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
- UnitedHealth Group is seeking a Psychologist Peer Reviewer for outpatient services in Florida. The role involves applying clinical criteria to determine... ...reviews within a Monday-Friday schedule (8:30am-5pm CST). Remote work is possible for Florida residents. #J-18808-Ljbffr...Remote jobMonday to Friday
$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
...perspective on workplace flexibility. 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$125 per hour
...team of 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
- Centene Corporation is seeking a Remote Psychologist Reviewer (Applied Behavior Analysis) to authorize and monitor care for behavioral health problems... ...an active license, and BCBA/BCBA‑D preferred. It involves peer reviews, education of network practitioners, and...Remote job
- Centene Corporation is seeking a Remote Psychologist Reviewer (Applied Behavior Analysis) to support youths with autism across our Medical Management... ...field and an active psychologist license. You will conduct peer reviews, educate providers, and coordinate clinical...Remote job
- ...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 workWork from home
$86k - $154.7k
Join to apply for the Psychologist Reviewer role at RemoteWorker US 1 day ago Be among the first 25... ...Job Description Centene is hiring a Remote Psychologist - Join Our Kentucky Medicaid... ...note reviews, appeals, and occasional peer-to-peer consultations, as well as participating...Remote workFull timeWork at officeRelocation packageFlexible 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 workFor contractors
$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 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 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
- Dane Street, LLC is seeking Board Certified Physicians for a remote role evaluating and reviewing disability claims. As part of our Disability Peer Review team, you can enjoy a flexible schedule while maintaining a balance between work and lifestyle. Successful candidates...Remote jobFlexible hours
- ...Intracept procedure experience to serve as an independent contractor (1099) performing independent external medical reviews remotely on an ad hoc basis. As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical...Remote jobFull timeContract workFor contractorsWork at office
- Dane Street is excited to invite Board Certified Physicians to join our Disability Peer Review team! This telework opportunity offers physicians the chance to evaluate and review disability claims-all from the convenience of home. Our independent physician panel consists...Remote workContract workFlexible 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
- 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
- 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
- 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
- ...a UnitedHealth Group company, seeks a licensed doctoral psychologist to perform peer reviews for Commercial, Medicaid and Medicare cases, applying clinical... ..., and intensive outpatient services reviews, with remote flexibility for NY/NJ/CT residents. Collaboration with clinical...Remote job
$70.97 - $125 per hour
Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois) Part-time Acentra Health exists... ...partner for health solutions in the public sector. Acentra seeks a Psychiatrist Physician... ...to operations relating to the peer review process, utilization review activities...Remote jobHourly payPart timeReliefLocal 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
$750 - $2,000 per month
...Physician Reviewer Opportunity At Commence, we're the start of a new age of data-centric transformation, elevating health outcomes... ...Psychiatry Physical Medicine & Rehabilitation (PM&R) This is a remote, 1099 independent contractor opportunity designed for...Remote jobFor contractorsReliefFlexible hours- ...To support outpatient public sector services, the full-time salaried Florida Licensed Psychologist will conduct clinical reviews, make insurance benefit coverage determinations, and... ...participate in consultations while working remotely. Key responsibilities: Conduct...Remote workPermanent employmentFull timeWork at officeLocal areaHome office
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