California 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 Applied Behavioral Analysis (ABA) services
• Perform prior authorization reviews to determine medical appropriateness according to ABA guidelines
• Analyze behavioral health member data to enhance service quality and utilization

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., BCBA, LCSW, LMHC, LPC, LMFT, LMHP, RN)
• Master's degree for behavioral health clinicians preferred
• Behavioral health clinical knowledge and ability to assess ABA Treatment Plans required
• Experience working with healthcare providers in reviewing ABA services preferred