ABA Care Review Clinician — BCBA/LBA (Florida)

Molina Healthcare; Long Beach (CA); On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare in Long Beach, CA (FL residency noted in posting) seeks an experienced ABA-focused reviewer to verify medical necessity and align services with guidelines. You will influence care across the continuum and support quality, cost-effective member care.

The role requires BCBA/LBA credentials, 2+ years in healthcare, and strong communication. Collaboration with care management and providers is essential for timely access to BHT services.

Qualifications

• Board Certified Behavior Analyst (BCBA) or Licensed Behavior Analyst (LBA) with an active license.
• At least 2 years healthcare experience in behavioral health.
• Knowledge of community resources.
• Ability to work independently and manage high-pressure situations.
• Strong verbal and written communication skills.
• Proactive, detail-oriented with excellent time management.

Responsibilities

• Assess ABA services for medical necessity, cost-effectiveness, and compliance.
• Analyze service requests against evidence-based guidelines.
• Determine benefits, eligibility, and expected length of stay for treatments.
• Approve prior authorization requests for BHT treatments and assessments.
• Collaborate with care management and provider relations to ensure timely access.
• Provide peer-to-peer consultation to in-network BHT providers.
• Monitor treatment plans for effectiveness and outcomes.
• Coordinate with behavioral health medical directors for proper management.

Skills

BCBA/LBA certification

Behavioral analyst experience

Detail-oriented

Independent work

Verbal and written communication

Time management

Microsoft Office proficiency

Education

BCBA or LBA license (active)

Tools

Microsoft Office

Job description

Molina Healthcare in Long Beach, CA (FL residency noted in posting) seeks an experienced ABA-focused reviewer to verify medical necessity and align services with guidelines. You will influence care across the continuum and support quality, cost-effective member care.

The role requires BCBA/LBA credentials, 2+ years in healthcare, and strong communication. Collaboration with care management and providers is essential for timely access to BHT services.