Licensed Psychologist, Peer Reviewer - Remote (Tri-state Area)
$91,700–$163,700 year
On-siteSpringfield, Illinois, United States
Job Summary
Conduct standard outpatient treatment reviews, including requests for extended sessions, single case agreements, and non-standard outpatient services. Evaluate psychological and neuropsychological testing requests, outpatient treatment plans, and ongoing care exceeding normative standards. Process appeals for denied outpatient non-MD services up to Intensive Outpatient Programming levels. Perform peer consultations, staff meetings, and trainings while entering determinations within federal, state, and local guidelines. Manage State-specific Medicaid services such as Psychosocial Rehabilitation and Supported Employment. Requires a current doctoral-level license, five years post-licensure experience, and permanent residence in New York, New Jersey, or Connecticut. Salary ranges from $91,700 to $163,700 annually for full-time remote work.
Required Qualifications
- Licensed doctoral level (Ph.D. or Psy.D.) Psychologist
- License must be current, allow for full independent practice, and be unrestricted
- 5+ years of post-licensure experience
- Experience completing peer reviews including psychological testing, other Children's services like CFTSS and HCBS and Mental Health and Substance Use Disorders
- Experience working with insurance agencies
- Experience working with children and adolescents
- Computer skills, including facility with Windows OS, Outlook, Word, and Excel
- Proven ability to type proficiently while speaking on the phone
- Permanent residence in the state of New York, New Jersey, or Connecticut
Desired Qualifications
- Experience working in a managed care setting
- Clinical experience with children in foster care or knowledge of NYS foster care system
- Experience with commercial, Medicaid and Medicare lines of business
- Experience with CPT and HCPC codes
- Clinical experience in higher levels of care (Intensive Outpatient)
- Clinical experience with children and adolescents
- Clinical experience with Substance Abuse diagnoses
- Clinical experience with Evidence-Based Treatment
- Advanced computer skills using Excel and Access Databases
- Demonstrated solid organizational and time management skills, with the ability to prioritize multiple demands within strict turn-around-time requirements
- Demonstrated solid written and verbal communication and negotiation skills
- Proven ability to work well independently and collaborate with others on a clinical team
- Proven ability to enjoy a fast paced, changing environment
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