Pennsylvania 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
• 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, 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 (LCSW, LMHC, LPC, LMFT, LMHP, or BCBA required)
• Behavioral health clinical knowledge and ability to review ABA Treatment Plans required
• Experience working with healthcare teams to review ABA services preferred