Talent.com
Psychologist Reviewer

Psychologist Reviewer

CenteneRichmond, VA, United States
3 days ago
Job type
  • Full-time
  • Part-time
Job description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Centene is hiring a Remote Psychologist – Join Our Kentucky Medicaid Team!

Are you a licensed Psychologist with a Kentucky license with a passion for improving access to behavioral health care? Centene is looking for a Remote Psychologist to support our Kentucky Medicaid plan. In this role, you’ll play a key part in outpatient and psych / neuro psych testing note reviews, appeals, and occasional peer-to-peer consultations, as well as participating in Utilization Management clinical rounds.

We’re seeking candidates who :

Hold an active Kentucky Psychologist license

Are familiar with Medicaid guidelines, prior authorization, and telehealth practices

Thrive in a collaborative, remote work environment

This is a great opportunity to apply your clinical expertise in a non-direct care role, supporting quality care and outcomes for the Medicaid population.

Position Purpose : Authorize, direct and monitor care for behavioral health and substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care

Conduct peer reviews with psychologist and licensed therapist / certified Behavior Analyst for outpatient 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

PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required or :

Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire required :

Pay Range : $86,000.00 - $154,700.00 per year

Centene offers a comprehensive benefits package including : competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Create a job alert for this search

Psychologist • Richmond, VA, United States

Related jobs
  • Promoted
Psychologist- Top Market Pay

Psychologist- Top Market Pay

LifeStance HealthGlen Allen, VA, United States
Full-time
We are actively looking to hire talented licensed clinical psychologists in the area who are passionate about patient care and committed to clinical excellence. You can design your practice around t...Show moreLast updated: 30+ days ago
  • Promoted
Child & Adolescent Therapist (LCSW, LPC, LMFT)

Child & Adolescent Therapist (LCSW, LPC, LMFT)

LifeStance HealthKing William, VA, US
Full-time
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 30+ days ago
  • Promoted
Travel Physical Therapist (PT) - $1,920 per week in Bowling Green, VA

Travel Physical Therapist (PT) - $1,920 per week in Bowling Green, VA

AlliedTravelCareersBowling Green, VA, US
Full-time
AlliedTravelCareers is working with Secure Nursing Service to find a qualified Physical Therapist (PT) in Bowling Green, Virginia, 22427!. Competitive Pay Rates & Benefits.Full Housing Placement...Show moreLast updated: 30+ days ago
  • Promoted
Psychologist Reviewer

Psychologist Reviewer

Centene CorporationRichmond, VA, United States
Full-time +1
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified, national organization offe...Show moreLast updated: 30+ days ago
  • Promoted
Travel Physical Therapist (PT) - $1,928 to $2,081 per week in Harbour Pointe, VA

Travel Physical Therapist (PT) - $1,928 to $2,081 per week in Harbour Pointe, VA

AlliedTravelCareersHarbour Pointe, VA, US
Full-time
AlliedTravelCareers is working with Host Healthcare to find a qualified Physical Therapist (PT) in Harbour Pointe, Virginia!. Host Healthcare is an award-winning travel healthcare company with an im...Show moreLast updated: 30+ days ago
  • Promoted
Associate Dentist - Accepting 2026 New Grad Applications

Associate Dentist - Accepting 2026 New Grad Applications

Spencer Dental & Braces - a Benevis companyCharles City, VA, United States
Full-time
This is a sourcing posting to accept applications for 2026 graduates for future positions in Richmond, VA at our 3 locations : Richmond - Southside Plaza, Richmond - Mechanicsville Turnpike, and Col...Show moreLast updated: 28 days ago
  • Promoted
Physical Therapist Assistant

Physical Therapist Assistant

SentaraQuinton, VA, United States
Full-time
We are hiring a Physical Therapist Assistant for the Sentara Therapy Centers located in Quinton, VA.This is a Full-Time Day shift opportunity with GREAT BENEFITS!!!. Sentara, youwill administer phys...Show moreLast updated: 30+ days ago
  • Promoted
Psychologist- Competitive Pay

Psychologist- Competitive Pay

LifeStance HealthMechanicsville, VA, United States
Full-time
We are actively looking to hire talented licensed clinical psychologists in the area who are passionate about patient care and committed to clinical excellence. You can design your practice around t...Show moreLast updated: 30+ days ago
  • Promoted
Mental Health Psychologist

Mental Health Psychologist

Centene CorporationRichmond, VA, United States
Full-time +1
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified, national organization offe...Show moreLast updated: 5 days ago
  • Promoted
PRN Psych RN Job in Glen Allen, Virginia

PRN Psych RN Job in Glen Allen, Virginia

Gifted HealthcareGlen Allen, VA, US
Full-time
Psychiatric RNs provide direct care to patients and work within a multidisciplinary team to provide outcome-based treatment for patients. The Psych RN responds to distressed patients and educates pa...Show moreLast updated: 5 days ago
  • Promoted
  • New!
Virtual School Psychologist Must be licensed in Virginia (Remote)

Virtual School Psychologist Must be licensed in Virginia (Remote)

VocoVisionRuther Glen, VA, US
Remote
Part-time
Bachelor's or Master's degree in School Psychology, active School Psychologist license and minimum 1+ years School Psychologist experience required. Applicants who do not meet these qualific...Show moreLast updated: 20 hours ago
  • Promoted
Clinical Psychologist (PhD, PsyD) - Child / Adult - Testing and / or Therapy

Clinical Psychologist (PhD, PsyD) - Child / Adult - Testing and / or Therapy

LifeStance HealthMidlothian, VA, United States
Full-time
We are actively looking to hire talented licensed clinical psychologists in the area who are passionate about patient care and committed to clinical excellence. You can design your practice around t...Show moreLast updated: 30+ days ago
  • Promoted
Crisis Counselor QMHP

Crisis Counselor QMHP

Behavioral Health Services of VAHenrico, VA, United States
Full-time
We are actively seeking a skilled and experienced Qualified Mental Health Professional to join our team.The ideal candidate will have a strong passion for working with adults, along with a solid ba...Show moreLast updated: 30+ days ago
  • Promoted
Games Associate

Games Associate

Kings DominionDoswell, VA, United States
Full-time
This role is eligible for the Haunt Bonus of $3 extra per hour on operating days, you must work the last weekend of Haunt. Step into the shadows and bring the thrills to life! Are you interested in...Show moreLast updated: 30+ days ago
  • Promoted
Clinical Psychologist

Clinical Psychologist

Fcs CoRichmond, VA, United States
Full-time
Clinical Psychologist- Outpatient.Come grow with us Comprehensive private practice seeking a clinical psychologist in the Richmond, VA area. The facility is expanding and needs candidates specializi...Show moreLast updated: 30+ days ago
  • Promoted
Licensed Therapist (LCSW, LPC, LMFT)

Licensed Therapist (LCSW, LPC, LMFT)

LifeStance HealthBruington, VA, US
Full-time
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 30+ days ago
  • Promoted
Custodian

Custodian

Kings DominionDoswell, VA, United States
Full-time
This role is eligible for the Haunt Bonus of $3 extra per hour on operating days, you must work the last weekend of Haunt. Step into the shadows and bring the thrills to life! Now hiring for our Hau...Show moreLast updated: 30+ days ago
  • Promoted
Licensed Clinical Psychologist

Licensed Clinical Psychologist

HeadwayRichmond, VA, United States
Full-time
Licensed Clinical Psychologist.Wage : Between $95-$180 an hour.Licensed Clinical Psychologists — Are you ready to launch or expand your private practice? . Headway is here to help you start accepting...Show moreLast updated: 30+ days ago
  • Promoted
Clinical Psychologist

Clinical Psychologist

Federal Bureau of PrisonsProvidence Forge, VA, US
Full-time
Summary Corrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities.Duties Participates in the...Show moreLast updated: 2 days ago
  • Promoted
Licensed Clinical Psychologist

Licensed Clinical Psychologist

Centene CorporationRichmond, VA, United States
Full-time +1
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified, national organization offe...Show moreLast updated: 5 days ago