Psychologist Reviewer

Position Title : Psychologist Reviewer

Assignment Duration : Full-time

Work Location : Remote

Licensed Psychologist in GA.(Will accept other licenses as long as they are willing to obtain a GA license)

Hours 8-5

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 Requirements : PhD Clinical Psychology

Required Skills

• Education / Experience : PhD Clinical Psychology, Working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices. required 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)

Must-haves

Preferred or Nice-to-have Skills