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Utilization Review Clinician - CA Licensed

Company: VirtualVocations
Location: Reno
Posted on: October 28, 2024

Job Description:

A company is looking for a Utilization Review Clinician - ABA to perform reviews of member care and health status related to Applied Behavioral Analysis services.



Key Responsibilities

Evaluate member care and health status to ensure medical appropriateness of ABA services
Perform prior authorization reviews to determine medical necessity in accordance with ABA guidelines
Provide education to members and families regarding ABA and behavioral health utilization processes


Required Qualifications, Training, and Education

Graduate of an accredited nursing school or Bachelor's degree with 2-4 years of related experience
Master's degree for behavioral health clinicians is required
Licensure as a Clinical Social Worker, Licensed Mental Health Counselor, or equivalent is required
Behavioral health clinical knowledge and ability to assess ABA Treatment Plans preferred
Experience working with providers and healthcare teams regarding ABA services preferred

Keywords: VirtualVocations, Reno , Utilization Review Clinician - CA Licensed, Other , Reno, Nevada

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