Job Summary
A company is looking for a Psychologist Behavioral Health Utilization Reviewer - Remote.
Key Responsibilities:
- Review psychological/neuropsychological testing service requests and outpatient treatment plans
- Make clinical and benefit determinations for treatment coverage and modifications
- Participate in peer consultations, staff meetings, and trainings while adhering to guideline requirements
Required Qualifications:
- Licensed doctoral level (Ph.D. or Psy.D.) Psychologist in the state of residence
- Current unrestricted license for full independent practice
- 3+ years of post-licensure experience
- Experience working with insurance agencies
- Proficiency in computer skills, including Windows OS, Outlook, Word, and Excel
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