Licensed Utilization Review ClinicianVirtualVocations • Durham, North Carolina, United States
Licensed Utilization Review Clinician
VirtualVocations • Durham, North Carolina, United States
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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
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Utilization Review • Durham, North Carolina, United States
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