Spectraforce Technologies
Psychologist Reviewer
Spectraforce Technologies, Raleigh, North Carolina, United States, 27601
Overview
Position Title : Psychologist Reviewer Work Location : Remote (domiciled in the state of Florida) Assignment Duration : 6 Months (potential for extension or FTE conversion based on performance) Work Schedule : 8 am - 5 pm (Possibility for Saturday and Sunday Weekend & Holiday coverage) Position Summary
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 Background & Context
Health plan or business unit Team culture Surrounding team & key projects Purpose of this team Reason for the request Motivators for this need Any additional upcoming hiring needs? Key Responsibilities
Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified Behavior Analysts for outpatient services and/or psychological testing requests 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 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 Qualifications & 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 For ABA Reviewers only, working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices designed for individuals with Autism Spectrum Disorder. required PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire preferred Education & Licensure (Education/Certification and Licensure)
Education/Certification: PhD or PsyD Clinical Psychology, Counseling, Behavior Analysis, or related field required Licensure: PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required Experience-related notes: Years of experience required; Disqualifiers; Best vs. average; Performance indicators Nice to have: UM Experience
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Position Title : Psychologist Reviewer Work Location : Remote (domiciled in the state of Florida) Assignment Duration : 6 Months (potential for extension or FTE conversion based on performance) Work Schedule : 8 am - 5 pm (Possibility for Saturday and Sunday Weekend & Holiday coverage) Position Summary
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 Background & Context
Health plan or business unit Team culture Surrounding team & key projects Purpose of this team Reason for the request Motivators for this need Any additional upcoming hiring needs? Key Responsibilities
Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified Behavior Analysts for outpatient services and/or psychological testing requests 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 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 Qualifications & 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 For ABA Reviewers only, working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices designed for individuals with Autism Spectrum Disorder. required PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire preferred Education & Licensure (Education/Certification and Licensure)
Education/Certification: PhD or PsyD Clinical Psychology, Counseling, Behavior Analysis, or related field required Licensure: PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required Experience-related notes: Years of experience required; Disqualifiers; Best vs. average; Performance indicators Nice to have: UM Experience
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