Remote Psychologist Reviewer — ABA/Autism Care Expert

Centene Corporation; Central City (KY); Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements (remote,hyb

Flexible work arrangements (remote,hyb

Job summary

Centene is seeking a mission-driven psychologist to support youth through high-quality, evidence-based behavioral health care from home as a Remote Psychologist Reviewer specializing in Applied Behavior Analysis (ABA) and autism care. Candidates must hold an active psychologist license in Arkansas, California, Kentucky, North Carolina or New Jersey.

BCBA certification is preferred. The role involves peer reviews, education of practitioners, and clinical authorization discussions to ensure

Qualifications

• PhD in 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.
• PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required.
• BCBA certification (BCBA-D) upon Hire preferred.

Responsibilities

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

Skills

Peer reviews

Education on best practice models

Utilization management processes

Clinical authorization discussions

Education

PhD in Clinical Psychology

Counseling

Behavior Analysis

Job description

Centene is seeking a mission-driven psychologist to support youth through high-quality, evidence-based behavioral health care from home as a Remote Psychologist Reviewer specializing in Applied Behavior Analysis (ABA) and autism care. Candidates must hold an active psychologist license in Arkansas, California, Kentucky, North Carolina or New Jersey.

BCBA certification is preferred. The role involves peer reviews, education of practitioners, and clinical authorization discussions to ensure