Psychologist Reviewer

Baton Rouge, LA 70801

Post Date: 01/19/2018 Job ID: 25520 Category: Registered Nurse

Job Description:
  • Authorize, direct and monitor 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.
  • Conduct peer reviews with psychologist and licensed therapist for outpatient and 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 level clinician.
  • Facilitate outpatient rounds offering clinical input and oversight related to outpatient services

Qualifications:
  • Doctorate degree in Clinical Psychology, Counseling or related field.
  • 5+ years of psychiatric and/or substance abuse experience (including utilization review), preferably in a health care setting.
  • Working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence based practices.
  • Unrestricted license as a Psychologist (PhD or PsyD).
  • Must live in LA.

For more information, please contact our office at 877-782-3334.

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