Psychologist Reviewer
About The Position
Centene is seeking Remote Psychologist Reviewers (Applied Behavior Analysis). Candidates must hold an active, unrestricted California Psychologist license. This is a remote position, and applicants may reside anywhere within the United States; however, a current California license is required. Join Centene’s mission-driven team as a Remote Psychologist Reviewer specializing in Applied Behavior Analysis (ABA) with a focus on individuals with Autism. We’re seeking a dedicated professional who is passionate about improving the lives of youth with Autism. The ideal candidate will also hold a BCBA certification to support our growing markets and ensure high-quality, evidence-based behavioral health care.
Requirements
- Active, unrestricted California Psychologist license
- 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
Nice To Haves
- Board Certified Behavior Analyst (BCBA)
- BCBA-D Upon Hire preferred
Responsibilities
- 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.
Benefits
- competitive pay
- health insurance
- 401K
- stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- a flexible approach to work with remote, hybrid, field or office work schedules
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Ph.D. or professional degree
