• Chief Medical Officer
• Primary Care Physician
• Neurologist
• Supervisory Physician
• Surgeon
• Physician Specialist

Chief Medical Officer

Minimum Qualifications

Three years of experience in the administration of a major clinical services program in the psychiatric or medical care and treatment of individuals with mental illness, in a psychiatric hospital, community psychiatric program, forensic treatment center or similar setting; and certification in psychiatry or other recognized medical specialty by the American Medical Board or American Osteopathic Board; or three years of experience in the supervision of licensed physicians in a major clinical services program in the psychiatric or medical care and treatment of individuals with mental illness, in a psychiatric hospital, community psychiatric program, forensic treatment center or similar setting; and certification in psychiatry or other recognized medical specialty by the American Medical Board or American Osteopathic Board. Possession of a current and unrestricted license to practice medicine in the Commonwealth of Pennsylvania issued by the State Board of Medicine or the State Board of Osteopathic Medicine.

Role Description

This is professional medical and administrative work in the field of clinical services in a state mental hospital or in a forensic treatment center at a state correctional institution. A resource is responsible for the administration and coordination of hospital psychiatric and medical services, and provides direction and consultation on clinical matters to nursing and other services. Work includes participation in the formulation of treatment and administrative procedures for clinical services and insuring their coordination with the social and rehabilitative programs of the hospital or forensic treatment center. Resources maintain standards of professional services and participate in the recruitment and selection of principal clinical services staff. Work is performed under the general direction of the hospital superintendent or deputy superintendent for forensic services and is reviewed for conformance to broad departmental and hospital or institutional policies and established procedures through conferences, reports, and evaluation of results.

..top of page..

Primary Care Physician

Minimum Qualifications

Graduation with a degree of doctor of medicine or osteopathy from a medical school approved or recognized by the Pennsylvania Medical Licensing Board or the Pennsylvania Osteopathic Licensing Board and completion of an approved U.S. residency training program in the allopathic medical specialties of family medicine, pediatrics, internal medicine, or certification in the osteopathic field of general practice. Annual successful completion of 50 hours of continuing medical education approved by the American Medical Association or the American Osteopathic Association as appropriate, in the previous 12 months, and three years post-residency experience with substantial emphasis on primary care. Possession of a current license to practice medicine in Pennsylvania issued by the Pennsylvania Medical Licensing Board, or Osteopathic Medicine Licensing Board and possession of a current certificate to prescribe medication from the U.S. Drug Enforcement Agency.

Role Description

This is professional medical work in the primary medical care and treatment of individuals with developmental disabilities. A resource may serve as a primary care practitioner providing medical care and treatment services in a Commonwealth facility for individuals with a mental or physical injury or illness, dysfunctional behavior and/or a developmental disability. Work includes responsibility for maintaining the continuity of the health care and medical treatments and guiding individuals and their interdisciplinary habilitative treatment team members in formulating and implementing comprehensive individual habilitative care and treatment program plans. A resource may oversee clinical operations and may assign and direct the work of other professionals and nonprofessional nursing care staff. Work is generally performed with limited or no direct professional supervision but is subject to review by a clinical and/or administrative supervisor through consultation, review of individual case histories, staff reports and personal inspections.

..top of page..

Neurologist

Minimum Qualifications

Three (3) years post-residency clinical practice experience with a substantial emphasis on neurology. Successful completion of an approved residency training program in Neurology. Current/valid unrestricted license to practice medicine in the Commonwealth of Pennsylvania. Current/valid unrestricted D.E.A certificate. Recent report from the National Practitioner Data Bank (within the past 12 months). Recent report from the American Medial Association (within the past 12 months). Recent report from the Federation of State Medical Boards (within the past 12 months). Document number of hours of Category I CME that are required within the past three (3) years. Three (3) years post residency clinical experience in the practice of neurology.

Role Description

Function as the neurological consultant; responsible for providing neurological leadership and direction as an integral member of an Interdisciplinary Team; responsible for providing quality care in a Commonwealth facility for individuals with a mental or physical injury or illness, dysfunctional behavior and/or a developmental disability.

..top of page..

Supervisory Physician

Minimum Qualifications

Graduation with a degree of Doctor of Medicine or Osteopathy from a medical school approved or recognized by the Pennsylvania State Board of Medicine or the Pennsylvania State Board of Osteopathic Medicine and completion of an approved US residency-training program in the allopathic medical specialty of family practice, general practice, internal medicine or occupational medicine. Annual successful completion of 50 hours of continuing medical education approved by the American Medical Association or the American Osteopathic Association in the previous 12 months.

Resource must possess four years of post-residency experience in the practice of medicine, of which one of the last three years must have included one full year in an administrative, consultative or supervisory capacity over physicians assigned a direct primary care caseload, supplemented by successful completion of 75 hours of post graduate education or training in health services administration or related management topics within the last five years.

Board Certification by the American Boards of Medical Specialists or the American Osteopathic Medical Specialist Boards, as appropriate in family practice, general practice, internal medicine, or occupational medicine.

Possession of a current unrestricted license to practice medicine in the Commonwealth of Pennsylvania issued by the Pennsylvania State Board of Medicine or the Pennsylvania State Board of Osteopathic Medicine and possession of a current certification to prescribe medication from the US Drug Enforcement Agency.

Role Description

This is medical and supervisory work in the care and treatment of patients/individuals with a physical or mental illness, injury and/or developmental disability. A resource will perform professional medical care and supervisory work in a state facility, hospital, clinic, community program or in a specialized rehabilitation/habilitation program. Resources provide medical advice and consultation to professional or lay members of departments where programs require medical considerations. Resources are responsible for the medical care, treatment and supervision of patients/individuals admitted at state facility wards, buildings, cottages or clinics. A resource supervises staff physicians or physician specialists and interns, and directs the issuance of standing orders for nursing and interdisciplinary direct care and treatment staff to implement the prescribed medial regime. Resources may assign and review the work of other physicians, interns, registered nurses and other professional and non-professional direct care and treatment personnel. Work is performed independently, subject to review by a physician of a higher level or another administrative supervisor through consultation, review of case histories, staff reports and personal inspection.

..top of page..

Surgeon

Minimum Qualifications

e board certified in surgery. Possess an active Pennsylvania medical license. Be in active clinical practice in the area in which the Resource is board certified at least twenty (20) hours per month. Demonstrate an understanding of utilization review processes. Possess basic computer skills, including familiarity with Microsoft Office programs.

Role Description

Resource in this position will serve as a physician reviewer for the Department of Public Welfare. Resource will provide utilization and quality reviews of services for the Department. Resource will conduct prospective, concurrent and retrospective review of any assigned adult and pediatric inpatient and outpatient surgical cases covered by the Department including, but not limited to: inpatient admissions; procedures performed in a physician�s office, Short Procedure Unit or Ambulatory Surgical Center; home health services; medical supplies; and/or diagnostic studies or procedures. Resource shall be responsible for making determinations regarding the medical necessity, place of service, appropriateness, compensability, and/or quality of care of services prescribed for and provided to Medicaid recipients. It will be the Resources responsibility to review all requests thoroughly and make a qualified determination in accordance with Medical Assistance regulations and criteria.

Depending on the type of case reviewed, Resource will be required to compile case findings, prepare summaries of case findings; make recommendations for case disposition, identify program violations; prepare appealed cases for hearings; and/or be available to testify at administrative hearings for cases under appeal. The Resource will submit the above information to the Department using formats specified by each individual Bureau.

Resource, when requested, will assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators. Resource may be asked to help the Department in determining if any changes should be made to criteria or regulations to better serve their clients.

..top of page..

Physician Specialist

Minimum Qualifications

Be board certified in the requested specialty. Possess an active Pennsylvania medical license. Be in active clinical practice in the area in which the Resource is board certified at least twenty (20) hours per month. Demonstrate an understanding of utilization review processes. Possess basic computer skills, including familiarity with Microsoft Office programs.

Role Description

Resource in this position will serve as a physician reviewer for the Department of Public Welfare. Resource will provide utilization and quality reviews of services for the Department. Resource will conduct prospective, concurrent and retrospective review of any assigned adult inpatient and outpatient medical cases covered by the Department including, but not limited to: inpatient admissions; procedures performed in a physician�s office, Short Procedure Unit or Ambulatory Surgical Center; home health services; medical supplies; and/or diagnostic studies or procedures. Resource shall be responsible for making determinations regarding the medical necessity, place of service, appropriateness, compensability, and/or quality of care of services prescribed for and provided to Medicaid recipients. It will be the Resource�s responsibility to review all requests thoroughly and make a qualified determination in accordance with Medical Assistance regulations and criteria. Depending on the type of case reviewed, Resource will be required to compile case findings, prepare summaries of case findings; make recommendations for case disposition, identify program violations; prepare appealed cases for hearings; and/or be available to testify at administrative hearings for cases under appeal. The Resource will submit the above information to the Department using formats specified by each individual Bureau.

Resource, when requested, will assist in the development of in-house training programs, medically necessary criteria, and quality of care indicators. Resource may be asked to help the Department in determining if any changes should be made to criteria or regulations to better serve their clients.

..top of page..