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Elevance Health
Overview
Collaborate with providers and Medical Directors to determine the appropriateness of care levels for psychological and neuropsychological testing based on medical necessity. Conduct pre-certifications and prior authorizations while partnering with internal staff to ensure consistent utilization of plan benefits.
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Compensation
$93,120 - $167,616 / YEAR
Posted
16 days ago
The Psychologist Reviewer collaborates with providers and Medical Directors to determine the appropriateness of care levels based on medical necessity criteria. They also conduct pre-certification, concurrent reviews, and appeals for behavioral health services while mentoring care management staff.
1 month ago
