Arizona Licensed Utilization Review Clinician

Job Summary

A company is looking for a Utilization Review Clinician - ABA.

Key Responsibilities

• Evaluate member's care and health status related to ABA services for medical appropriateness
• Perform prior authorization reviews and analyze behavioral health member data to improve service utilization
• Interact with healthcare providers and educate members and families regarding ABA and behavioral health utilization processes

Required Qualifications, Training, and Education

• Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience
• State licensure as required (e.g., LCSW, LMHC, LPC, LMFT, LMHP, RN, or BCBA)
• Behavioral health clinical knowledge and ability to review ABA Treatment Plans
• Knowledge of ABA services and the behavioral health utilization review process
• Preferred experience working with providers in the context of Applied Behavior Analysis Services