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Clinical Psychologist Advisor (Apply in minutes)

Sunshine State Health Plan
Pompano Beach, FL Full Time
POSTED ON 1/16/2025
AVAILABLE BEFORE 4/14/2025

You could be the one who changes everything for our 28 million members as aclinical professional on our Medical ManagementHealth Services team. Centeneis a diversified, national organization offering competitive benefitsincluding a fresh perspective on workplace flexibility.

  • Position Purpose :
  • Authorize, direct and monitor care for behavioral healthand substance abuse problems according to clinical information given byproviders and internal criteria for medical necessity and appropriateness ofcare
  • Conduct peer reviews with psychologist and licensed therapistcertified Behavior Analyst for outpatient andor psychological testing requests
  • Interact with network practitioners to provide education on best practice models and utilization management processes
  • Interact with the Medical Director, or designee, to discuss clinical authorization questions and concerns regarding specific cases
  • Respond to state, provider, and member complaints related to psychological testing or other services requiring review by a PhDPsyD
  • Facilitate outpatient rounds offering clinical input and oversight related to outpatient services
  • Performs other duties as assigned
  • Complies with all policies and standards
  • EducationExperience :
  • PhD Clinical Psychology, Counseling, Behavior Analysis, or related field isrequired
  • 2 years Behavioral Health is required.Working knowledge of psychological tests and testing procedures, diagnosticevaluations and evidence based practices is required. PSY - Psychologist Unrestricted License (PhD or PsyD) upon hire is required or Board Certified Behavior Analyst (BCBA)Pay Range : $84,300.00 - $151,700.00 per yearCentene offers a comprehensive benefits package including : competitive pay,health insurance, 401K and stock purchase plans, tuition reimbursement, paidtime off plus holidays, and a flexible approach to work with remote, hybrid,field or office work schedules. Actual pay will be adjusted based on anindividuals skills, experience, education, and other job-related factorspermitted by law. Total compensation may also include additional forms ofincentives.Centene is an equal opportunity employer that is committed to diversity, andvalues the ways in which we are different. All qualified applicants willreceive consideration for employment without regard to race, color, religion,sex, sexual orientation, gender identity, national origin, disability, veteranstatus, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered inaccordance with the LA County Ordinance and the California Fair Chance Act

Salary : $84,300 - $151,700

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