Centene Corporation logo
Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Psychologist Reviewer

PsychologistGeneralFull TimeRemoteMid LevelTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

California + 3 moreAll locations: California | Kentucky | Louisiana | North Carolina

Posted

2 days ago

Salary

$87.7K - $157.8K / year

Seniority

Mid Level

Postgraduate Degree2 yrs expEnglish

Job Description

Psychologist Reviewer

Centene Corporation

• Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care • Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified Behavior Analysts for outpatient services and/or psychological testing requests • Interact with network practitioners to provide education on best practice models and utilization management processes • Interact with the Medical Director, or designee, to discuss clinical authorization questions and concerns regarding specific cases • Respond to state, provider, and member complaints related to psychological testing or other services requiring review by a PhD/PsyD • Facilitate outpatient rounds offering clinical input and oversight related to outpatient services • Performs other duties as assigned. Complies with all policies and standards.

Job Requirements

  • PhD Clinical Psychology, Counseling, Behavior Analysis, or related field required
  • 2+ years Behavioral Health required
  • Working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices required
  • For ABA Reviewers only, working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices designed for individuals with Autism Spectrum Disorder required
  • PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required
  • Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire preferred

Benefits

  • competitive pay
  • health insurance
  • 401K and stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules

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