Psychologist Reviewer

Job Title : Psychologist Reviewer

Duration : 6-month contract with potential for extension or FTE conversion based on performance.

Location : Remote (FL - License)

Shift Type : 8 AM to 5 PM in what time zone they reside within (EST, CST, PST)

Flexible hours are something the team is discussing to ensure there is coverage for as needed weekends and holidays

There could be an opportunity to be on weekends only, etc.

Pay Range : $60 - $62 / hr

Job Duties :

• Conduct peer reviews with psychologists, behavioral health therapists and / or Board-Certified Behavior Analysts for outpatient services and / or psychological testing requests
• 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
• 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
• 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

Must Have :

Education Required :

PhD Clinical Psychology, Counseling, Behavior Analysis, or related field required

Licensure Required :