[Remote] Psychologist Reviewer - ABA

Note: The job is a remote job and is open to candidates in USA. Elevance Health is a health company dedicated to improving lives and communities, and they are seeking a Psychologist Reviewer - ABA. This role involves collaborating with providers and Medical Directors to assess the appropriateness of care levels based on Medical Necessity Criteria, while also mentoring Behavioral Health Care Management staff.

Responsibilities

• Partners with internal UR staff and external Behavioral Health Providers to ensure appropriate and consistent utilization of plan benefits, out of network services, and clinical guidelines within scope of license
• Conducts pre-certification, concurrent review, and appeals of Behavioral Health OP services
• Mentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in developing a program around psychological and neuropsychological testing

Skills

• Requires Ph.D. or Psy.D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education and experience, which would provide an equivalent background
• Must possess an active unrestricted license to practice as Clinical/Counseling Psychologist
• Minimum of 2 years experience in a Behavioral Health/Clinical setting preferred
• Experience with Applied Behavioral Analysis and Autism Spectrum Disorder is strongly preferred

Benefits

• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)
• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs (unless covered by a collective bargaining agreement)
• Medical, dental, vision, short and long term disability benefits
• 401(k) +match
• Stock purchase plan
• Life insurance
• Wellness programs and financial education resources

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