Psychologist Reviewer

🔥 17 hours ago

🏄 California – Remote

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💵 $87.7k - $157.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

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Logo of Centene Corporation

Centene Corporation

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Authorize, direct, and monitor care for behavioral health and/or substance abuse problems according to clinical information and internal medical-necessity criteria • Conduct peer reviews with psychologists, behavioral health therapists, and/or Board Certified Behavior Analysts for outpatient services and psychological testing requests • Interact with network practitioners to provide education on best-practice models and utilization-management processes • Discuss clinical authorization questions and concerns with the Medical Director or designee • Respond to state, provider, and member complaints related to psychological testing or other services requiring PhD/PsyD review • Facilitate outpatient rounds, providing clinical input and oversight • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Active, unrestricted California Psychologist license • PhD 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 • For ABA Reviewers, working knowledge of psychological tests and testing procedures, diagnostic evaluations, and evidence-based practices designed for individuals with Autism Spectrum Disorder • Unrestricted Psychologist license (PhD or PsyD) required upon hire • BCBA certification preferred upon hire

🏖️ Benefits

• Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity

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