Transforming the health of the communities we serve, one person at a time.
Psychologist Reviewer
Location
California
Posted
1 day ago
Salary
$87.7K - $157.8K / year
Seniority
Mid Level
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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