Psychologist Reviewer
Core
Authorize, direct, and monitor care for behavioral health and substance abuse problems based on clinical information and medical necessity criteria.
Role type
Senior clinical psychologist (utilization management)
Builds
Outpatient behavioral health services and psychological testing authorizations
Domain
Healthcare / Behavioral Health / Autism Care
Required skills
Clinical psychology expertise, Utilization management, Peer review, Evidence-based practices, Diagnostic evaluation, State licensure compliance
Preferred skills
BCBA certification, Applied Behavior Analysis (ABA) knowledge
Technologies
Psychological testing tools, Electronic health records (implied)
Responsibilities
Conduct peer reviews with psychologists and therapists, Interact with network practitioners for education on best practices, Discuss clinical authorization questions with Medical Director, Respond to complaints regarding psychological testing, Facilitate outpatient rounds for clinical oversight
Seniority
Senior, hands-on IC