Psychologist

About the role

The Psychologist Advisor is responsible for providing clinical leadership through oversight of the clinical management of members. The Psychologist Advisor provides consultation regarding overall quality of care, decision making, case formulations, and other safety concerns, specific to case review and levels of care or cohort. The Psychologist Advisor also consults upon request as a subject matter expert for internal and external CBH initiatives.

Responsibilities

• Performs reviews for community-based and/or children and family services in alignment with best practice standards (NCQA) and state regulatory requirements and with the goal of improved outcomes for CBH members.
• Engages, collaborates and troubleshoots with providers and system stakeholders including member placement, member response to treatment, coordination of care, quality concerns and other challenges.
• Participates in quality reviews as needed for specific member complaints, grievances, and agency reviews.
• Participates in clinical and administrative meetings as representative of medical affairs and clinical department as required.
• Participates in training and education with both internal and external stakeholders, including care managers, providers and others as required.
• Review cases from multiple sites and levels of care for medical necessity.
• Performs peer review cases for disputed levels of care.
• Interacts with providers regarding clinical and administrative matters.
• Serve as a consultant for CBH Clinical Division and supports multidisciplinary approach for CBH Medical Affairs.
• Serve as a consultant for Network Development, Performance Evaluation, and Program Integrity Departments.
• Completes other duties as assigned.

Requirements

• Education: Doctorate in Psychology
• Licensure/Certification: Licensed Psychologist Advisor in the Commonwealth of Pennsylvania
• Relevant Work Experience: Minimum of 5 years of experience as a Psychologist treating children, adolescents and families providing services in the home, community and/or school; experience conducting biopsychological evaluations, making mental health diagnoses and working collaboratively with professionals across disciplines. A minimum of 5 years of experience providing consultation, supervision, and program administration.
• Skills: Expertise in psychological assessment, diagnosis and treatment; Strong knowledge of childhood and adolescent mental health disorders; Excellent verbal and written communication skills; Familiarity with evidence based practices and research issues involving children/adolescents; Ability to provide consultation to clinical staff and stakeholders.