This is a PRN, remote psych reviewer role focused on behavioral health utilization review for Arkansas Medicaid. You’re making medical necessity calls, doing second-level reviews, and supporting appeals. Not therapy. Not prescribing. It’s clinical judgment, criteria, and clean documentation.
About Acentra Health
Acentra Health supports public sector healthcare through technology, services, and clinical expertise, focused on improving outcomes and delivering value.
Schedule
- Part-time, PRN
- Remote within the United States
What You’ll Do
- Complete prior authorization, continued stay, retroactive, and retrospective reviews for inpatient and outpatient behavioral health cases within required timeframes
- Perform second-level reviews using Arkansas Medicaid manuals/service criteria
- Partner with the Team Supervisor and Medical Director to complete cases accurately and on time within the review system
- Provide clinical leadership, consultation, and guidance to improve review operations and quality
- Represent the organization in state appeal processes
- Review trends and contribute to clinical operations improvements and strategic planning
- Stay current on applicable national, state, and local regulations impacting healthcare/behavioral health
- Assess functioning and develop level-of-care recommendations and clinical diagnoses based on documentation
- Follow HIPAA and related corporate policies
What You Need
- MD/DO Psychiatrist licensed in Arkansas (required)
- Board certification (required)
- Experience in utilization management, case/disease management, and knowledge of Medicaid programs
Nice to Have
- Familiarity with Mental Health/Substance Use parity requirements (Title 42 CFR part 438.910)
- Strong knowledge of DSM-based psychiatric disorders and level-of-care standards, especially inpatient criteria
- Proficiency with Excel, Word, PowerPoint, Teams, Outlook
- Comfort using web-based software and communicating clearly in writing and electronically
- Strong attention to detail and ability to prioritize efficiently
Benefits
- Benefits are described broadly by the employer (comprehensive health plans, PTO, retirement savings, wellness, educational assistance, discounts). PRN roles sometimes have different eligibility, so confirm during hiring.
Pay
- $125.00 – $130.00/hour
Quick reality check: this one is strictly for Arkansas-licensed psychiatrists. If that license isn’t in hand, it’s a dead end no matter how strong the resume is.
Happy Hunting,
~Two Chicks…