Remote Psychologist Reviewer for ABA/Autism Care (PhD/PsyD)

Centene Corporation; Kentucky; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Remote work

Job summary

Centene Corporation is seeking a Remote Psychologist Reviewer specialized in Applied Behavior Analysis (ABA) and autism care. You will authorize, direct, and monitor care based on clinical information and medical necessity criteria, collaborating with providers and the Medical Director as needed.

The role requires an active psychologist license in KY (and other states as applicable) and a PhD/PsyD. BCBA certification is preferred; the work offers remote engagement with opportunities to impact

Qualifications

• PhD/PsyD in clinical psychology, counseling, behavior analysis, or related field.
• Minimum 2 years of behavioral health experience.
• Working knowledge of psychological tests, evaluations and evidence-based practices.

Responsibilities

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

Skills

Peer review coordination

Behavioral Health

Utilization management

ABA knowledge

Education

PhD in Clinical Psychology

2+ years Behavioral Health experience

Job description

Centene Corporation is seeking a Remote Psychologist Reviewer specialized in Applied Behavior Analysis (ABA) and autism care. You will authorize, direct, and monitor care based on clinical information and medical necessity criteria, collaborating with providers and the Medical Director as needed.

The role requires an active psychologist license in KY (and other states as applicable) and a PhD/PsyD. BCBA certification is preferred; the work offers remote engagement with opportunities to impact