Psychologist Reviewer

Spectraforce Technologies; Village of Depew (NY); Remote; USD 80,000 - 120,000; Part time

Job summary

A national healthcare provider is seeking a Psychologist Reviewer for a remote position. This role involves authorizing and monitoring care, conducting peer reviews, and ensuring compliance with best practices in behavioral health. The ideal candidate will hold a PhD in Clinical Psychology and have at least 2 years of experience in the field. This position offers flexible hours and may convert to a full-time role based on performance.

Qualifications

• 2+ years of experience in Behavioral Health.
• Working knowledge of psychological tests and diagnostic evaluations.
• Licensure as a Psychologist upon hire.

Responsibilities

• Authorize and monitor care for behavioral health problems.
• Conduct peer reviews for outpatient services.
• Interact with network practitioners for best practice education.

Skills

Behavioral health expertise

Peer review skills

Clinical education

Communication skills

Education

PhD Clinical Psychology, Counseling or related field

Job description

Position Title: Psychologist Reviewer
Work Location: Remote - Nationally Sourced
Assignment Duration: 6-month contract with potential for extension or FTE conversion based on performance.
Work Schedule: Between 8 am - 5 pm in what time zone they reside within (EST, CST, PST) - position may be part-time

Flexible hours are something the team is discussing to ensure there is coverage for as needed weekends and holidays

There could be an opportunity to be on weekends only, etc.
Work Arrangement: Remote - Nationally Sourced

Position Summary:

• 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
• Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified Behavior Analysts for outpatient services and/or psychological testing requests
• 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
• 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.

Key Responsibilities:

• Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified Behavior Analysts for outpatient services and/or psychological testing requests
• 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
• 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.

Qualification & Experience:

• 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