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.
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 : A doctorate degree in Clinical Psychology, Counseling, Behavior Analysis, or related field. 5+ experience years in Behavioral Health.
Working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence based practices.
License / Certification : Unrestricted license as a Psychologist (PhD or PsyD) in Louisiana.
Location : Position is 100% remote. Must be licensed in Louisiana.
Pay Range : $84,300.00 - $151,700.00 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.
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