[Hiring] Psychologist Reviewer @Centene Corporation

Role Description

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.

• Make an impact from home as a Remote Psychologist Reviewer specializing in Applied Behavior Analysis (ABA) and autism 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.

Qualifications

• 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.

Requirements

• PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required.
• Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire preferred.

Benefits

• Competitive pay.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible approach to work with remote, hybrid, field or office work schedules.