Psychologist Reviewer
Company: Centene
Location: Tulsa
Posted on: November 19, 2023
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Job Description:
You could be the one who changes everything for our 28 million
members as a clinical professional on our Medical Management/Health
Services team. Centene is a diversified, national organization
offering competitive benefits including a fresh perspective on
workplace flexibility. Position Purpose: Authorize, direct and
monitor care for behavioral health and substance abuse problems
according to clinical information given by providers and internal
criteria for medical necessity and appropriateness of careConduct
peer reviews with psychologist and licensed therapist/certified
Behavior Analyst for outpatient and/or psychological testing
requestsInteract with network practitioners to provide education on
best practice models and utilization management processesInteract
with the Medical Director, or designee, to discuss clinical
authorization questions and concerns regarding specific
casesRespond to state, provider, and member complaints related to
psychological testing or other services requiring review by a
PhD/PsyDFacilitate outpatient rounds offering clinical input and
oversight related to outpatient servicesPerforms other duties as
assignedComplies with all policies and
standardsEducation/Experience: Education/Experience: A doctorate
degree in Clinical Psychology, Counseling, Behavior Analysis, or
related field. 5+ experience years in Behavioral Health. Working
knowledge of psychological tests and testing procedures, diagnostic
evaluations and evidence based practices.License/Certification:
Unrestricted license as a Psychologist (PhD or PsyD) or Board
Certified Behavior Analyst-Doctoral (BCBA-D).Our Comprehensive
Benefits Package: Flexible work solutions including remote options,
hybrid work schedules and dress flexibility, Competitive pay, Paid
time off including holidays, Health insurance coverage for you and
your dependents, 401(k) and stock purchase plans, Tuition
reimbursement and best-in-class training and development.Centene is
an equal opportunity employer that is committed to diversity, and
values the ways in which we are different. All qualified applicants
will receive consideration for employment without regard to race,
color, religion, sex, sexual orientation, gender identity, national
origin, disability, veteran status, or other characteristic
protected by applicable law.
Keywords: Centene, Tulsa , Psychologist Reviewer, Healthcare , Tulsa, Oklahoma
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