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Psychologist Reviewer - part time jobs in United States
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Elevance Health · 1 month ago

Psychologist Reviewer - part time

Elevance Health is a health company dedicated to improving lives and communities. The Psychologist Reviewer - part time is responsible for collaborating with providers and Medical Directors to determine appropriateness of level of care based on Medical Necessity Criteria, particularly in psychological and neuropsychological testing.
HealthcareHealth InsuranceWellnessHealth CarePersonal Health

Responsibilities

Partners with internal UR staff and external Behavioral Health Providers to ensure appropriate and consistent utilization of plan benefits, out of network services, and clinical guidelines within scope of license
Conduct pre-certification or prior authorization of psychological testing and neuropsychological testing services
Partners with Behavioral Health Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in developing a program around psychological and neuropsychological testing

Qualification

Clinical PsychologyCounseling PsychologyPsychological TestingNeuropsychological TestingMedical Necessity CriteriaUtilization ManagementBehavioral Health ManagementClinical GuidelinesClinical License - Psychologist

Required

Requires Ph.D. or Psy.D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education and experience, which would provide an equivalent background
Must possess an active unrestricted license to practice as Clinical/Counseling Psychologist

Preferred

Minimum of 2 years experience in a Behavioral Health/Clinical setting preferred
Experience with psychological testing and/or neuropsychological testing is strongly preferred

Benefits

A comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution (all benefits are subject to eligibility requirements)
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs (unless covered by a collective bargaining agreement)
Medical, dental, vision, short and long term disability benefits
401(k) +match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources

Company

Elevance Health

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Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Funding

Current Stage
Public Company
Total Funding
unknown
2001-10-30IPO

Leadership Team

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Gail K. Boudreaux
President and CEO
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Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
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Company data provided by crunchbase