Negotiable
Undetermined
Remote
Remote
Summary: The Utilization Review Specialist (BCBA Licensee) role is focused on overseeing and managing ABA treatment plans for children with behavioral and autism issues. The position requires an active BCBA certification and significant clinical experience in ABA. The specialist will also engage in utilization management and insurance review processes. This is a remote position based in Baltimore, Maryland.
Key Responsibilities:
- Oversee and manage ABA treatment plans.
- Provide direct patient care to children with behavioral and autism issues.
- Engage in utilization management and insurance review processes.
- Review medical necessity and authorization requests.
- Work within managed care and payer environments.
Key Skills:
- Active BCBA certification and state licensure (MD, DC, or Virginia).
- 3+ years of ABA clinical experience.
- Experience in creating and supervising ABA treatment plans.
- Direct patient care background.
- Utilization management or insurance review experience.
- Familiarity with managed care and payer environments.
Salary (Rate): undetermined
City: undetermined
Country: undetermined
Working Arrangements: remote
IR35 Status: undetermined
Seniority Level: undetermined
Industry: Other
Position : Utilization Review Specialist (BCBA Licensee)
Location : Baltimore Maryland Remote
Direct Client Requirement
Notes from Manager :
Active BCBA (Board Certified Behavior Analyst) certification and state licensure (MD, DC, or Virginia) - Required
3+ years of ABA (Applied Behavior Analysis) clinical experience - Required
Experience creating and supervising ABA (Applied Behavior Analysis) treatment plans
Direct patient care background (dealing with children with Behavior / Autism issues)
Utilization Management or insurance review experience strongly preferred
Comfortable reviewing medical necessity and authorization requests
Familiar with managed care and payer environments