Job Title: Board-Certified Pediatrician / Physician / Child & Adolescent Psychiatrist
Location: Phoenix, AZ
Job Type: Contract
Duration: 8 Months
Shift & Schedule: Day Shift | 8:00 AM – 5:00 PM | Initially 40 Hours/Week, Monday–Friday
Additional Schedule Requirements: Assignments may be issued any day, including weekends and holidays, between 8:00 AM and 8:00 PM. Local candidates only.
Pay Rate:
Local: $80.00–$84.00/hr
Note: This job doesn’t offer any benefits.
Position Overview
We are seeking a board-certified physician to conduct clinical reviews and quality-of-care investigations involving individuals with developmental disabilities and complex medical or behavioral needs. The selected professional will evaluate medical records, provide clinical recommendations, and ensure assigned cases are completed accurately within required timelines.
Responsibilities
Conduct comprehensive, member-centered clinical reviews and quality-of-care investigations.
Serve as the primary clinical reviewer for assigned cases, evaluate assessments and medical records, and certify cases through the established ECR process.
Review information provided by members or their healthcare decision-makers and obtain specialty-specific consultation when necessary.
Develop clear clinical recommendations supported by documented medical reasoning.
Identify quality-of-care concerns, evaluate clinical risks and trends, and recommend corrective actions to protect member health and safety.
Request and review relevant medical documentation, maintain complete case records, and prepare accurate clinical reports using standardized templates.
Refer cases to appropriate oversight or regulatory agencies and escalate significant concerns to the Quality of Care supervisor.
Participate in Care Concerns, Care Needed Today, and other assigned member-related investigations.
Complete case reviews and documentation within the required 48-hour turnaround time.
Follow established clinical review procedures, documentation standards, and compliance requirements.
Required Qualifications
MD or DO degree from an accredited medical school.
Active, valid professional license appropriate to the physician specialty.
Board certification in the applicable specialty.
Relevant clinical experience in pediatrics, adolescent medicine, developmental medicine, psychiatry, rehabilitation, or internal medicine, as applicable.
Strong clinical judgment, critical-thinking, medical chart review, research, and analytical skills.
Excellent written and verbal communication skills, including professional clinical reports and recommendations.
Proficiency in Microsoft Office, electronic databases, email, and electronic documentation systems.
Familiarity with PEDI-CAT preferred; training may be provided.
Ability to complete standardized clinical reviews, document clear clinical reasoning, and meet the 48-hour turnaround requirement for assigned cases.
Experience with developmental disabilities, complex medical or behavioral needs, and interdisciplinary clinical reviews highly desirable.
Willingness to complete ECR-specific training, follow standardized documentation procedures, identify potential conflicts of interest, and respond promptly to case assignments.