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Weekend Therapy Clinical Reviewer Jobs (NOW HIRING)

TScan Therapeutics

Clinical Scientist

Waltham, MA · On-site

TScan is seeking a highly motivated and detail-oriented Clinical Scientist with deep expertise in clinical data management and data review to support the execution of our oncology cell therapy ...

TScan Therapeutics

Clinical Scientist

Waltham, MA

TScan is seeking a highly motivated and detail-oriented Clinical Scientist with deep expertise in clinical data management and data review to support the execution of our oncology cell therapy ...

TScan Therapeutics

Clinical Scientist

Waltham, MA · On-site

TScan is seeking a highly motivated and detail-oriented Clinical Scientist with deep expertise in clinical data management and data review to support the execution of our oncology cell therapy ...

Elevance Health

Reviewer - Therapy Services

Tampa, FL · On-site

Reviewer - Therapy Services Reviewer - Therapy Services Location: Virtual: This role enables ... Researches and obtains additional data, consults with clinical reviewers and medical directors ...

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Weekend Therapy Clinical Reviewer information

What is a weekend therapy clinical reviewer?

A Weekend Therapy Clinical Reviewer is a licensed mental health professional who evaluates clinical documentation and treatment plans over weekends to ensure patients are receiving appropriate care. They review cases for medical necessity, compliance, and adherence to established guidelines, often for insurance companies or healthcare organizations. Their assessments help determine if continued therapy services are justified, supporting quality care while managing costs.

What are the key skills and qualifications needed to thrive as a weekend therapy clinical reviewer?

To thrive as a Weekend Therapy Clinical Reviewer, you typically need a valid clinical license (such as RN, LCSW, LPC, or LMFT), strong clinical assessment abilities, and a solid understanding of behavioral health guidelines. Familiarity with utilization review software, electronic medical records (EMRs), and knowledge of insurance authorization processes are essential. Excellent communication, attention to detail, and sound judgment are crucial soft skills for effectively reviewing cases and collaborating with providers. These competencies ensure accurate, timely clinical reviews that support patient care and compliance with regulatory standards, especially during off-peak hours.

What are some common challenges faced by weekend therapy clinical reviewers and how can they be managed?

Weekend Therapy Clinical Reviewers often navigate fast-paced decision-making, especially when handling urgent cases or high volumes of clinical documentation within tight deadlines. Balancing thorough case review with efficient turnaround is key, as is maintaining clear communication with therapy providers who may also work non-traditional hours. To manage these challenges, reviewers can stay organized with structured workflows, utilize digital tools for documentation, and proactively clarify questions with supervisors or team members. Being adaptable and staying current with clinical guidelines also supports accuracy and confidence in recommendations.

What is the difference between Weekend Therapy Clinical Reviewer vs Weekend Therapy Case Manager?

AspectWeekend Therapy Clinical ReviewerWeekend Therapy Case Manager
CredentialsLicensed therapist or clinician, often with clinical certificationsLicensed social worker or counselor, with case management certification
Work EnvironmentReviewing clinical documentation, assessing treatment plansCoordinating patient care, managing cases, communicating with providers
Employer & IndustryHealthcare providers, mental health clinics, insurance companiesHealthcare organizations, mental health agencies, insurance companies

The Weekend Therapy Clinical Reviewer primarily evaluates clinical documentation and treatment plans, focusing on quality and compliance. In contrast, the Weekend Therapy Case Manager manages patient cases, coordinates care, and ensures service delivery. Both roles require relevant licensure and work within healthcare or mental health settings, but their core responsibilities differ significantly.

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What are the most commonly searched types of Therapy Clinical Reviewer jobs?

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Weekend Therapy Clinical Reviewer jobs near you
Infographic showing various Weekend Therapy Clinical Reviewer job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 70% Full Time, 17% Part Time, and 9% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

BCBA-D/PsyD Autism Specialist Psychologist-Clinical Reviewer (Florida Licensed)

Elevance Health

Lake Mary, FL • Hybrid

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Elevance Health rating

7.7

Company rating: 7.7 out of 10

Based on 351 frontline employees who took The Breakroom Quiz

205th of 310 rated insurance

Job description

Anticipated End Date:

2026-09-13

Position Title:

BCBA-D/PsyD Autism Specialist Psychologist-Clinical Reviewer (Florida Licensed)

Job Description:

BCBA-D/PsyD Autism Specialist Psychologist

Location: Tampa, FL, Lake Mary, FL and Miami, FL

Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

A proud member of the Elevance Health family of companies, Carelon Behavioral Health uses our powerful combination of experience, expertise, dedication and compassion to see what's possible and what's better. Born out of one of the largest healthcare systems organization in the United States, our rich history gives us a unique and valuable perspective on how to solve the most pressing healthcare challenges.

The BCBA-D/PsyD Autism Specialist Psychologist is responsible for providing day-to-day guidance, support, and leadership for clinical and/or quality activities under the guidance of a Medical Director. May be responsible for supporting one or more Medical Directors in ensuring clinical integrity of broad and significant clinical programs. May perform clinical review and participate at complaint hearings.

How you will make an impact:

  • Provide clinical guidance for programs.
  • Serves as a resource and consultant to other areas of the company.
  • Prepare and provide consumer and provider education, trainings, or presentations as needed.
  • May be required to represent the company to external entities and/or serve on internal and/or external committees.
  • Responsible for collaborating with providers and Medical Directors to determine appropriateness of level of care based on Medical Necessity Criteria. Outpatient levels of care include: Individual Therapy, Group Therapy, Family Therapy, Marriage/Couples Therapy, Home or Community Based Behavioral Health or Substance Abuse Treatments, Psychological Testing, Neuropsychological Testing, Psychosocial Rehabilitation, Intensive Outpatient Treatment, Day Treatment, and Mental Health Support Services.
  • Partners with internal UR staff and external Behavioral Health Providers to ensure appropriate and consistent utilization of plan benefits, out of network services, and clinical guidelines within scope of license.
  • Conducts pre-certification, concurrent review, and appeals of Behavioral Health OP services.
  • Mentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in developing a program around psychological and neuropsychological testing.

Minimum requirements:

  • Requires Ph.D. or Psy.D in clinical/counseling psychology and minimum of 5 years of experience in a Behavioral Health/Clinical setting and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education and experience, which would provide an equivalent background.
  • Must possess an active unrestricted license to practice as Clinical/Counseling Psychologist.

Preferred Skills, Capabilities and Experiences:

  • BCBA-D (Board Certified Behavior Analyst-Doctoral) strongly preferred.
  • Five + years' experience conducting assessments/testing and completing clinical case reviews for individuals with Autism Spectrum Disorder (ASD) highly preferred.
  • Demonstrated leadership skills preferred.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

MED > Licensed/Certified Behavioral Health Role

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.


Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.


How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.


We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.


Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.


The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.


Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.


Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.


NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.

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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

Social media

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