What are the responsibilities and job description for the Clinical Psychologist position at 170 Sentara Health Administration, Inc.?
Job Description
City / State
Norfolk, VA
Overview
Work Shift
First (Days) (United States of America)
Sentara Health is seeking to hire a qualified individual to join our team as a Clinical Psychologist.
Position Status : Full-time, Day Shift
Position Location : This position is remote within Virginia.
Standard Working Hours : Sunday - Thursday.
Minimum Requirements :
- Doctorate Degree required.
- 5 years related experience required.
- Virginia license required.
- Ability to work a flexible schedule (Sunday - Thursday).
- Previous MCO experience is a plus.
Expectations for this Role :
Sentara Health is seeking a Clinical Psychologist. This person will be responsible for reviewing authorizations for Medicaid and Behavioral Health, with majority of the job focusing on UM. This person will also participate in behavioral health and case management rounds 15% of the time. Services include : outpatient, community based level of care and intensive pace community care.
Sentara Health Overview
Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 130 years in pursuit of its mission - "We improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 30,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018), and was recognized by Forbes as a "Best Employer for New Grads" (2022), "Best Employer for Veterans" (2022), and "Best Employer for Women" (2020).
Mission, Purpose, and Values
Sentara Healthcare Commitments
Sentara has made a commitment to its colleagues, patients, and members to :
Diversity and Inclusion at Sentara
Our vision is that everyone brings the strengths that come with diversity to work with them every day. When we are achieving our vision, we have team members that feel they belong and can be their authentic selves, and our workforce is reflective of the communities we serve.
We are realizing this vision through our Diversity and Inclusion strategy, which has three pillars : A diverse and talented workforce, an inclusive and supportive workplace, and outreach and engagement with our community. We have made remarkable strides in these areas over the past several years and, as our world continues to evolve, we know our work is never done.
Our strategies focus on both structural inclusion , which looks at our organizational structures, processes, and practices; as well as behavioral inclusion , which evaluates our mindsets, skillsets, and relationships. Together, these strategies are moving our organization forward in an environment that fosters a culture of mutual respect and belonging for all.
Please visit the link below to learn more about Sentara's commitment to diversity and inclusion :
Sentara Benefits
As the third-largest employer in Virginia, Sentara Healthcare was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to :
Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within avibrant, creative, and highly productive workplace. For information about our employee benefits, please visit : Benefits - Sentara (sentaracareers.com)
Join our team!We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!
Please Note : Yearly Flu Vaccination are required for employment.
indeed, #LI-AB1
Key words : Clinical; Psychologist
Job Summary
The Clinical Psychologist is responsible for providing clinical leadership to Optima health and is accountable for monitoring utilization and quality outcomes. Works collaboratively with Behavioral Health Medical Directors, Clinical Care Services and UM staff to establish guidelines and implement clinical criteria to determine medical necessity for behavioral health outpatient services. Works directly with internal behavioral health staff to ensure appropriate and consistent utilization of plan benefits and clinical guidelines. Responsible for quality assessment and improvement activities, conducts initial authorization and concurrent reviews of behavioral health services, Acts as a behavioral health expert for peer to peer and case reviews. Mentors behavioral health care management by assisting in training, utilization meetings and quality projects.
Three (3) years of clinical experience in behavioral health is required.
One (1) year experience in multiple treatment settings preferred.
One (1) year experience in managed care preferred.
Qualifications :
DLD - Doctorate Level Degree : Clinical Psychology (Required)
Clinical Psychologist License - State license - Vermont, Clinical Psychologist License - State license - Virginia Department of Health Professionals (VADHP), Psychologist License (HSP-P) - State license - North Carolina Psychology Board
Related experience
Skills
Communication, Complex Problem Solving, Coordination, Critical Thinking, Instructing
Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.
In support of our mission "to improve health every day," this is a tobacco-free environment.
