Remote Psychologist Reviewer for ABA & Autism Care

Centene Management Company LLC; California; Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K plan

Tuition reimbursement

Paid time off

Flexible schedules

Total compensation

Job summary

Centene Management Company LLC is seeking a Remote Psychologist Reviewer specializing in ABA and autism care to support youth with high-quality behavioral health services. You will work from home reviewing cases and advising on medical necessity and appropriateness of care.

Active California license required with eligibility in additional states; BCBA-D preferred. The role requires 2+ years in behavioral health, expertise in testing and evidence-based practices, and a commitment to accessible,

Qualifications

• PhD in Clinical Psychology, Counseling, Behavior Analysis, or related field; 2+ years in Behavioral Health.
• Experience with psychological tests, diagnostic evaluations, and evidence-based practices.

Responsibilities

• Conduct peer reviews with psychologists, therapists, and BCBA-Ds 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 on specific cases.
• Respond to state/provider/member complaints related to testing or reviews.
• Facilitate outpatient rounds with clinical input and oversight.
• Perform other duties as assigned.
• Comply with all policies and standards.

Skills

Peer reviews

Utilization management

Clinical collaboration

Education

PhD in Clinical Psychology

Job description

Centene Management Company LLC is seeking a Remote Psychologist Reviewer specializing in ABA and autism care to support youth with high-quality behavioral health services. You will work from home reviewing cases and advising on medical necessity and appropriateness of care.

Active California license required with eligibility in additional states; BCBA-D preferred. The role requires 2+ years in behavioral health, expertise in testing and evidence-based practices, and a commitment to accessible,