Let’s get started
Company Logo

Remote Jobs

NC Licensed Utilization Review Clinician

7/8/2025

No location specified

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 for medical appropriateness
  • Performs prior authorization reviews for behavioral health to ensure compliance with ABA regulatory 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
  • Licensure as a Clinical Social Worker, Mental Health Counselor, Professional Counselor, or equivalent required
  • Behavioral health clinical knowledge with the ability to review ABA Treatment Plans
  • Knowledge of ABA services and the behavioral health utilization review process
  • Experience working with healthcare providers in relation to Applied Behavior Analysis Services preferred

Comments

No comments yet. Be the first to comment!