A company is looking for a Psychologist Peer Review Utilization Management professional for a remote position.
Key Responsibilities
Review and determine coverage for outpatient treatment plans and requests based on clinical criteria
Participate in peer consultations, staff meetings, and trainings while entering determinations according to guidelines
Handle appeals for previously denied outpatient services and review ongoing care exceeding normative standards
Required Qualifications
Licensed doctoral level (Ph.D. or Psy.D.) Psychologist in the state of residence
Current unrestricted license allowing for full independent practice
3+ years of post-licensure experience
Experience with insurance agencies for authorizations and peer reviews
Proficient in computer skills, including Windows OS, Outlook, Word, and Excel
Licensed Psychologist • Jackson, Mississippi, United States