Remote Psychologist Peer Reviewer - Public Sector
Okpsych
- Remote job
UnitedHealth Group is seeking a Psychologist Peer Reviewer for outpatient services in Florida. The role involves applying clinical criteria to determine insurance benefit coverage across Commercial, Medicaid, and Medicare cases, including ABA and other services. You will collaborate in meetings, document clinical determinations, and support reviews within a Monday–Friday schedule (8:30am–5pm CST). Remote work is possible for Florida residents. #J-18808-Ljbffr Okpsych
$91.7k - $163.7k
Optum seeks a licensed psychologist (Ph.D./Psy.D.) in Florida for a full-time Psychologist Peer Reviewer role focused on outpatient public sector and ABA cases. You will apply clinical criteria... ...standard M-F schedule (8:30am-5pm CST). Remote work is available for Florida...Remote jobFull time$91.7k - $163.7k
...culture guided by inclusion, talented peers, comprehensive benefits and... .... Connecting. Growing together. Psychologist Peer Reviewer is for an Outpatient Public Sector or Applied Behavior Analysis... ...will have the flexibility to work remotely* as you take on some tough challenges...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeMonday to Friday- UnitedHealth Group is seeking a Florida-licensed Psychologist to serve as a Peer Reviewer for outpatient/ABA services and to handle insurance determinations... ...compliance with federal and state requirements. Remote work is available for Florida-based employees, with a standard...Remote jobFull time
- Optum, part of UnitedHealth Group, seeks a Psychologist Peer Reviewer in a full-time remote-capable role. You will apply clinical criteria to Commercial/Medicaid/Medicare cases to determine coverage, reviewing ABA and other services and contributing to policy-compliant...Remote workFull time
- UnitedHealth Group's Optum division is hiring a Psychologist Peer Reviewer for outpatient public sector and ABA cases. You will apply clinical criteria to determine insurance benefit coverage and participate in consultations, staff meetings, and trainings. Responsibilities...Remote jobLocal area
$87.7k - $157.8k
...workplace flexibility. Job Description Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist Reviewers (... ...medical necessity and appropriateness of care Conduct peer reviews with psychologists, behavioral health therapists...Remote workFull timePart timeWork at officeFlexible hours$86k - $154.7k
...Join to apply for the Psychologist Reviewer role at RemoteWorker US 1 day ago Be among the first... ...Job Description Centene is hiring a Remote Psychologist – Join Our Kentucky... ...note reviews, appeals, and occasional peer-to-peer consultations, as well as participating...Remote workFull timeWork at officeRelocation packageFlexible hours$65 - $140 per hour
...passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Are you interested in doing peer review within your specialty? Would you enjoy reviewing medical records for standard of care...For subcontractorLocal areaWork from homeFlexible hours- Centene Corporation is hiring remote psychologists reviewers specializing in ABA to support youth with autism. The role requires an active Louisiana... ...license and BCBA preferred. Responsibilities include peer reviews, provider education, and clinical authorization discussions...Remote job
- A healthcare solutions company in McLean seeks experienced peer reviewers with at least 5 years in clinical settings. Responsibilities include reviewing medical records, assessing clinical guidelines, and providing improvement recommendations. Candidates must have an active...Remote jobWork from homeFlexible hours
- Dane Street, LLC is seeking Board Certified Physicians to join our Disability Peer Review team. This telework opportunity allows physicians to evaluate disability claims remotely, offering complete flexibility in scheduling and the ability to dictate workload based on...Remote jobWork from home
$125 per hour
...of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is seeking peer reviewers with at least 5 years of clinical experience to review medical records and make a standard...Hourly payFor subcontractorLocal areaWork from homeFlexible hours- A healthcare organization is seeking a Family and Sports Medicine Physician to perform remote peer reviews as an independent contractor. Candidates must hold an unrestricted medical license in any U.S. state and have at least five years of clinical experience. Responsibilities...Remote jobFor contractors
- Dane Street is inviting Board Certified Physicians to join their Disability Peer Review team. This exciting telework opportunity allows physicians to evaluate and review disability claims conveniently from home. As independent contract reviewers, you will enjoy flexible...Remote jobContract workFlexible hours
- ...UnitedHealth Group is seeking a licensed psychologist to serve as a Peer Reviewer for Outpatient Public Sector or Applied Behavior Analysis cases, applying clinical... ...consultations and trainings. This full-time remote role requires Kentucky licensure but allows work...Remote workFull time
- ...UnitedHealth Group is seeking a Psychologist Peer Reviewer for outpatient public sector or ABA reviews to determine insurance coverage using clinical and benefit... ...and participating in team trainings; remote work available within the U.S. Requires Kentucky...Remote workFull timeFlexible hours
- ...of UnitedHealth Group, seeks a licensed doctoral-level psychologist to perform peer reviews and determine coverage for Commercial, Medicaid and Medicare... .... Based in New York, New Jersey, or Connecticut with remote work flexibility, this position focuses on outpatient reviews...Remote job
- Centene Corporation is seeking a remote Psychologist Reviewer (Applied Behavior Analysis) focusing on autism. You will authorize and monitor care for behavioral health, collaborating with providers to ensure medical necessity and appropriate care. Requirements include...Remote job
- Elevance Health in Kansas is seeking a part-time psychologist reviewer to evaluate appropriateness of care using Medical Necessity Criteria, primarily ABA services, with potential involvement in other outpatient therapies. The role is virtual full-time, with required in...Remote jobFull timePart time
- Elevance Health is seeking a Psychologist Reviewer for a part-time position in Kansas. The role supports Behavioral Health services, including... ...psychology with an active license and experience in managed care. Remote/hybrid work with required in-person trainings is available,...Remote jobPart time
$70.97 - $125 per hour
...Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois) Acentra Health exists to empower... ...partner for health solutions in the public sector. Job Description Acentra seeks... ...expertise to operations relating to the peer review process, utilization review...Remote jobHourly payReliefLocal area- Acentra Health is seeking a BCBA Clinical Reviewer to conduct administrative and process-based reviews of ABA medical records, ensuring... ...instead on accuracy and completeness of ABA documentation. This remote position is based in Minnesota with Central Time business hours...Remote job
- Centene Corp. invites applications for a Remote Psychologist Reviewer (ABA) to support youth with Autism across licensed states including LA, AR, KY, NC and CA. This 100% remote role emphasizes evidence-based behavioral health care and utilization management. The position...Remote job
- ...Dane Street wants you to join our dynamic team of expert reviewers! In this role, you will have the opportunity to utilize your medical... ...evaluate medical records, provide clinical summaries, engage in peer communications, and answer specific questions posed by our clients...Remote workFor contractors
- ...strategic management consultancy working across the for-profit, public and social sectors. We help clients around the world identify their most... ...directly tied to the organization's upcoming re-accreditation review: the Psychometrician will ensure that assessment practices,...Remote work
- A leading medical review organization is looking for Board Certified Ophthalmologists to join their team as independent contractors. This... ...records, providing clinical summaries, and participating in peer communications. Candidates must have 5+ years of clinical experience...Remote workFor contractorsFlexible hours
- ...your clients, and our Quality Team of licensed clinicians leads peer reviews, develops practice guidelines, and provides clinical training... ...as an LP Must be licensed in Alaska Must be able to provide telehealth . Work Remotely Yes AK, US...Remote workContract workPart timePrivate practice
$150k - $170k
Overview Opportunity for a Fully Remote California Licensed Telehealth Psychologist with experience in psychological testing: SIMS, MMPI-3 and MPQ. Monday... ...speaking to effectively convey information to supervisors, peers, or customers Qualifications Education/...Remote workInternshipLocal areaMonday to Friday$108.31k - $162.45k
...CentraCare Midsota, St. Cloud, MN (with some remote flexibility)Monday-Friday | 8:00 a.m.-5:... ...Board of Psychology as Licensed Psychologist (LP). PsychotherapistMaster’s Degree in... ...health units. Providers benefit from strong peer collaboration, clinical support, and the...Remote workRelocation packageMonday to FridayFlexible hoursWeekend work$108.31k - $162.45k
...position emphasizes close collaboration with psychologists, psychiatrists, primary care, and... ...CentraCare Plaza, St. Cloud, MN (with some remote flexibility)Monday-Friday | 8:00 a.m.-5:... ...access to specialty clinics, strong peer collaboration, and integrated care pathways...Remote workRelocation packageMonday to FridayFlexible hoursWeekend work
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