Psychologist

Community Behavioral Health; Philadelphia (Philadelphia County); On-site; USD 90,000 - 130,000; Full time

Job summary

Community Behavioral Health in Philadelphia, PA seeks a Psychologist Advisor to provide clinical leadership through oversight of the clinical management of members, consulting on quality of care, decision making, case formulations, and safety concerns.

The role involves reviewing cases, collaborating with providers and stakeholders, participating in training, and serving as a consultant to multiple CBH departments.

Qualifications

• Clinical leadership and oversight of clinical management for CBH members.
• Consultation on quality of care, decision making, and case formulations.
• Experience across home, community, and school settings; licensure required.

Responsibilities

• Performs reviews for community-based and/or children and family services per NCQA/state regs to improve outcomes.
• Engages with providers and stakeholders on placement, treatment response, and coordination of care.
• Participates in quality reviews for member complaints and agency reviews.
• Participates in clinical and administrative meetings representing medical affairs.
• Provides training with internal and external stakeholders as required.
• Reviews cases for medical necessity across levels of care.
• Performs peer reviews for disputed levels of care.
• Interacts with providers on clinical and administrative matters.
• Serves as consultant for CBH Clinical Division and supports multidisciplinary approach in Medical Affairs.
• Serves as consultant for Network Development, Performance Evaluation, and Program Integrity.
• Completes other duties as assigned.

Skills

Clinical leadership

Consultation

Collaboration

Training & education

Education

Doctorate in Psychology

Job description

Psychologist

Community Behavioral Health. Philadelphia, Pennsylvania, United States

About this position

The Psychologist Advisor is responsible for providing clinical leadership through oversight of the clinical management of members. The Psychologist Advisor provides consultation regarding overall quality of care, decision making, case formulations, and other safety concerns, specific to case review and levels of care or cohort. The Psychologist Advisor also consults upon request as a subject matter expert for internal and external CBH initiatives. Expertise is determined by education, prior training, licensure, and professional interest.

Essential Functions:

• Performs reviews for community-based and/or children and family services in alignment with best practice standards (NCQA) and state regulatory requirements and with the goal of improved outcomes for CBH members.
• Engages, collaborates and troubleshoots with providers and system stakeholders including member placement, member response to treatment, coordination of care, quality concerns and other challenges.
• Participates in quality reviews as needed for specific member complaints, grievances, and agency reviews.
• Participates in clinical and administrative meetings as representative of medical affairs and clinical department as required.
• Participates in training and education with both internal and external stakeholders, including care managers, providers and others as required.
• Review cases from multiple sites and levels of care for medical necessity.
• Performs peer review cases for disputed levels of care.
• Interacts with providers regarding clinical and administrative matters.
• Serve as a consultant for CBH Clinical Division and supports multidisciplinary approach for CBH Medical Affairs
• Serves as a consultant for Network Development, Performance Evaluation, and Program Integrity Departments
• Completes other duties as assigned.

Position Requirements:

• Education: Doctorate in Psychology
• License/Certification: Licensed Psychologist Advisor in the Commonwealth of Pennsylvania
• Relevant Work Experience: Minimum of 5 years of experience as a Psychologist treating children, adolescents and families providing services in the home, community and/or school; experience conducting biopsychological evaluations, making mental health diagnoses and working collaboratively with professionals across disciplines. A minimum of 5 years of experience providing consultation, supervision, and program administration.