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Clinical leadershipOren S. Raphael, MD, Medical Director, Shift Support Network
Dr. Raphael is the Medical Director of Shift Support Network, a California-licensed virtual outpatient program for substance use and co-occurring mental health (DHCS Cert 191663AP). He is a California-licensed physician (medical license A152831) practicing addiction medicine and psychiatry. He is the published, on-camera, on-byline clinical voice of Shift.
The verifiable facts.
Names, numbers, and links you can confirm yourself. No marketing in this section. No claims that cannot be checked in a public registry.
What the Medical Director does, in practice.
Not a marketing title. A real clinical role with operational accountability.
Reviews every admission
Dr. Raphael personally reviews the ASAM 4th edition placement assessment for every patient admitted to Shift. If the clinical picture supports a different level of care than IOP, including residential, inpatient, or ambulatory withdrawal management, the placement is changed before admission.
Authors and authorizes medication management
Dr. Raphael oversees the buprenorphine, naltrexone, Vivitrol, and adjunct medication protocols used at Shift. Medication-assisted treatment decisions are physician-led, not delegated to a counselor.
BHIN 24-001 medical-necessity attestation
When a Shift patient's clinical picture supports PHP-intensity hours under California's BHIN 24-001 guidance, Dr. Raphael authors the medical-necessity attestation that goes to the payer.
Where Dr. Raphael has written or spoken on the record.
Published positions Dr. Raphael stands behind under his own name. Updated as new pieces publish.
BHIN 24-001 in plain English
When a California IOP can deliver PHP-intensity hours, what the medical-necessity case looks like, and what BHIN 24-001 does not authorize. Read the brief.
The first 24 hours after a loved one asks for help
Co-authored guidance for the family member who is on the phone at 11pm. Clinically reviewed. Read it.
20-minute intake consultations
Dr. Raphael personally takes the intake consultation when a family or referring clinician asks for one. The call is clinical, not promotional. If Shift is not the right fit, he refers. Schedule.
Clinical-to-clinical line.
If you are a referring physician, therapist, EAP clinician, or benefits desk weighing whether Shift is the right level of care for a patient or member, the cleanest path is a direct conversation.