BCBA Utilization Review Specialist — ABA Care & Coverage

Ampcus, Inc; Baltimore (MD); On-site; USD 70,000 - 90,000; Full time

Job summary

Ampcus, Inc is looking for a Health Services Spec in Utilization Management located in Baltimore, MD. This role involves reviewing and determining authorization for ABA services, analyzing clinical documentation, and ensuring medical necessity.

The ideal candidate should hold a Master's Degree in a relevant field and a BCBA certification, alongside 3-5 years of experience in clinical ABA settings. This position focuses on collaboration with healthcare professionals and providing support to individuals with Autism Spectrum Disorder.

Qualifications

• Master's Degree or higher in a relevant field.
• Board Certified Behavior Analyst (BCBA) certification required.
• 3-5 years of clinical ABA experience.

Responsibilities

• Review ABA treatment requests for medical necessity and appropriateness.
• Conduct research and collaborate with medical staff on benefit applications.
• Assist members and providers with care coordination and education.

Skills

Clinical ABA experience

Behavior analysis principles

Critical thinking

Collaboration with healthcare providers

Education

Master's Degree in Behavior Analysis, Psychology, Education, or related field

Job description

Ampcus, Inc is looking for a Health Services Spec in Utilization Management located in Baltimore, MD. This role involves reviewing and determining authorization for ABA services, analyzing clinical documentation, and ensuring medical necessity.

The ideal candidate should hold a Master's Degree in a relevant field and a BCBA certification, alongside 3-5 years of experience in clinical ABA settings. This position focuses on collaboration with healthcare professionals and providing support to individuals with Autism Spectrum Disorder.