Florida Licensed Utilization Review Clinician

Job Summary

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

Key Responsibilities

• Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services
• Performs prior authorization reviews to determine medical appropriateness in accordance with ABA guidelines
• Analyzes behavioral health member data to enhance quality and utilization of services

Required Qualifications, Training, and Education

• Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience
• Independent licensure as required by the state (e.g., LCSW, LMHC, LPC, LMFT, LMHP, RN, BCBA)
• Master's degree for behavioral health clinicians preferred
• Behavioral health clinical knowledge and ability to assess ABA Treatment Plans required
• Experience working with providers and healthcare teams in ABA services preferred