Job Summary
A company is looking for a Behavioral Clinical Consultant, Peer Reviewer.
Key Responsibilities
- Apply clinical and benefit plan criteria to service requests for ABA treatment coverage
- Conduct clinical reviews of requests for ABA and Assessment services, including appeals
- Participate in peer consultations and compose clinical determinations in compliance with guidelines
Required Qualifications
- Licensed doctoral level Psychologist (Ph.D. or Psy.D.) with unrestricted practice
- 3+ years of post-licensure experience
- Clinical experience with Autism Spectrum Disorder
- Experience working with managed care entities
- Ability to work full-time during normal business hours, Monday through Friday
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