Psychologist – Ph.D Or Psy.D content expired - 2016-12-22
You're looking for something bigger for your career. How about inventing the future of health care? Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Join us. Take this opportunity to start doing your life's best work. (sm)
The role of the Psychologist Peer Reviewer involves applying medical necessity and benefit plan criteria to these cases resulting in authorization of treatment if medically necessary, authorization of a modified treatment plan as appropriate, or issuing/upholding an adverse benefit determination if indicated. In addition to these primary duties, a Psychologist Reviewer will also participate in peer consultations, staff meetings, and trainings; entering determinations within federal, state, and local guideline requirements; and performance of other duties as required by the reviewer’s manager.
- Requests for psychological or neuropsychological testing
- Review of outpatient treatment plans for services that on initial review, a Masters level employee is unable to grant authorization
- Review of ongoing outpatient care in cases where the member’s length of stay exceeds normative standards
- Requests for non-standard outpatient services (extended-length visits, an in-network accommodation)
- Appeals of previously denied services or claims for outpatient non-MD services up to and including Intensive Outpatient Programming
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work. (sm)
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: Behavioral Clinic Consultant, Behavioral, Peer Review, Psychologist, Behavioral Consultant, neuropsychological, outpatient treatment, Ph.D., Psy.D., managed care, Baton Rouge, LA, Louisiana, Telecommute