Licensed Behavior Analyst Exception Template

Summary:

• Duration: 3 months, possibility to become permanent
• Work Mode: Remote role, but will have meetings onsite in Atlanta, GA
• Location: Candidates should live in Georgia, no more than 100 miles from Atlanta

Responsibilities:

• Manage a caseload of 73 active members and 30 pending cases, ensuring timely outreach, follow-up, and care coordination.
• Conduct monthly outreach to all active members to assess needs, provide resources, address barriers to care, and follow up on ongoing care plans.
• Support members in maintaining independent daily functioning by identifying needs, connecting members with appropriate community and healthcare resources, and monitoring progress.
• Conduct member outreach through telephone-based care management and digital care management platforms to provide ongoing support and engagement.
• Assess member needs and coordinate appropriate services, resources, referrals, and follow-up interventions to support positive health and care outcomes.
• Participate in multidisciplinary care team meetings to discuss member needs, care plans, barriers, and progress.
• Participate in and facilitate ABA rounds, contributing to case discussions, care planning, and coordination of member services.
• Maintain accurate and timely documentation of member outreach, assessments, interventions, resources provided, and follow-up activities.
• Prioritize and manage daily workload independently while balancing active caseload responsibilities, pending cases, outreach requirements, care coordination, and team meetings.
• Identify members requiring additional intervention or escalation and collaborate with appropriate care team members to address complex needs.

Requirements:

• Graduate of an Accredited School of Nursing or Bachelor's degree.
• Minimum 2 years of related experience.
• License to practice independently and/or have obtained the state-required licensure as outlined by the applicable state (BCBA) required.
• 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.

Preferred Skills:

• Ability to manage a 90-member caseload, identify member needs, coordinate services, and transition members into active care management.
• Experience conducting high-volume outreach, working with BH members and conditions, and engaging members in appropriate healthcare services.
• Proficiency with healthcare case-management/CRM systems, maintaining task queues, documenting outreach, tracking member status, and managing daily productivity/conversion metrics.
• Master’s degree for behavioral health clinicians preferred.
• Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred.