The job below is no longer available.
You might also like
in Indianapolis, IN
- $38.94 - $46.25
Verified per hour Sport Clips, Inc • 4h agoExcellent pay Urgently hiring 11.2 mi Use left and right arrow keys to navigate - $14
est. per hour General Hotels Corporation • 2d agoUrgently hiring 3.2 mi Use left and right arrow keys to navigate - U.S. Navy • 30d ago
Urgently hiring Use left and right arrow keys to navigate - 25
Verified flat Vector Marketing • 12h agoUrgently hiring 11.1 mi Use left and right arrow keys to navigate
Clinical Psychologist Reviewer - Part-time - Nationwide (GA License Required) - (126431 KT)
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Indianapolis, IN Indianapolis, Indiana |
About this job
Description
Anthem, Inc. is one of the nation's leading health benefits companies and a Fortune Top 50 company. At Anthem, Inc., we are working together to transform health care with trusted and caring solutions.
Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people's lives, and to take your career further than you can imagine.
The Clinical Psychologist Reviewer is responsible for collaborating with providers and Medical Directors to determine appropriateness of level of care based on Medical Necessity Criteria. Outpatient levels of care include: Individual Therapy, Group Therapy, Family Therapy, Marriage/Couples Therapy, Psychological Testing, Neuropsychological Testing, Psychosocial Rehabilitation, Intensive Outpatient Treatment, Day Treatment, and Mental Health Support Services. Primary duties may include, but are not limited to:
* Partners with internal UR staff and external Behavioral Health Providers to ensure appropriate and consistent utilization of plan benefits, out of network services, and clinical guidelines within scope of license.
* Conducts pre-certification, concurrent review, and appeals of Behavioral Health OP services.
* Mentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives;
* assists in developing a program around psychological and neuropsychological testing.
This position will allow you to work from home anywhere within US.
Would prefer candidates that reside in Georgia,
This is a part-time role, requiring 25 hours a week, must be able to work 4 to 5 hours a day between the hours of 8 AM to 5 PM EST.
Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine, and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.
Qualifications
Required
* Ph.D. or Psy.D in clinical/counseling psychology;
* Managed care experience, including experience with the administration and interpretation of psychological test batteries
* or any combination of education and experience, which would provide an equivalent background.
* Independently Licensed as Clinical/Counseling Psychologist
* 5 years of practice with Psychological Testing
* Experience working with microsoft office (word, excel, and outlook)
* Board Certified
* Most possess an active unrestricted license to practice as Clinical/Counseling Psychologist in state GA.
Preferred
* 2-5 years experience in a Behavioral Health/Clinical setting
* Experience with Macess and Facets
* Experience with Utilization Review, case management, medical review, and or pre-certifications.
Anthem, Inc. is one of the nation's leading health benefits companies and a Fortune Top 50 company. At Anthem, Inc., we are working together to transform health care with trusted and caring solutions.
Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people's lives, and to take your career further than you can imagine.
The Clinical Psychologist Reviewer is responsible for collaborating with providers and Medical Directors to determine appropriateness of level of care based on Medical Necessity Criteria. Outpatient levels of care include: Individual Therapy, Group Therapy, Family Therapy, Marriage/Couples Therapy, Psychological Testing, Neuropsychological Testing, Psychosocial Rehabilitation, Intensive Outpatient Treatment, Day Treatment, and Mental Health Support Services. Primary duties may include, but are not limited to:
* Partners with internal UR staff and external Behavioral Health Providers to ensure appropriate and consistent utilization of plan benefits, out of network services, and clinical guidelines within scope of license.
* Conducts pre-certification, concurrent review, and appeals of Behavioral Health OP services.
* Mentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives;
* assists in developing a program around psychological and neuropsychological testing.
This position will allow you to work from home anywhere within US.
Would prefer candidates that reside in Georgia,
This is a part-time role, requiring 25 hours a week, must be able to work 4 to 5 hours a day between the hours of 8 AM to 5 PM EST.
Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine, and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.
Qualifications
Required
* Ph.D. or Psy.D in clinical/counseling psychology;
* Managed care experience, including experience with the administration and interpretation of psychological test batteries
* or any combination of education and experience, which would provide an equivalent background.
* Independently Licensed as Clinical/Counseling Psychologist
* 5 years of practice with Psychological Testing
* Experience working with microsoft office (word, excel, and outlook)
* Board Certified
* Most possess an active unrestricted license to practice as Clinical/Counseling Psychologist in state GA.
Preferred
* 2-5 years experience in a Behavioral Health/Clinical setting
* Experience with Macess and Facets
* Experience with Utilization Review, case management, medical review, and or pre-certifications.