Georgia Licensed Utilization Review Clinician - job 2 of 3

Job Summary

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
• Interacts with healthcare providers and provides education to members and their families regarding ABA services

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 as required by the state (e.g., BCBA)
• Master's degree for behavioral health clinicians preferred
• Behavioral health clinical knowledge and experience in reviewing ABA Treatment Plans required
• Knowledge of ABA services and BH utilization review process required