Psychologist Reviewer @ Centene Corporation | Jobright.ai
JOBSarrow
RecommendedLiked
0
Applied
0
External
0
Psychologist Reviewer jobs in North Carolina, United States
Be an early applicantLess than 25 applicants
company-logo

Centene Corporation ยท 4 hours ago

Psychologist Reviewer

ftfMaximize your interview chances
Hospitals and Health Care
check
Actively Hiring

Insider Connection @Centene Corporation

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

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
Analyze outlier patterns of treatment among providers
Discuss analysis overview with providers with focus of changing behaviors
Follow up of meetings with providers and facility
Collaborate with Community Providers and BH OP facilities across multiple states/health plans
Facilitate outpatient rounds offering clinical input and oversight related to outpatient services
Performs other duties as assigned
Complies with all policies and standards

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Clinical PsychologyBehavioral Health experiencePsychologist Unrestricted LicenseBoard Certified Behavior AnalystPsychological testing knowledgeDiagnostic evaluationsEvidence-based practicesCollaboration with providersClinical input

Required

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

Benefits

Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays

Company

Centene Corporation

company-logo
Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.

Funding

Current Stage
Late Stage

Leadership Team

leader-logo
Beth Johnson
President and CEO, Coordinated Care
linkedin
leader-logo
Clyde White
President & CEO (New Hampshire Healthy Families)
linkedin
Company data provided by crunchbase
logo

Orion

Your AI Copilot