Remote Psychologist Reviewer for ABA & Autism Care

Centene Corp.; Northern (KY); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Flexible work arrangements

Remote work options

Job summary

Centene Corp. is seeking a Remote Psychologist Reviewer to support ABA and autism care for youth. You will authorize, direct, and monitor behavioral health services based on clinical information and medical necessity.

Candidates must hold an active psychologist license in AR, CA, KY, or NC, with BCBA-D preferred. You will conduct peer reviews, educate network practitioners on best practices, and collaborate with the Medical Director on clinical questions.

Qualifications

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

Responsibilities

• Conduct peer reviews with psychologists, therapists and/or BCBA for outpatient services and testing requests.
• Interact with network practitioners to educate on best practice models and utilization management.
• Discuss clinical authorization questions with Medical Director or designee; address cases as needed.
• Respond to state, provider, and member complaints related to testing or services requiring review.

Skills

Psychological testing

Diagnostic evaluation

Evidence-based practice

Education

PhD in Clinical Psychology / Counseling / Behavior Analysis

Tools

BCBA-D (preferred)

Job description

Centene Corp. is seeking a Remote Psychologist Reviewer to support ABA and autism care for youth. You will authorize, direct, and monitor behavioral health services based on clinical information and medical necessity.

Candidates must hold an active psychologist license in AR, CA, KY, or NC, with BCBA-D preferred. You will conduct peer reviews, educate network practitioners on best practices, and collaborate with the Medical Director on clinical questions.