Talent.com
serp_jobs.error_messages.no_longer_accepting
Care Review Clinician, Applied Behavioral Analysis (ABA)

Care Review Clinician, Applied Behavioral Analysis (ABA)

Molina HealthcareOmaha, NE, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Job Description

Job Summary

Provides support for member clinical review processes specific to applied behavioral analysis (ABA) services. Responsible for verifying that behavioral health services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Knowledge / Skills / Abilities

  • Assesses applied behavioral analysis (ABA) services for members - ensuring optimum outcomes, cost-effectiveness and compliance with all state and federal regulations and guidelines.
  • Analyzes clinical service requests from members / providers against evidence based clinical guidelines.
  • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and / or procedures.
  • Works collaboratively with the utilization and care management departments to provide ABA and behavioral health therapy (BHT) services to Molina members with autism spectrum disorder (ASD) and other related disorders.
  • Approves prior authorization requests for BHT treatment by reviewing BHT assessments and treatment plans for medical necessity and BHT best practice guidelines. This includes but is not limited to : psychological evaluation requests, comprehensive diagnostic evaluations (CDEs), functional behavioral assessments (FBAs), and progress reports.
  • Participates in interdepartmental integration and collaboration to enhance care of Molina members receiving BHT treatment.
  • Provides peer-to-peer consultation to BHT in-network providers to support treatment planning and maximize member progress
  • Performs ongoing monitoring of BHT treatment plans to evaluate effectiveness and treatment efficacy.
  • Collaborates with provider contracting and providers services to support recruitment and provider relations in order to ensure network adequacy, quality of care and timeliness of services.
  • Works collaboratively with ABA providers to ensure best service practices for members.
  • Develops and coordinates internal and external BHT trainings.
  • Creates and develops forms, recommendations and guidelines for BHT service delivery.
  • Works collaboratively with the care management department to ensure members receive appropriate and timely access to BHT services
  • Collaborates and coordinates with behavioral health medical directors to ensure proper management of the BHT benefit.
  • 30% estimated local travel may be required (based upon state / contractual requirements).

Job Qualifications

Required Qualifications

  • At least 2 years health care experience, including experience working as a behavioral analyst, or equivalent combination of relevant education and experience.
  • Board Certified Behavior Analyst (BCBA) and Licensed Behavior Analyst (LBA). Clinical licensure and / or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
  • Demonstrated knowledge of community resources.
  • Ability to operate proactively and demonstrate detail-oriented work.
  • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
  • Ability to work independently, with minimal supervision and demonstrate self-motivation.
  • Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
  • Ability to develop and maintain professional relationships.
  • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
  • Excellent problem-solving, and critical-thinking skills.
  • Strong verbal and written communication skills.
  • Microsoft Office suite / applicable software program(s) proficiency.
  • Preferred Qualifications

  • Utilization management experience.
  • Health plan / managed care organization experience.
  • To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing.

    Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

    Pay Range : $27.73 - $54.06 / HOURLY

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
  • serp_jobs.job_alerts.create_a_job

    Clinician • Omaha, NE, US

    Job_description.internal_linking.related_jobs
    Registered Behavior Technician (RBT) / Behavior Technician (BT)

    Registered Behavior Technician (RBT) / Behavior Technician (BT)

    Carelinks ABACouncil Bluffs, IA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Position Summary Carelinks ABA is seeking enthusiastic, compassionate individuals to join our growing team as Behavior Technicians (BTs) and Registered Behavior Technicians (RBTs).We specialize in ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Psychiatric Nurse Practitioner

    Psychiatric Nurse Practitioner

    Waybridge ClinicsOmaha, NE, United States
    serp_jobs.job_card.full_time +1
    Waybridge Clinics is a growing mental health practice focused on delivering effective, evidence-based care for patients struggling with depression and common co-occurring mood disorders.In addition...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    North Dakota Licensed Mental Health Therapist

    North Dakota Licensed Mental Health Therapist

    VirtualVocationsOmaha, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for an Outpatient Mental Health Therapist - REMOTE in ND.Key Responsibilities : Collaborate with a multidisciplinary team to provide services to the senior population Utilize...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    VIRTUAL BCBA - BOARD CERTIFIED BEHAVIOR ANALYST

    VIRTUAL BCBA - BOARD CERTIFIED BEHAVIOR ANALYST

    BrightSpring Health ServicesOmaha, NE, United States
    serp_jobs.job_card.full_time
    VIRTUAL BCBA - BOARD CERTIFIED BEHAVIOR ANALYST.US-MO-COLUMBIA | US-KS-WICHITA | US-NE-OMAHA | US-IL-CHAMPAIGN | US-IA-DES MOINES. SpringHealth Behavioral Health and Integrated Care.SpringHealth Beh...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Mental Health Therapist Internship

    Mental Health Therapist Internship

    BEAR COMPANY LLCOmaha, NE, US
    serp_jobs.job_card.internship
    Enhance your therapeutic techniques and approaches.Deepen your understanding and application of ethical considerations in mental health. Learn to utilize various assessment tools and contribute to d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Board Certified Behavior Analyst (bcba) Hybrid

    Board Certified Behavior Analyst (bcba) Hybrid

    Key Autism Services - NebraskaMalvern, Iowa
    serp_jobs.job_card.full_time +1
    serp_jobs.filters_job_card.quick_apply
    Key Autism Services is hiring BCBAs in Nebraska! We currently have part time BCBA roles available in the Lincoln and Omaha regions. Are you a passionate BCBA eager to make a meaningful impact? At Ke...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    ABA Case Manager

    ABA Case Manager

    Ad Astra Behavior Analytic ServicesOmaha, NE, USA
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Ad Astra Behavior Analytic Services is committed to helping individuals thrive through individualized Applied Behavior Analysis (ABA) programs. Team members receive company-provided technology, incl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Family Support Worker

    Family Support Worker

    Family Access CenterMissouri Valley, IA, US
    serp_jobs.job_card.full_time
    Assist Family Services Specialist and / or Intervention Specialist to achieve identified family goals for safety, permanency, and well-being as specified within the Family Centered Services and DHHS ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    State Licensed Psychiatry Specialist

    State Licensed Psychiatry Specialist

    VirtualVocationsOmaha, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Specialist Physician in Psychiatry.Key Responsibilities Provide direct patient care, including management and consultations Oversee administrative tasks such as chart ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    Registered Behavior Technician (RBT)

    Registered Behavior Technician (RBT)

    Accel TherapiesOmaha, NE, US
    serp_jobs.job_card.full_time +1
    serp_jobs.filters_job_card.quick_apply
    Registered Behavior Technician Location : .Omaha, Nebraska (68130) Schedule : Full-Time, Monday–Friday, 8 : 00 AM–5 : 00 PM availability required Work Setting : Center-Based ABA, School-Based A...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Mental Health Therapist

    Mental Health Therapist

    SonderMind CareersModale, IA, US
    serp_jobs.job_card.full_time
    SonderMind is a leading mental health care platform revolutionizing therapy services by empowering licensed mental health therapists to deliver exceptional care with cutting-edge, AI-powered tools....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    Board Certified Behavior Analyst (BCBA)

    Board Certified Behavior Analyst (BCBA)

    Connected Roots Care CenterOmaha, Nebraska, United States, 68137
    serp_jobs.job_card.full_time +1
    CRCC is looking to add a part-time or full-time center-based BCBA to our growing ABA Program at our Omaha Centers (88th & Blondo and 138th & Q Street). This position will primarily be at our SW Cent...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    California Licensed Behavioral Health Advocate

    California Licensed Behavioral Health Advocate

    VirtualVocationsOmaha, Nebraska, United States
    serp_jobs.job_card.full_time
    A company is looking for a Behavioral Health Care Advocate - UM (Remote in CA).Key Responsibilities Handle inbound calls from providers and members in a call center environment Conduct initial c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Psychiatrist

    Psychiatrist

    TalkiatryOmaha, NE, US
    serp_jobs.job_card.full_time
    Talkiatry is led clinically by Dr.Georgia Gaveras, a board-certified child, adolescent and adult psychiatrist with an additional board-certification in addiction medicine.At Talkiatry, that means o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    BCBA

    BCBA

    Apara Autism CentersBellevue, Nebraska, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Board Certified Behavior Analyst (BCBA).Location : Omaha - Bellevue Center;.Fort Crook Rd N, Bellevue, NE 68005.Competitive Compensation + $5,000 Sign-On Bonus. Why Join Autism Learning Collaborative...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Social Worker

    Social Worker

    TradeJobsWorkForce68002 Arlington, NE, US
    serp_jobs.job_card.full_time
    Social Worker Job Duties : Determines nature of client's situation by interviewing client, a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Psychiatrist Child-Adolescent

    Psychiatrist Child-Adolescent

    CommonSpirit HealthOmaha, US
    serp_jobs.job_card.full_time
    Job Summary and Responsibilities.CHI Health Clinic and Creighton University School of Medicine are recruiting a Child and Adolescent Psychiatrist for their growing department, located in the metrop...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Direct Support Professional - Fremont, NE

    Direct Support Professional - Fremont, NE

    MosaicFremont, NE, United States
    serp_jobs.job_card.full_time
    Fremont, Nebraska, United States.If making a positive impact in the lives of others is always on your to-do list you'll LOVE working with a team that puts people first.As a DSP, you will provide...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Mental Health Therapist 1099

    Mental Health Therapist 1099

    Teladoc HealthOmaha, NE, United States
    serp_jobs.job_card.full_time
    Update Coming to the Teladoc Health Careers page URL.As part of a system transition on October 11-12, 2025, current job posting links will no longer be accessible. To continue viewing this job or ot...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Board Certified Behavioral Analyst (BCBA)

    Board Certified Behavioral Analyst (BCBA)

    Carelinks ABAOmaha, NE, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Carelinks ABA is seeking compassionate and driven Board Certified Behavior Analysts (BCBAs) to join our growing team.In this role, you'll be instrumental in providing high-quality, individualized A...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30