Company Name:

LA Healthcare Connections

Location:

Baton Rouge, Louisiana

Approximate Salary:

Not Specified

Job Category:

Behavioral Medicine

Work Setting:

Business/Industry

Position Type:

Full Time

Required Experience:

5 - 10 years

Required Education:

PhD

Posted

August 30, 2018

Psychologist - Utilization Reviews

Position Purpose:

  • Authorize, direct and monitor care for mental health and substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care
  • Conduct peer reviews with psychologist and licensed therapist for outpatient and 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 level clinician
  • Facilitate outpatient rounds offering clinical input and oversight related to outpatient services


Education/Experience:

  • Doctorate degree in Clinical Psychology, Counseling or related field
  • 5+ years of psychiatric and/or substance abuse experience (including utilization review), preferably in a health care setting
  • Working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence based practices


License/Certification:

Unrestricted license as a Psychologist (PhD or PsyD).


Louisiana licensed provided highly preferred. Office locations are in Baton Rouge, Lafayette, New Orleans, and Covington. 

Company Name:

LA Healthcare Connections

Location:

Baton Rouge, Louisiana

Approximate Salary:

Not Specified

Job Category:

Behavioral Medicine

Work Setting:

Business/Industry

Position Type:

Full Time

Required Experience:

5 - 10 years

Required Education:

PhD

Posted

August 30, 2018

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