Psychologist Advisor

TeleSolv is seeking an experienced Psychologist Advisor to provide clinical leadership and oversight of clinical case management. The Psychologist Advisor will consult on quality of care, clinical decision-making, case formulation, safety concerns, case reviews, and appropriate levels of care. The position will also serve as a subject-matter expert for internal and external Government initiatives, drawing on the individual’s education, professional training, licensure, experience, and areas of professional interest. Review community-based and children and family services in alignment with best-practice standards, including NCQA standards, and state regulatory requirements. Review cases across multiple sites and levels of care to determine medical necessity. Conduct peer reviews involving disputed levels of care. Consult on quality of care, clinical decisions, case formulations, safety concerns, and appropriate levels of care. Collaborate with providers and system stakeholders on member placement, response to treatment, care coordination, quality concerns, and related challenges. Participate in quality reviews involving member complaints, grievances, and Government reviews. Represent the medical affairs and clinical functions in clinical and administrative meetings, as required. Participate in training and education for care managers, providers, and other internal and external stakeholders. Communicate with providers regarding clinical and administrative matters. Support a multidisciplinary approach through consultation with clinical, medical affairs, network development, performance evaluation, and program integrity functions. Serve as a subject-matter expert for internal and external initiatives. Perform other duties as assigned. Demonstrated experience working with individuals with autism. Must be a resident of Philadelphia. Experience providing peer-to-peer support. Experience managing or supporting individualized care plans. Expertise in psychological assessment, diagnosis, and treatment. Strong knowledge of childhood and adolescent mental health disorders. Autism Experience: Demonstrated professional experience supporting individuals with autism spectrum disorder and familiarity with their behavioral health and clinical care needs. BCBA Experience/Support: Experience working with or supporting Board Certified Behavior Analysts (BCBAs) and collaborating on behaviorally focused care strategies. Knowledge of evidence-based practices and research involving children and adolescents. Ability to conduct clinical case reviews and assess medical necessity across multiple levels of care. Ability to provide effective consultation to clinical staff, providers, and other stakeholders. Strong interdisciplinary collaboration and problem-solving skills. Excellent written and verbal communication skills. Education: Doctorate in Psychology License/Certification: Licensed Psychologist Advisor in the Commonwealth of Pennsylvania Relevant Work Experience: Minimum of 5 years of experience as a Psychologist treating children, adolescents and families providing services in the home, community and/or school; experience conducting biopsychological evaluations, making mental health diagnoses and working collaboratively with professionals across disciplines. A minimum of 5 years of experience providing consultation, supervision, and program administration.