Psychologist Reviewer
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.
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.
Licenses/Certifications
- PSY - Psychologist Unrestricted License (PhD or PsyD) upon hire required
- Board Certified Behavior Analyst (BCBA) BCDA upon hire preferred
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
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.