The Psychologist Advisor will help to support and provide consultation for clinical case reviews. Must be licensed in the State of Ohio.
The Psychologist Advisor (“PA”) is responsible for providing consultation and determinations for clinical cases in need of review. The PA supports the clinical department in applying Medical Necessity Criteria, Appendix T, to render determinations to complaints & grievances for specific levels of care. In addition, the PA will assess clinical aspects of quality of care issues pertaining to best practice standards.. The PA will provide quality monitoring related to the CBHNP Children’s Model.
The PA will perform quality improvement activities consistent with qualifications as approved by the CBHNP Credentialing Process and verified through an NCQA Credentialing Verification Organization.