Teams at Centene Corporation

Act as a liaison to improve pharmacy quality performance, collaborating with providers and pharmacies, and ensuring timely insights while managing territory engagement plans.

Review psychological testing and treatment documentation for medical necessity and quality; authorize and monitor outpatient behavioral health and substance abuse care; conduct peer reviews; consult with providers and Medical Director; educate network practitioners on best practices and utilization management; respond to complaints and provide clinical oversight for outpatient services.

Remote psychologist reviewer specializing in ABA for youth with Autism. Authorize, direct, and monitor behavioral health services; conduct peer reviews; educate network providers; consult with Medical Director; respond to complaints; provide clinical oversight of outpatient services.