BCBA-Preferred ABA Utilization Review Clinician

Centene Corporation; New Orleans (LA); Hybrid; USD 37,000 - 66,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Remote/Hybrid/Onsite schedule options

Job summary

Centene Corporation seeks a licensed behavioral health professional to review member care and ABA services for medical appropriateness across BH and autism needs, ensuring quality and regulatory alignment.

The role requires Louisiana or Georgia licensure (BCBA preferred) with 2–4 years of related experience and a master’s degree in behavioral health. Flexible work options include remote/hybrid/onsite schedules; compensation includes comprehensive benefits and a diverse, inclusive culture.

Qualifications

• Requires degrees/certifications in behavioral health and ABA.
• Master’s degree for behavioral health clinicians required.
• BCBA certification or equivalent licensure required.

Responsibilities

• Reviews member care and ABA services for medical appropriateness.
• Performs prior authorization reviews related to BH.
• Analyzes BH data to improve utilization and quality.
• Interacts with BH providers regarding level of care and services.
• Educates members and families on ABA and BH utilization.

Skills

ABA clinical knowledge

Medical chart review

Provider communication

Quality improvement

Education

Bachelor's degree

Master's degree in behavioral health

BCBA certification

RN license or equivalent state licensure

Job description

Centene Corporation seeks a licensed behavioral health professional to review member care and ABA services for medical appropriateness across BH and autism needs, ensuring quality and regulatory alignment.

The role requires Louisiana or Georgia licensure (BCBA preferred) with 2–4 years of related experience and a master’s degree in behavioral health. Flexible work options include remote/hybrid/onsite schedules; compensation includes comprehensive benefits and a diverse, inclusive culture.