Remote Licensed Psychologist: Clinical Review

Voices for Voices; Louisville (KY); Remote; USD 92,000 - 164,000; Full time

Job summary

UnitedHealth Group seeks a licensed doctoral psychologist (KY) to perform peer review for outpatient public sector and ABA services, including reviews for Medicaid/Medicare coverage and related consultations. This full-time remote role requires 3+ years post-licensure, strong insurance experience, and proficiency with MS Office.

You will participate in staff meetings and ensure compliance with federal, state, and local requirements.

Qualifications

• Advanced written and verbal communication and negotiation skills.
• Ability to work independently and collaborate with a clinical team.
• Proven ability to prioritize multiple demands within strict turnaround times.

Responsibilities

• May conduct clinical reviews of the following type during a typical workday.
• Request service authorization when initial review cannot authorize coverage.
• Oversee ongoing outpatient care when length of stay or frequency exceeds norms.
• Handle requests for non-standard outpatient services (ABA, etc.).
• Appeals of previously denied services.

Education

Doctoral degree in Psychology (Ph.D. or Psy.D.)

Tools

Microsoft Office

Job description

UnitedHealth Group seeks a licensed doctoral psychologist (KY) to perform peer review for outpatient public sector and ABA services, including reviews for Medicaid/Medicare coverage and related consultations. This full-time remote role requires 3+ years post-licensure, strong insurance experience, and proficiency with MS Office.

You will participate in staff meetings and ensure compliance with federal, state, and local requirements.