Utilization Review Clinician - ABA

Position Purpose

Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care in accordance with ABA guidelines.

Key Details

• This is a remote position, but applicants must reside in Florida.
• Candidates must be BCBA certified and have experience with ABA treatment.
• Technological proficiency and managed care experience are preferred.
• The ideal candidate is adaptable, comfortable working in a fast-paced environment, and demonstrates excellent customer service, communication, and organizational skills.
• The work schedule is Monday through Friday, 8:00 AM to 5:00 PM.

Educational/Experience Requirements

• Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 2-4 years of related experience.
• For Enterprise Population Health 2+ years providing ABA services as a BCBA.
• Licenses and Certifications:
  • Master’s degree for behavioral health clinicians required.
  • License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state (BCBA) required.
  • LCSW- License Clinical Social Worker required or
  • LMHC-Licensed Mental Health Counselor required or
  • LPC-Licensed Professional Counselor required or
  • LMFT-Licensed Marital and Family Therapist (LMFT) required or
  • LMHP-Licensed Mental Health Professional (LMHP) required or
  • Board Certified Behavior Analyst (BCBA) required.
• Knowledge Required:
  • Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans.
  • Knowledge of ABA services and BH utilization review process.
  • Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred.

Pay Range

$27.02 - $48.55 per hour

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• A flexible approach to work with remote, hybrid, field or office work schedules.

Equal Opportunity Employer

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act