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

• 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 of clinical experience post licensure strongly preferred
• Experience working with children – 5+ years strongly preferred
• 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

Licenses/Certifications:
PSY – Psychologist Unrestricted License (PhD or PsyD) Upon Hire required
Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire preferred

Position is offered by a no fee agency.
SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at nahr@spectraforce.com if you require reasonable accommodation.