Licensed Psychologist - Remote

Psychologist Peer Reviewer to conduct clinical reviews for outpatient services, Medicaid, and Applied Behavior Analysis cases. We are seeking a Psychologist Peer Reviewer to conduct clinical reviews for outpatient services, Medicaid, and Applied Behavior Analysis cases. Responsibilities include evaluating service requests, ongoing care, non-standard outpatient services, and appeals of denied services, ensuring compliance with federal, state, and local regulations. The role involves participating in consultations, staff meetings, and training sessions, and documenting clinical determinations. Qualifications include an independent license as a doctoral-level Psychologist (Ph.D. or Psy.D.) in the relevant state, with at least 3+ years of post-licensure experience. Required skills encompass proficiency in Microsoft Office, ability to prioritize multiple cases, strong communication, and the capacity to work independently within a private, secure home office setting. Preferred qualifications include APA training, managed care experience, and familiarity with public sector services and HCPC codes. This full-time role offers a salary range of $91,700 - $163,700, comprehensive benefits, and remote work flexibility in certain locations. #J-18808-Ljbffr