Psychologist Reviewer - Kansas - part time

About the role

This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Responsibilities

• Partners with internal UR staff and external Behavioral Health Providers to ensure appropriate and consistent utilization of plan benefits, out of network services, and clinical guidelines within scope of license.
• Conducts pre-certification, concurrent review, and appeals of Behavioral Health OP services.
• Mentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in developing a program around psychological and neuropsychological testing.

Requirements

• Requires Ph.D. or Psy.D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education and experience, which would provide an equivalent background.
• Most possess an active unrestricted license to practice as Clinical/Counseling Psychologist.
• Minimum of 2 years experience in a Behavioral Health/Clinical setting preferred.
• Previous experience working alongside an ABA clinician and/or in collaboration with ABA services is strongly preferred.

Qualifications

• Ph.D. or Psy.D in clinical/counseling psychology.
• Managed care experience with the administration and interpretation of psychological test batteries.
• Active unrestricted license to practice as Clinical/Counseling Psychologist.
• Minimum of 2 years experience in a Behavioral Health/Clinical setting.
• Experience working alongside an ABA clinician and/or in collaboration with ABA services.

Skills

• Collaboration with providers and Medical Directors.
• Utilization management.
• Pre-certification, concurrent review, and appeals of Behavioral Health OP services.
• Mentoring and training.
• Development of psychological and neuropsychological testing programs.

Benefits

• Market-competitive total rewards package including merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement).
• Medical, dental, vision, short and long term disability benefits.
• 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources.

Pay

The pay for this role is commensurate with experience.

Schedule

The Psychologist Reviewer - Kansas - part time role requires working 20 hours per week.

Location

The Psychologist Reviewer - Kansas - part time role is located in the state of Kansas.

Elevance Health

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

Equal Employment Opportunity

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.