Description: Exception Template
Utilization Review Clinician - ABA- J00962
Job Description Summary
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.
Education/Experience:
Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 4 years of related experience.
License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state (BCBA) required.
Master s degree for behavioral health clinicians preferred.
Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required.
Knowledge of ABA services and BH utilization review process required.
Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred.
License/Certification:
LCSW- License Clinical Social Worker required or
LMHC-Licensed Mental Health Counselor required or
LPC-Licensed Professional Counselor required or
Licensed Marital and Family Therapist (LMFT) required or
Licensed Mental Health Professional (LMHP) required or
RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
Board Certified Behavior Analyst (BCBA) required
Independent licensure with ABA experience and BCBA preferred.
Custom Fields:
Name: Field Worker
Value: No
Name: Which Health Plan, programs or functions will this work support?
Value: Peach State Health Plan
Name: Shortlisting Date
Value: None
Name: If this request is replacing a previously canceled request, please provide the original Request ID
Value: None