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Psychologist Reviewer

  • Job Family: Behavioral Health
  • Type: Full time
  • Date Posted:
  • Req #: JR14411

Location:

  • IN, Indianapolis

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Description

JR14411 Psychologist Reviewer

Responsible for collaborating with providers and Medical Directors to determine the appropriateness of the level of care based on Medical Necessity Criteria. The primary focus is on Psychological Testing, Neuropsychological Testing, but other levels of outpatient care may be reviewed including Individual Therapy, Group Therapy, Family Therapy, Marriage/Couples Therapy, Psychosocial Rehabilitation, Intensive Outpatient Treatment, Day Treatment, and Mental Health Support Services.
 

How will you make an impact:

  • Partners with internal UR staff and external Behavioral Health Providers to ensure appropriate and consistent utilization of plan benefits and application of clinical guidelines, within the scope of the license.
  • Conducts pre-certification, concurrent review, and appeals of Behavioral Health OP services, with a specific focus on psychological and neuropsychological testing services.
  • Collaborates with health plan, network, and other Behavioral Health team partners to related to psychological and neuropsychological testing services.
  • Mentors Behavioral Health staff related to testing services by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assisted in further developing programs around psychological and neuropsychological testing.

Minimum requirements:

  • Requires Ph.D. or Psy.D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

  • Must possess an active unrestricted license to practice as a Clinical/Counseling Psychologist.
  • A minimum of 2 years of experience in a Behavioral Health/Clinical setting is preferred.
  • Experience administering and interpreting psychological and/or neuropsychological test batteries.
  • Experience with utilization review of psychological and/or neuropsychological test batteries preferred.                    

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

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