Florida 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 to ensure medical appropriateness Performs prior authorization reviews for behavioral health to determine compliance with ABA regulatory guidelines Analyzes behavioral health member data to enhance service quality and utilization Required Qualifications Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience Licensure as a Clinical Social Worker, Mental Health Counselor, Professional Counselor, or equivalent required Behavioral health clinical knowledge and ability to assess ABA Treatment Plans Knowledge of ABA services and the behavioral health utilization review process Experience working with healthcare providers in reviewing ABA services preferred
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 to ensure medical appropriateness
Performs prior authorization reviews for behavioral health to determine compliance with ABA regulatory guidelines
Analyzes behavioral health member data to enhance service quality and utilization
Required Qualifications
Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience
Licensure as a Clinical Social Worker, Mental Health Counselor, Professional Counselor, or equivalent required
Behavioral health clinical knowledge and ability to assess ABA Treatment Plans
Knowledge of ABA services and the behavioral health utilization review process
Experience working with healthcare providers in reviewing ABA services preferred
