Psychologist Reviewer Job at Sunshine State Health Plan, Florida

YnptT2tid21oTjdsZVRubERIcEtCQ1BY
  • Sunshine State Health Plan
  • Florida

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.

***This position is fully remote with occasional travel for team meetings. Candidates must reside and be licensed in the State of Florida to be considered.***

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 care

  • Conduct peer reviews with psychologist and licensed therapist/certified Behavior Analyst for outpatient 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/Experience:

  • PhD Clinical Psychology, Counseling, Behavior Analysis, or related field required

  • 2+ years Behavioral Health required

  • Experience working with children - 5+ years strongly preferred

  • Working Knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence based practices. required

  • PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required or Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire required

Pay Range: $86,000.00 - $154,700.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

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.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Job Tags

Holiday work, Full time, Remote job, Flexible hours,

Similar Jobs

Skywire Networks

Telecom NOC / Network Support Engineer Job at Skywire Networks

 ...Duties: Job Description Skywire Networks/Xchange Telecom is one of the most active and fastest-growing Internet and Network Service Providers in New York City with more than 2,000 lit buildings, 50 neighborhood hubs and relays, and a near-net footprint exceeding... 

Sedgwick County

Commercial Appraiser - APPRAISER Job at Sedgwick County

 ...Department: Appraiser Pay:$22.85 per hour Work Schedule: Monday - Friday, 8:00...  ...appealed property values for the commercial real property parcels in Sedgwick County. This...  .... Two year of experience in real estate, appraisal experience, commercial construction... 

American Martyrs Partnership

Pastoral Assistant to the Pastor Job at American Martyrs Partnership

 ...offices, and external partners as neededQualifications & Skills Practicing Catholic with a respect for the mission and life of the Church Strong organizational and time-management skills Excellent written and verbal communication abilities Ability to manage... 

Vantage Point Solar

Remote Sales Development Rep Job at Vantage Point Solar

 ...Partner-Level Perks (Earned, Not Promised) After meeting a very attainable threshold : Equity ownership in the company Cryptocurrency retirement portfolio Company vehicle Luxury co-working access (available to partners) Travel allowance Full... 

Baylor College of Medicine

Senior Coordinator, Patient Support Services - Genetics Counseling Assistant Job at Baylor College of Medicine

 ...Support Services will provide support to genetic counselors, physicians, and their...  ...communicate results to genetic counselors. Assists genetic counselors in drafting results follow...  ...meetings relevant to the genetic counseling process and workflow. Interacts with...