Remote Psychologist Reviewer - ABA/Autism Care

Centene Corporation; North Carolina; Hybrid; USD 88,000 - 158,000; Full time

Job summary

Centene Corporation in the United States is seeking a Remote Psychologist Reviewer specializing in ABA and autism care to support youth with high-quality, evidence-based behavioral health services.

The role requires an active psychologist license in NC (or AR, KY, NJ) and BCBA/BCBA-D preferred; you will conduct peer reviews, educate practitioners, and collaborate with the Medical Director to address clinical questions.

Qualifications

• PhD or PsyD in Clinical Psychology, Counseling, Behavior Analysis, or related field.
• 2+ years in Behavioral Health; knowledge of testing procedures and evidence-based practices.
• ABA reviewers: knowledge of tests and procedures for Autism Spectrum Disorder.

Responsibilities

• Conduct peer reviews with psychologists, behavioral health therapists and/or BCBA/BCBA-D for outpatient services and testing requests.
• Educate network practitioners on best practice models and utilization management processes.
• Discuss clinical authorization questions with the Medical Director or designee.
• Respond to state, provider, and member complaints related to psychological testing or other review needs.
• Facilitate outpatient rounds offering clinical input and oversight.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Peer reviews

Utilization management

Education on best practice

Education

PhD in Clinical Psychology

License PSY (PhD or PsyD) Unrestricted

2+ years Behavioral Health

BCBA/BCBA-D preferred

Tools

Psychological testing procedures

Job description

Centene Corporation in the United States is seeking a Remote Psychologist Reviewer specializing in ABA and autism care to support youth with high-quality, evidence-based behavioral health services.

The role requires an active psychologist license in NC (or AR, KY, NJ) and BCBA/BCBA-D preferred; you will conduct peer reviews, educate practitioners, and collaborate with the Medical Director to address clinical questions.