Licensed Psychologist Peer Reviewer

Job Summary

A company is looking for a Psychologist Peer Reviewer for Utilization Management in a remote capacity.

Key Responsibilities

• Conduct clinical reviews for service authorization and ongoing outpatient care
• Participate in consultations, staff meetings, and trainings related to clinical determinations
• Compose and enter clinical determinations in compliance with regulations

Required Qualifications

• Independently licensed doctoral level Psychologist (Ph.D. or Psy.D.) in the state of residence
• 3+ years of post-licensure experience
• Experience working with insurance companies for authorizations and peer reviews
• Advanced proficiency in Microsoft Office Applications
• Ability to work independently and collaboratively within a clinical team