Psychologist

Community Behavioral Health; Philadelphia (Philadelphia County); On-site; USD 120,000 - 170,000; Full time

Job summary

Community Behavioral Health in Philadelphia, Pennsylvania, invites applications for a Psychologist Advisor to provide clinical leadership, oversee clinical management of members, and advise on overall quality of care, decision making, case formulations, and safety concerns across case reviews and levels of care.

The role requires a Doctorate in Psychology and Pennsylvania licensure as a Psychologist Advisor, with a minimum of five years of experience treating children, adolescents, and families

Qualifications

• Doctorate in Psychology required.
• License/Certification: Licensed Psychologist Advisor in the Commonwealth of Pennsylvania.
• Minimum of 5 years of experience treating children, adolescents and families in home, community or school settings; experience in biopsychological evaluations, diagnoses, and cross-disciplinary collaboration; at least 5 years in consultation, supervision, and program administration.

Responsibilities

• Performs reviews for community-based and/or children and family services in alignment with NCQA and state regulatory requirements.
• Engages with providers and stakeholders on placement, treatment response, coordination of care, and quality concerns.
• Participates in quality reviews for member complaints, grievances, and agency reviews.
• Represents medical affairs in clinical and administrative meetings.
• Participates in training and education with internal and external stakeholders.
• Reviews cases from multiple sites for medical necessity and performs peer review.

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.