Licensed Utilization Review Clinician

Job Summary

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

Key Responsibilities

• Evaluate member's care and health status related to Applied Behavioral Analysis (ABA) services
• Perform prior authorization reviews to determine medical appropriateness in accordance with ABA guidelines
• Analyze 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
• Master's degree for behavioral health clinicians required
• License to practice independently (e.g., LCSW, LMHC, LPC, LMFT, LMHP, BCBA)
• Behavioral health clinical knowledge and ability to assess ABA Treatment Plans
• Experience working with providers and healthcare teams in ABA services preferred