Contract Psychologist (Neurocognitive Screening Interpretation)

Key Responsibilities

• Review neurocognitive screening results (e.g., domain scores, validity indicators, pattern analysis) and integrate findings with available clinical information.
• Perform targeted record review of patient history, including medical comorbidities, neuro/vascular risk factors, psychiatric history, sleep history, substance use, developmental/learning history, and functional status.
• Evaluate medication lists and other iatrogenic factors that could contribute to cognitive symptoms (e.g., anticholinergic burden, sedatives, polypharmacy), and flag items for prescriber follow-up when appropriate.
• Identify potential alternative or contributing causes of cognitive change beyond dementia (e.g., depression/anxiety, sleep disorders, delirium risk, metabolic/endocrine issues, nutritional deficiencies, medication effects, pain, sensory impairment, neurologic conditions, stress/trauma, low baseline education/learning disorder considerations).
• Document a clear clinical impression that addresses whether screening results are most consistent with neurodegenerative change, non-neurodegenerative factors, mixed etiologies, or indeterminate findings.
• Provide concise recommendations for next steps (e.g., comprehensive neuropsychological evaluation, labs/imaging review, sleep study, medication reconciliation, behavioral health treatment, hearing/vision evaluation, neurology/geriatrics referral).
• Communicate with the clinical team as needed to clarify missing history or to resolve inconsistencies in collateral information.
• Complete interpretations within defined turnaround times and according to documentation standards, templates, and quality expectations.

Required Qualifications

• Doctoral degree in Psychology (PhD or PsyD) from an accredited program.
• Current, unrestricted psychologist license in at least one U.S. state (ability to practice via telehealth/record review in applicable jurisdictions as required).
• Training and experience interpreting cognitive screening tools and integrating results with clinical history.
• Strong differential diagnostic reasoning skills related to cognitive complaints in adults and older adults.
• Excellent clinical writing skills (clear, organized, and actionable interpretations).
• Ability to work independently, manage caseload volume, and meet turnaround expectations.
• Comfort working within established report templates and quality review processes.

Preferred Qualifications

• Experience with geriatric populations, memory clinic workflows, or integrated care models.
• Familiarity with common reversible contributors to cognitive change and evidence-informed workups (e.g., sleep, mood, metabolic, medication effects).
• Prior experience interpreting remote/digital cognitive screening platforms.
• Experience collaborating with primary care, neurology, geriatrics, or psychiatry teams.

Contract Details

• Engagement: 1099/contract (part-time to flexible volume)
• Work modality: Remote (record review and written interpretation)
• Scheduling: Flexible; interpret cases within agreed turnaround times
• Volumes: Variable based on availability and business needs
• Compensation: Per-interpretation or hourly (discussed during interview)

Documentation and Compliance

• Maintain HIPAA-compliant handling of protected health information and use only approved, secure systems for access and documentation.
• Document interpretations in a clear, clinically appropriate manner, including limitations (e.g., screening versus comprehensive evaluation) and rationale for impressions and recommendations.
• Escalate time-sensitive safety concerns or red flags (e.g., delirium risk, acute functional decline, suicidality reported in history) per established protocols.
• Practice within the scope of licensure and organizational policies.

How to Apply

Please submit your CV/resume and a brief note summarizing your experience with cognitive screening interpretation and differential assessment of cognitive complaints. If available, include an anonymized sample interpretation (optional) and your preferred weekly availability/volume. We are an equal opportunity organization and welcome applicants from all backgrounds.