Clinical - Exception Template

Mindlance; United States; Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare provider in the United States is seeking a qualified individual to authorize and monitor care for behavioral health issues. The ideal candidate must hold a PhD in Clinical Psychology or a related field and have at least 2 years of experience in Behavioral Health. Responsibilities include conducting peer reviews, providing education to practitioners, and discussing clinical authorization with the Medical Director. This role offers a chance to impact patient care significantly.

Qualifications

• PhD or PsyD required with unrestricted Psychologist License.
• Experience working in Behavioral Health for minimum of 2 years.
• Working knowledge of testing procedures and evidence-based practices.

Responsibilities

• Conduct peer reviews with healthcare professionals.
• Provide education on best practice models to practitioners.
• Discuss clinical authorization questions with Medical Director.
• Handle state and provider complaints related to psychological testing.
• Facilitate outpatient rounds for clinical input and oversight.

Skills

Behavioral health expertise

Knowledge of psychological tests

Diagnostic evaluations

Evidence-based practices

Education on best practice models

Education

PhD in Clinical Psychology, Counseling, or related field

2+ years of Behavioral Health experience

Job description

Position Purpose: 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

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. required
• For ABA Reviewers only, working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices designed for individuals with Autism Spectrum Disorder. required

Licenses/Certifications: PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required, Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire preferred

Responsibilities:

• 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
• Facilitate outpatient rounds offering clinical input and oversight related to outpatient services
• Performs other duties as assigned.
• Complies with all policies and standards.

Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.