Licensed Utilization Review Clinician

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

License to practice independently or state-required licensure (BCBA) is required

Master's degree for behavioral health clinicians is preferred

Behavioral health clinical knowledge and ability to assess ABA Treatment Plans are required

Experience working with healthcare teams on ABA services is preferred