Utilization Review Clinician – ABA

This is a fully remote position, open to applicants in Kansas, +2 more states.

📋 Description

• Perform prior authorization assessments for ABA treatment services.

• Assess clinical documentation to determine medical necessity.

• Oversee the clinical effectiveness and efficiency of member care in alignment with ABA guidelines.

• Examine behavioral health member data to enhance service utilization.

• Collaborate with behavioral health healthcare providers to discuss care and services.

⛳️ Requirements

• Graduate from an accredited nursing program or hold a Bachelor’s degree with 2-4 years of relevant experience.

• A minimum of 2 years of experience providing ABA services as a BCBA.

• Ability to practice independently with the necessary state licensure (BCBA).

• Strong knowledge of behavioral health principles and capability to evaluate ABA Treatment Plans.

• Familiarity with ABA services and the behavioral health utilization review process.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K and stock purchase options.

• Tuition reimbursement opportunities.

• Paid time off along with holidays.

• Flexible work arrangements.