Job Summary
A company is looking for a Licensed Psychologist, Peer Reviewer for ABA Services, working remotely.
Key Responsibilities:
- Apply clinical and benefit plan criteria to service requests for ABA treatment coverage, modifying treatment as necessary
- Participate in peer consultations, staff meetings, and trainings, while composing clinical determinations in compliance with guidelines
- Conduct clinical reviews of ABA service requests, Single Case Agreements, and appeals of previously denied services
Required Qualifications:
- Licensed doctoral level Psychologist (Ph.D. or Psy.D.) with current, unrestricted license
- 3+ years of post-licensure experience
- Clinical experience with Autism Spectrum Disorder
- Experience working with managed care entities
- Proficiency in MS Office Suite
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