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Licensed Utilization Review Clinician

Company: VirtualVocations
Location: Bell Gardens
Posted on: May 1, 2025

Job Description:

A company is looking for a Utilization Review Clinician - ABA.
Key Responsibilities

Evaluate member's care and health status related to Applied Behavioral Analysis (ABA) services
Perform prior authorization reviews to determine medical appropriateness in accordance with ABA guidelines
Analyze behavioral health member data to enhance the quality and utilization of services

Required Qualifications, Training, and Education

Graduate of an Accredited School of Nursing or Bachelor's degree with 2 - 4 years of related experience
Master's degree for behavioral health clinicians required
Licensure as a Clinical Social Worker, Mental Health Counselor, Professional Counselor, or equivalent required
Behavioral health clinical knowledge and familiarity with ABA Treatment Plans preferred
Experience working with healthcare teams to review ABA services preferred

Keywords: VirtualVocations, San Diego , Licensed Utilization Review Clinician, Other , Bell Gardens, California

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