Psychologist Advisor

Stryker Corporation; Philadelphia (Philadelphia County); On-site; Confidential; Full time

Benefits offered by this job

403B Retirement Plan

PTO Days/Sick Days

Health, Dental, Vision Insurance

Tuition Reimbursement

Commuter Benefits

Flexible Spending

Job summary

CBH is seeking a Psychologist Advisor to provide clinical leadership through oversight of the clinical management of members. The role includes consultation on quality of care, decision making, case formulations, and safety concerns related to levels of care.

Responsibilities include conducting reviews for community-based and children and family services, collaborating with providers and system stakeholders, and participating in quality reviews and trainings.

Qualifications

• Doctorate in Psychology required.
• 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 with consultation, supervision and program administration.

Responsibilities

• Review cases for medical necessity across sites and levels of care.
• Engage with providers and stakeholders on placement, treatment response, coordination of care, and quality concerns.
• Participate in quality reviews and administrative meetings.
• Provide training and education to care managers, providers and other stakeholders.
• Consult for CBH Clinical Division and support multidisciplinary approaches in Medical Affairs.
• Assist Network Development, Performance Evaluation and Program Integrity departments.

Skills

Psychological assessment

Child/Adolescent MH

Communication skills

Consultation skills

Clinical leadership

Education

Doctorate in Psychology

Job description

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

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.

Skills:

• Expertise in psychological assessment, diagnosis and treatment
• Strong knowledge of childhood and adolescent mental health disorders
• Excellent verbal and written communication skills
• Familiarity with evidence based practices and research issues involving children/adolescents
• Ability to provide consultation to clinical staff and stakeholders

CBH offers a robust compensation and benefits package, including:

• Family Planning, Fertility, Adoption Benefits
• 403B Retirement Plan
• PTO Days/Sick Days
• Wellness Program
• Employee Assistance Program
• Health, Dental, Vision Insurance
• Medical, Prescription Drug Insurance
• Tuition Reimbursement
• Commuter Benefits
• Flexible Spending
  

Philadelphia Residency Requirement:

The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.

U.S. Authorization Requirement:

CBH does not provide sponsorship for applicants requiring future work authorization. All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future.

Equal Employment Opportunity:

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.