Psychologist Reviewer

Position Purpose: Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care Key Details: Make an impact from home as a Remote Psychologist Reviewer specializing in Applied Behavior Analysis (ABA) and autism care. Centene is seeking a mission-driven psychologist to support youth through high-quality, evidence-based behavioral health care. Candidates must hold an active psychologist license in Arkansas, California, Kentucky, North Carolina or New Jersey. Licenses in other states may be considered if the candidate is willing and able to obtain additional required licensure. BCBA certification is preferred. 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. Education/Experience: 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. required Licenses/Certifications: PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire preferred: At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Originally posted on Himalayas

职位目的：根据提供者提供的临床信息以及内部关于医疗必要性和护理适当性的标准，授权、指导并监督行为健康和/或药物滥用问题的护理。

关键详情：作为专注于应用行为分析（ABA）和自闭症护理的远程心理学家审查员，在家中发挥作用。Centene正在寻找一位以使命为驱动的心理学家，通过高质量、循证的行为健康护理来支持青少年。候选人必须持有在阿肯色州、加利福尼亚州、肯塔基州、北卡罗来纳州或新泽西州的有效心理学家执照。如果候选人愿意且能够获得额外所需执照，其他州的执照也可能被考虑。优先考虑BCBA认证。

与心理学家、行为健康治疗师和/或委员会认证行为分析师一起对门诊服务和/或心理测试请求进行同行评审。与网络执业者互动，提供关于最佳实践模式和利用管理流程的教育。与医疗主任或指定人员互动，讨论有关具体病例的临床授权问题和疑虑。回应州、提供者和会员关于心理测试或其他需要PhD/PsyD审查的服务的投诉。促进门诊查房，提供与门诊服务相关的临床意见和监督。履行分配的其他职责。遵守所有政策和标准。

教育/经验：要求临床心理学、咨询、行为分析或相关领域博士学位：要求2年以上行为健康经验。要求具备心理测试和测试程序、诊断评估和循证实践的实用知识。

执照/认证：PSY - 心理学家无限制执照（PhD或PsyD）入职时要求。委员会认证行为分析师（BCBA）BCBA-D入职时优先。

在Centene，我们将人们与他们所需的护理联系起来，帮助他们过上更健康的生活——您在这里所做的工作每天都在产生真实的影响。您将承担有意义的挑战，直接支持个人、家庭和社区，在提升技能的同时使医疗保健更加可及和有效。这是有目共睹的有目的的工作，背后有一支致力于在工作时间之外改善生活的团队。

Centene提供全面的福利套餐，包括：有竞争力的薪酬、健康保险、401K和股票购买计划、学费报销、带薪休假加节假日，以及采用远程、混合、现场或办公室工作安排的灵活工作方式。实际薪酬将根据个人的技能、经验、教育和其他法律允许的工作相关因素进行调整，包括全职或兼职身份。总薪酬还可能包括其他形式的激励。福利可能受项目资格限制。

Centene是一家致力于多元化的平等机会雇主，重视我们彼此不同的方式。所有合格申请人将在不考虑种族、肤色、宗教、性别、性取向、性别认同、国籍、残疾、退伍军人身份或适用法律保护的其他特征的情况下获得就业考虑。有逮捕或定罪记录的合格申请人将根据洛杉矶县条例和加利福尼亚州公平机会法案予以考虑。

最初发布于Himalayas

⚑ 岗位信息收录自公开招聘页（Himalayas），以雇主官网为准