Psychologist Reviewer

Job Description

Make an Impact from Anywhere. Join a mission-driven organization where your clinical expertise helps ensure members receive the appropriate behavioral health services they need to thrive.

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 only, working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices designed for individuals with Autism Spectrum Disorder. required

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

Qualifications

• Holds an active psychologist license in North Carolina, South Carolina, Ohio, Michigan, Oregon or California
• Broad knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices
• For ABA Reviewers only, broad knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices designed for individuals with Autism Spectrum Disorder