access to quality health care for all. We are Hawaii�s third-largest health plan and offer a wide network of quality primary care, specialists, hospitals, pharmacies and among many other providers across the state. The Culture: AlohaCare employees have a passion for helping Hawai`i�s most underserved communities. Our caring culture is fundamental to our company-wide team approach to providing high quality services. We support our employees with a supportive and positive work environment, healthy work-life balance, continuous communication, and a generous benefits package. AlohaCare�s leadership empowers and engages its employees by recognizing outstanding job performance and collaboration. We share organization-wide updates during quarterly All Staff meetings. We encourage participation in volunteer and educational opportunities. We put a high value on honesty, respect, and trust-building. We encourage open-door, two-way, and frequent communication. AlohaCare�s comprehensive benefits package includes low-cost medical, dental, drug and vision insurance, paid time-off, 401k employer contribution, referral bonus and pretax transportation and parking program. The Opportunity: The Community Care Services (CCS) Psychiatrist (�Psychiatrist�) ensures access to direct clinical support and services to members upon assignment and for ongoing care, in particular, the members at a Level 4 or 5 in severity. The Psychiatrist provides clinical direction to the CCS staff located in assigned areas carrying-out Concurrent Reviews, as well as creating individual care plans and case management. The Psychiatrist performs initial psychiatric assessments, develops individualized treatment plans, and implements treatment for members. Being responsible for improvement of clinical outcomes and quality improvement, the Psychiatrist manages the utilization of health care resources in accordance with CCS� objectives. In addition to monitoring relevant clinical aspects of a member�s behavioral health, the Psychiatrist assists the CCS Medical Director and CCS Executive Director in establishing new or revised policy and procedures. The integration of BH services, medical care, and pharmacy is critical to the Psychiatrist�s role. The Psychiatrist educates and informs the behavioral health community across Hawaii on the CCS program as it involves individual members, receiving and sharing suggestions on best practices and novel interventions. Primary Duties and Responsibilities: Works under the programmatic supervision of the CCS Medical Director, as well as the broad strategic oversight of the CCS Executive Director. Provides medical leadership of utilization management, cost-of-care, and medical quality improvement, prioritizing high cost and/or high utilizing CCS members Performs medical review activities pertaining to health services utilization, quality improvement, as well as complex, controversial, or experimental medical services. Ensures timely and quality decision making, fulfilling compliance requirements and the timely needs of CCS members Supports effective implementation of performance improvement initiatives for capitated providers. Assists CCS Medical Director in planning a…