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