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Job description
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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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.