[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
Company Overview
