Remote ABA Utilization Advocate for Autism Care

Texas Health Institute; Eden Prairie (MN); Hybrid; USD 60,000 - 107,000; Full time

Job summary

UnitedHealth Group in the United States is seeking a telephonic, queue-based professional to review medical necessity criteria for Applied Behavior Analysis (ABA) treatment requests and provide autism education to parents and caregivers. The role operates between 7am–7pm CST, Monday–Friday, with the possibility to work remotely from anywhere in the U.S.

Key duties include reviewing evaluations, obtaining provider information, determining medical necessity, managing outpatient cases, coordinating

Qualifications

• Active and unrestricted licensure either as an independent clinical mental health professional (Social Worker, Counselor, Therapist, or Psychologist), a Licensed Behavior Analyst (LBA), or a Board Certified Behavior Analyst (BCBA) if LBA is not offered in your state.
• 2+ years of experience in a related behavioral health environment.
• Experience working with children and/or adolescents on the autism spectrum.
• Proficient in Microsoft Office Suite including Teams, Word, and Outlook.
• Dedicated, distraction-free workspace and access to high-speed internet in home.

Responsibilities

• Review comprehensive diagnostic evaluations to ensure valid diagnoses.
• Obtain clinical information from providers on Applied Behavior Analysis treatment requests.
• Determine if additional clinical treatment sessions for Applied Behavior Analysis are medically necessary in accordance with appropriate level of care guidelines.
• Manage outpatient cases throughout the entire treatment plan.
• Coordinate benefits and transitions between various areas of care including case management.
• Identify ways to add value to treatment plans and consult with facility staff / outpatient care providers.
• Provide education and resources to parents/caregivers specific to Applied Behavior Analysis treatment and/or their benefit plan.
• Quote benefits and provide referrals as needed.

Education

Licensure: Independent clinical mental health license / LBA / BCBA

Tools

Microsoft Office Suite

Job description

UnitedHealth Group in the United States is seeking a telephonic, queue-based professional to review medical necessity criteria for Applied Behavior Analysis (ABA) treatment requests and provide autism education to parents and caregivers. The role operates between 7am–7pm CST, Monday–Friday, with the possibility to work remotely from anywhere in the U.S.

Key duties include reviewing evaluations, obtaining provider information, determining medical necessity, managing outpatient cases, coordinating