Psychologist Reviewer
Job Description
Centene is Hiring – Remote Psychologist Reviewers (ABA)
Why Join Us?
- 100% remote flexibility
- Meaningful work impacting care for youths with Autism
- Be part of a collaborative, supportive team committed to clinical excellence
Position Purpose
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.
Education/Experience
- 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: working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices designed for individuals with Autism Spectrum Disorder.
Licenses/Certifications
- PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required
- Board Certified Behavior Analyst (BCBA) BCDA Upon Hire preferred
Pay Range
$87,700.00 - $157,800.00 per year
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- a flexible approach to work with remote, hybrid, field or office work schedules.
Total compensation may also include additional forms of incentives.
Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.