Psychologist Reviewer

2 weeks ago

California, United States Centene Full time

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.
**Remote opportunity**
Centene is seeking a Remote Psychologist Reviewer to join our mission-driven team and make a meaningful impact on the lives of individuals receiving outpatient behavioral health care in Louisiana.
+ Hold an active Louisiana Psychologist license
+ Be passionate about delivering high-quality, evidence-based behavioral health care
+ 100% remote flexibility
+ Join Centene and helping us transform the health of our communities-one individual at a time.
**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
+ 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. PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required
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. 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.

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