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
- Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience
- License to practice independently or state-required licensure (BCBA) is required
- Master's degree for behavioral health clinicians preferred
- Knowledge of ABA services and behavioral health utilization review process required
- Experience working with providers and healthcare teams in ABA services preferred
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