Licensed Psychologist Peer Reviewer

UnitedHealth Group, Inc.; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare company seeks a Psychologist Peer Review Utilization Management professional for a remote position. Responsibilities include reviewing outpatient treatment plans and handling appeals for denied services. The ideal candidate will be a licensed psychologist with at least 3 years of post-licensure experience and familiarity with insurance agencies.

Qualifications

• Licensed doctoral level Psychologist in the state of residence.
• Current unrestricted license for full independent practice.
• 3+ years of post-licensure experience.

Responsibilities

• Review coverage for outpatient treatment plans.
• Participate in peer consultations and staff meetings.
• Handle appeals for previously denied outpatient services.

Skills

Insurance agency experience

Clinical criteria assessment

Computer skills

Education

Licensed doctoral level Psychologist (Ph.D. or Psy.D.)

Tools

Windows OS

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

A company is looking for a Psychologist Peer Review Utilization Management professional for a remote position.

Key Responsibilities

• Review and determine coverage for outpatient treatment plans and requests based on clinical criteria
• Participate in peer consultations, staff meetings, and trainings while entering determinations according to guidelines
• Handle appeals for previously denied outpatient services and review ongoing care exceeding normative standards

Required Qualifications

• Licensed doctoral level (Ph.D. or Psy.D.) Psychologist in the state of residence
• Current unrestricted license allowing for full independent practice
• 3+ years of post-licensure experience
• Experience with insurance agencies for authorizations and peer reviews
• Proficient in computer skills, including Windows OS, Outlook, Word, and Excel