Arizona 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 to ensure medical appropriateness
• Performs prior authorization reviews to determine medical appropriateness in accordance with ABA regulatory guidelines
• Analyzes behavioral health member data to enhance the quality and appropriate 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
• 2+ years providing ABA services as a Board Certified Behavior Analyst (BCBA) for Enterprise Population Health
• License to practice independently or state-required licensure (BCBA) is required
• Behavioral health clinical knowledge and ability to review and assess ABA Treatment Plans are required
• Knowledge of ABA services and the behavioral health utilization review process is required