Centene Corporation·Oregon
Authorize and monitor care for behavioral health and substance abuse cases based on medical necessity and internal criteria. Conduct peer reviews with clinical professionals and provide education to network practitioners on best practice models.
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Job Description: 🏡💻 Remote Opportunity | Psychologist Reviewer
Make an Impact from Anywhere. Join a mission-driven organization where your clinical expertise helps ensure members receive the appropriate behavioral health services they need to thrive.
We are seeking a Remote Psychologist Reviewer with experience in outpatient behavioral health, Applied Behavior Analysis (ABA), neuropsychology, managed care, or community-based services to review psychological testing and treatment documentation for medical necessity and quality of care.
This is an excellent opportunity for a licensed psychologist who enjoys applying their clinical knowledge in a non-traditional setting while maintaining a consistent Monday–Friday schedule (8:00 AM–5:00 PM).
Ideal candidates will hold an active psychologist license in North Carolina, South Carolina, Ohio, Michigan, Oregon or California and bring a passion for delivering high-quality, evidence-based behavioral health services.
Bring your passion. Apply your expertise. Help shape better healthcare outcomes—without leaving home. 🧠💙
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
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
Performs other duties as assigned.
Complies with all policies and standards.
Working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices. required
For ABA Reviewers only, working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices designed for individuals with Autism Spectrum Disorder. required
PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required
$87,700.00 - $157,800.00 per year
competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Requires a PhD or PsyD in Clinical Psychology or a related field with at least 2 years of behavioral health experience. Must hold an unrestricted psychologist license in specific states such as NC, SC, OH, MI, OR, or CA.
Market context
In Oregon, behavioral-health peer support roles often see steady demand in community mental health, recovery, and crisis support settings. These positions are competitive because employers look for lived recovery experience, certification eligibility, and practical requirements like a valid Oregon driver’s license and background clearance. Review the AI-summarized requirements and benefits on this platform to save time, then confirm your certification path and gather documentation before applying.
