? High Salary! Psychologist Reviewer Position Available In Oglethorpe, Georgia

Job Description:

You could be the one who changes everything for our 28 millionmembers as a clinical professional on our Medical Management/HealthServices team. Centene is a diversified, national organizationoffering competitive benefits including a fresh perspective onworkplace flexibility. Job Description Centene is hiring a RemotePsychologist

• Join Our Kentucky Medicaid Team!

Are you a licensedPsychologist with a Kentucky license with a passion for improvingaccess to behavioral health care? Centene is looking for a RemotePsychologist to support our Kentucky Medicaid plan. In this role,you’ll play a key part in outpatient and psych/neuro psych testingnote reviews, appeals, and occasional peer-to-peer consultations,as well as participating in Utilization Management clinical rounds.

We’re seeking candidates who:

• Hold an active KentuckyPsychologist license
• Are familiar with Medicaid guidelines, priorauthorization, and telehealth practices
• Thrive in acollaborative, remote work environment This is a great opportunityto apply your clinical expertise in a non-direct care role,supporting quality care and outcomes for the Medicaid population.

Position Purpose:

Authorize, direct and monitor care for behavioralhealth and substance abuse problems according to clinicalinformation given by providers and internal criteria for medicalnecessity and appropriateness of care

• Conduct peer reviews withpsychologist and licensed therapist/certified Behavior Analyst foroutpatient and/or psychological testing requests
• Interact withnetwork practitioners to provide education on best practice modelsand utilization management processes
• Interact with the MedicalDirector, or designee, to discuss clinical authorization questionsand concerns regarding specific cases
• Respond to state, provider,and member complaints related to psychological testing or otherservices requiring review by a PhD/PsyD
• Facilitate outpatientrounds offering clinical input and oversight related to outpatientservices
• Performs other duties as assigned
• Complies with allpolicies and standards

Education/Experience:

PhD ClinicalPsychology, Counseling, Behavior Analysis, or related fieldrequired: 2 years Behavioral Health required Working Knowledge ofpsychological tests and testing procedures, diagnostic evaluationsand evidence based practices. required PSY

• PsychologistUnrestricted License (PhD or PsyD) Upon Hire required or: BoardCertified Behavior Analyst (BCBA) BCBA-D Upon Hire required:

PayRange:

$86,000.00

• $154,700.

00 per year Centene offers acomprehensive benefits package including: competitive pay, healthinsurance, 401K and stock purchase plans, tuition reimbursement,paid time off plus holidays, and a flexible approach to work withremote, hybrid, field or office work schedules. Actual pay will beadjusted based on an individual’s skills, experience, education,and other job-related factors permitted by law. Total compensationmay also include additional forms of incentives. Centene is anequal opportunity employer that is committed to diversity, andvalues the ways in which we are different. All qualified applicantswill receive consideration for employment without regard to race,color, religion, sex, sexual orientation, gender identity, nationalorigin, disability, veteran status, or other characteristicprotected by applicable law. Qualified applicants with arrest orconviction records will be considered in accordance with the LACounty Ordinance and the California Fair Chance Act