Lead Recruiter at SPECTRAFORCE Technologies
Assignment Duration: Full-time
Work Location: Remote - FL
Note: Candidates must reside in the State of Florida
Position Purpose: Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care
Responsibilities
- Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified Behavior Analysts for outpatient services and/or 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 PhD/PsyD
- Facilitate outpatient rounds offering clinical input and oversight related to outpatient services
- Perform other duties as assigned
- Comply with all policies and standards
Education/Experience
PhD Clinical Psychology, Counseling, Behavior Analysis, or related field required
- Behavioral Health Experience: Minimum of 2 years required
- Post-Licensure Clinical Experience: At least 2 years strongly preferred
- Pediatric Experience: 5+ years working with children strongly preferred
Clinical Knowledge
- Required: Working knowledge of psychological tests, testing procedures, diagnostic evaluations, and evidence-based practices
- For ABA Reviewers only: Must have working knowledge of psychological assessments, diagnostic tools, and evidence-based practices specifically designed for individuals with Autism Spectrum Disorder (ASD)
Licenses/Certifications
- PSY - Psychologist Unrestricted License (PhD or PsyD) upon hire required
Seniority Level
Mid-Senior level
Employment Type
Full-time
Job Function
Health Care Provider
Industries
Insurance, Hospitals, and Health Care
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