Psychologist Reviewer
Core
Oversee behavior support services for individuals receiving Long-Term Support Services (LTSS), including older adults and those with intellectual/developmental disabilities, while managing crisis prevention and psychotropic medication use.
Role type
Senior Licensed Psychologist (Utilization Management & Quality Improvement)
Builds
Behavioral Health support plans, utilization management protocols, and quality improvement initiatives for LTSS populations.
Domain
Healthcare / Behavioral Health / Managed Care
Required skills
Clinical/Counseling Psychology licensure, psychological test battery administration and interpretation, pre-certification and concurrent review, appeals management, program development, mentorship
Preferred skills
Applied Behavior Analysis (ABA) certification, experience directing behavior support services, experience with Integrated Support Coordination Teams
Technologies
Electronic Health Records (implied via utilization management), Psychometric testing tools
Responsibilities
Develop and monitor Behavioral Health support plans; Conduct pre-certification, concurrent review, and appeals of Behavioral Health OP services; Collaborate with Medical Directors on crisis prevention and psychotropic medication oversight; Mentor Behavioral Health Care Management staff and assist in developing psychological testing programs.
Seniority
Senior, hands-on IC with leadership responsibilities