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. Key Details: Make an impact from home as a Remote Psychologist Reviewer specializing in Applied Behavior Analysis (ABA) and autism care. Centene is seeking a mission-driven psychologist to support youth through high-quality, evidence-based behavioral health care. Candidates must hold an active psychologist license in Arkansas,Kentucky, North Carolina or New Jersey. Licenses in other states may be considered if the candidate is willing and able to obtain additional required licensure. BCBA certification is preferred. 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/Experi