Remote ABA Psychologist Reviewer for Autism Care

Centene Corporation; Sacramento (CA); Remote; USD 100,000 - 140,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Remote/hybrid/office work options

Job summary

Centene Corporation is hiring a Remote Psychologist Reviewer specializing in ABA and autism care. You will authorize, direct, and monitor care using clinical information from providers and medical necessity criteria.

The role supports youth and involves education of network practitioners and collaboration with Medical Director on clinical questions. Requires a PhD/PsyD with unrestricted license and 2+ years in Behavioral Health; BCBA-D is preferred.

Qualifications

• PhD required. Counseling/Behavior Analysis or related field.
• Minimum 2+ years in Behavioral Health.
• Working knowledge of psychological tests and testing procedures, diagnoses, and evidence-based practices.

Responsibilities

• Conduct peer reviews with psychologists, therapists, and/or BCBA for outpatient services and/or testing requests.
• Interact with network practitioners to educate on best practice models and utilization management processes.
• Discuss clinical authorization questions with Medical Director or designee.
• Respond to state, provider, and member complaints related to testing or review.
• Facilitate outpatient rounds providing clinical input and oversight for outpatient services.
• Perform other duties as assigned and comply with policies and standards.

Skills

Behavioral health knowledge

Psychology testing knowledge

Peer review coordination

Education

PhD in Clinical Psychology, Counseling, Behavior Analysis, or related field

Job description

Centene Corporation is hiring a Remote Psychologist Reviewer specializing in ABA and autism care. You will authorize, direct, and monitor care using clinical information from providers and medical necessity criteria.

The role supports youth and involves education of network practitioners and collaboration with Medical Director on clinical questions. Requires a PhD/PsyD with unrestricted license and 2+ years in Behavioral Health; BCBA-D is preferred.