Talent.com
Psychologist Reviewer
Psychologist ReviewerSunshine State Health Plan • TALLAHASSEE, FL, United States
Psychologist Reviewer

Psychologist Reviewer

Sunshine State Health Plan • TALLAHASSEE, FL, United States
30+ 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.

  • This position is fully remote with occasional travel for team meetings. Candidates must reside and be licensed in the State of Florida to be considered.

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 of clinical experience post licensure strongly preferred
  • Experience working with children - 5+ years strongly preferred
  • Working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices required
  • 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 required
  • Licenses / Certifications :

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

    Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire preferred

    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 • TALLAHASSEE, FL, United States

    Related jobs
    Licensed Clinical Psychologist

    Licensed Clinical Psychologist

    Headway • Tallahassee, FL, US
    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 more
    Last updated: 17 days ago • Promoted
    Psychologist

    Psychologist

    The GEO Group, Inc. • Tallahassee, FL, United States
    Part-time
    Position is located in South Bay, FL - Palm Beach County • •.Part Time Twenty (20) Hours Per Week.Are you looking for a career you can feel good about? We hire only those that strive to do their best...Show more
    Last updated: 11 days ago • Promoted
    Psychologist

    Psychologist

    Fcs Co • Tallahassee, FL, United States
    Full-time
    PsyD NEW TALLAHASSEE FL PsyD WANTED in TALLAHASSEE FL Employment opportunity with competitive salary; Full benefits package to include paid malpractice. NO CALL NO WEEKEND For more information on th...Show more
    Last updated: 30+ days ago • Promoted
    Master's Level Clinician (LCSW, LMHC, LMFT)

    Master's Level Clinician (LCSW, LMHC, LMFT)

    Cotler Healthcare • Tallahassee, FL, USA
    Full-time +1
    Quick Apply
    Cotler Psychology Services is currently seeking a.Florida-licensed Master's-level clinician.LCSW, LMHC, LMFT) to provide mental health services to seniors in assisted living and skilled nursing com...Show more
    Last updated: 15 days ago
    Psychology Instructor - Adjunct

    Psychology Instructor - Adjunct

    Keiser University • Tallahassee, FL, USA
    Full-time
    Quick Apply
    Instructors are responsible for leveraging their expertise to deliver education services to students through : .Planning and organizing instructional methods and. Programmatic accreditation (if.Facili...Show more
    Last updated: 30+ days ago
    Physician (MD / DO) - Gastroenterology - $300,000 per year in Quincy, FL

    Physician (MD / DO) - Gastroenterology - $300,000 per year in Quincy, FL

    LocumJobsOnline • Quincy, FL, US
    Full-time +1
    LocumJobsOnline is working with Curative to find a qualified Gastroenterology MD in Quincy, Florida, 32351!.We are recruiting for full time permanent pediatric gastroenterologist physician to join ...Show more
    Last updated: 30+ days ago • Promoted
    Active Clinical Psych

    Active Clinical Psych

    United States Army • Quincy, FL, US
    Permanent
    Use your specialized skills to help our Nation's heroes as a U.Army Clinical Psychologist If you are a professional in the field of psychology and want to combine your passion and skills with the d...Show more
    Last updated: 13 days ago • Promoted
    Psychotherapist Outpatient Clinic - LCSW / LMHC / LMFT / Independent Contractor / Tallahassee

    Psychotherapist Outpatient Clinic - LCSW / LMHC / LMFT / Independent Contractor / Tallahassee

    Harmony United Psychiatric Care • Tallahassee, FL, United States
    Full-time
    Company : Harmony United Psychiatric Care.Psychotherapist Outpatient Clinic - LCSW / LMHC / LMFT / Independent Contractor. Harmony United Psychiatric Care is part of Harmony United Healthcare LLC.We ar...Show more
    Last updated: 30+ days ago • Promoted
    Registered Nurse

    Registered Nurse

    Encompass Health • Sopchoppy, FL, US
    Full-time +1
    Registered Nurse Career Opportunity.Encompass Health : Where Nursing Meets Heart, Home, and Healing.Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass...Show more
    Last updated: 19 days ago • Promoted
    Clinical Psychologist / Neuropsychologist / Outpatient Clinic / Independent Contractor / Tallahassee

    Clinical Psychologist / Neuropsychologist / Outpatient Clinic / Independent Contractor / Tallahassee

    Harmony United Psychiatric Care • Tallahassee, FL, US
    Full-time
    Quick Apply
    Harmony United Psychiatric Care Job Title : Clinical Psychologist / Neuropsychologist / Outpatient Clinic / Independent Contractor Job Location : Tallahassee, FL About Us Harmony United Psychi...Show more
    Last updated: 30+ days ago
    Licensed Clinical Psychologist

    Licensed Clinical Psychologist

    Cotler Healthcare • Tallahassee, FL, USA
    Full-time
    Quick Apply
    Cotler Psychology Services is seeking a.This is an opportunity to create meaningful change in the lives of older adults while enjoying the flexibility, support, and autonomy that comes with joining...Show more
    Last updated: 15 days ago
    Hybrid Psychologist Opportunity in Florida

    Hybrid Psychologist Opportunity in Florida

    CHG Healthcare • Tallahassee, FL, US
    Full-time
    As the capital city of Florida and home to Florida State University and Florida A & M, Tallahassee offers a variety of governmental, intellectual and cultural stimulation.Residents love this city's...Show more
    Last updated: 2 days ago • Promoted
    Addiction Psychiatrist Position in Tallahassee, Florida; Light Call

    Addiction Psychiatrist Position in Tallahassee, Florida; Light Call

    CHG Healthcare • Tallahassee, FL, US
    Full-time
    With the intellectual and cultural stimulation of a college town, the proliferation of tech companies in this 'Silicon Valley South,' the Southern charm of tree-lined streets and historic architect...Show more
    Last updated: 2 days ago • Promoted
    Clinical Psychologist

    Clinical Psychologist

    Owl Therapy • Tallahassee, FL, United States
    Full-time +1
    Clinical Psychologist (Telemedicine).Contractor / Part-Time or Full-Time.Owl Therapy is a new digital health startup dedicated to providing accessible, high-quality mental health care.We connect pa...Show more
    Last updated: 30+ days ago • Promoted
    Reserve Clinical Psych

    Reserve Clinical Psych

    United States Army • Tallahassee, FL, US
    Full-time +1
    Use your specialized skills to help our Nation’s heroes as a U.Army Clinical Psychologist If you are a professional in the field of psychology and want to combine your passion and skills with the d...Show more
    Last updated: 1 day ago • Promoted
    Psychologist / Neurocognitive Testing / Outpatient Clinic / Independent Contractor / Tallahassee

    Psychologist / Neurocognitive Testing / Outpatient Clinic / Independent Contractor / Tallahassee

    Harmony United Psychiatric Care • Tallahassee, FL, US
    Full-time
    Quick Apply
    Harmony United Psychiatric Care Job Title : Psychologist / Neurocognitive Testing / Outpatient Clinic / Independent Contractor / Tallahassee About Us Harmony United Psychiatric Care is part of ...Show more
    Last updated: 30+ days ago
    Post Doctoral Clinical Psychologist / Outpatient Clinic / Independent Contractor / Tallahassee

    Post Doctoral Clinical Psychologist / Outpatient Clinic / Independent Contractor / Tallahassee

    Harmony United Psychiatric Care • Tallahassee, FL, US
    Full-time
    Quick Apply
    Harmony United Psychiatric Care Job Title : Post Doctoral Clinical Psychologist / Outpatient Clinic / Independent Contractor Job location : Tallahassee, FL About Us Harmony United Psychiatric Care is par...Show more
    Last updated: 30+ days ago
    Psychotherapist Outpatient Clinic - LCSW / LMHC / LMFT / Full-Time Employment / Signing Bonus 5000USD

    Psychotherapist Outpatient Clinic - LCSW / LMHC / LMFT / Full-Time Employment / Signing Bonus 5000USD

    Harmony United Psychiatric Care • Tallahassee, FL, US
    Full-time
    Company : Harmony United Psychiatric Care.Psychotherapist Outpatient Clinic – LCSW / LMHC / LMFT / Full-Time Employment / Signing Bonus $5000. Harmony United Psychiatric Care is part of Harm...Show more
    Last updated: 30+ days ago • Promoted