Nevada Licensed BCBA Advocate

Job Summary

A company is looking for a BCBA Senior Care Advocate - Remote.

Key Responsibilities:

• Conduct utilization reviews for behavioral health services using established medical necessity criteria
• Evaluate clinical information to determine medical necessity and develop individualized ABA treatment plans
• Review and process medical necessity denials and manage appeals in compliance with regulatory standards

Required Qualifications:

• RN or Master's degree in social work or related behavioral health field
• Active, unrestricted behavioral health license in the state of residence
• Current Board-Certified Behavior Analyst (BCBA) certification
• 3+ years of behavioral health clinical experience in an inpatient or outpatient setting
• 2+ years of experience providing ABA therapy and supervising treatment plans