Remote ABA Utilization Review Clinician (BCBA/Licensed)

Centene Corporation; Louisiana (MO); Hybrid; USD 3,722,000 - 6,688,000; Full time

Job summary

Centene Corporation is seeking a licensed BCBA with ABA treatment experience to review member care and health status for ABA services. You will monitor medical appropriateness, participate in prior authorizations, and collaborate with BH providers to optimize outcomes.

Role requires state licensure, master’s in behavioral health, and strong clinical knowledge of ABA and BH utilization. Competitive pay and flexible scheduling offered.

Qualifications

• Requires BCBA certification or equivalent licensure as per state rules.
• ABA treatment experience is highly preferred.

Responsibilities

• Evaluates member care and health status for ABA services to ensure medical appropriateness.
• Performs prior authorization reviews related to behavioral health.
• Analyzes data to improve quality and utilization of ABA services.
• Interacts with healthcare providers to discuss level of care and services.
• Provides education to members and families regarding ABA and BH utilization.
• Contributes to process improvement and policy development.

Skills

ABA treatment experience

BCBA

Education

Licensed BCBA or state licensure required

Master’s degree in behavioral health

Job description

Centene Corporation is seeking a licensed BCBA with ABA treatment experience to review member care and health status for ABA services. You will monitor medical appropriateness, participate in prior authorizations, and collaborate with BH providers to optimize outcomes.

Role requires state licensure, master’s in behavioral health, and strong clinical knowledge of ABA and BH utilization. Competitive pay and flexible scheduling offered.