Georgia Licensed Psychologist

4 days ago

Remote, Oregon, United States BHM Healthcare Solutions Full time $8,100 - $98,003 per year

STATEMENT OF ROLE & RESPONSIBILITY

POSITION TITLE: Psychologist Clinical Reviewer

SCOPE OF ROLE & RESPONSIBILITIES

  • Clinical review of internal and/or external review cases for medical necessity, treatment appropriateness, or administrative compliance.
  • Thorough review of all submitted information, documentation of determination, clinical rationale, and citation of sources used to support decision within the specified timeframe.
  • Complete Peer-to-Peer phone calls with providers when scheduled.

QUALIFICATION REQUIREMENTS

  • Have current, non-restricted licensure or certification as required for clinical practice in a state of the United States.
  • Have at least five (5) years full-time equivalent experience providing direct clinical care to patients;
  • Have a scope of licensure or certification and professional experience that typically manages the medical condition, procedure, treatment, or issue and are clinical peers for each case under review.
  • Has valid certification in Psychology
  • If performing External Review, must meet all of the above and have experience providing direct clinical care to patients within the past three (3) years.
  • ABA sub-specialty and/or multiple state licensures are preferred ( GA, LA, and IN are preferred states)

Job Types: Part-time, Contract

Pay: $81, $97,803.07 per year

Benefits:

  • Flexible schedule

Work Location: Remote

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