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ABA Utilization Management Clinical Consultant

ConsultantConsultantFull TimeRemoteSeniorTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Louisiana + 4 moreAll locations: Louisiana | Montana | North Carolina | Maryland | Mississippi

Posted

15 days ago

Salary

$26 - $56 / hour

Seniority

Senior

Postgraduate Degree3 yrs expEnglish

Job Description

ABA Utilization Management Clinical Consultant

CVS Health

• Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence-based care and clinical practice guidelines for Behavioral Health, specific to ABA • Utilizes clinical experience and skills in a collaborative process to assess appropriateness of treatment plans across levels of care, applying evidence-based standards and practice guidelines to treatment where appropriate • Coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members • Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage • Coordinates with providers and other parties to facilitate optimal care/treatment • Identifies members at risk for poor outcomes and facilitates referral opportunities to integrate with other products, services and/or programs • Identifies opportunities to promote quality effectiveness of healthcare services and benefit utilization

Job Requirements

  • Independent BCBA/LBA
  • 3+ years clinical practice experience, e.g., hospital setting, direct clinical practice experience required
  • 1+ years of Autism treatment/ABA experience required
  • Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
  • Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding

Benefits

  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • comprehensive benefits package

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