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Psychologist Reviewer

Baton Rouge, LA

Post Date: 01/18/18 Job ID: 43735 Industry: Medical Administrator

This Fortune 500 client is a nation-wide leader in the healthcare services field and they pride themselves on their ability to provide a wide range of government sponsored healthcare programs; including a variety of insurance solutions. Currently, they are seeking a Psychologist Reviewer to assist with directing care for mental health or substance abuse patients.

Position: Direct Hire

Location: Baton Rouge, LA

Similar Roles: Psychiatrist, Psychologist, Counselor, Substance Abuse Counselor, Clinical Psychologist

Responsibilities of the Psychologist Reviewer:
  • Care for mental health and substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care
  • Provide education to network practitioners on best practice models and utilization management
  • Discuss clinical authorization questions and concerns regarding cases to the Medical Director
  • Coordinate and respond to state, provider, or member complaints regarding psychological testing
  • Conduct outpatient rounds and provide clinical input and expertise related to outpatient services
  • Conduct peer reviews with psychologists and licensed therapists for outpatient psychological testing

Requirements of the Psychologist Reviewer:
  • Doctorate degree in Clinical Psychology, Counseling or related field
  • Must have 5+ years of psychiatric and/or substance abuse experience
  • Unrestricted license as a Psychologist (PhD or PsyD).
  • Must have utilization review experience
  • Strong knowledge of psychological tests and procedures, diagnostic evaluations, and evidence based practices
  • Applicants must be currently authorized to work in the United States on full-time basis

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