Remote Autism Care Management Coordinator

Independence Blue Cross, LLC; Philadelphia (Philadelphia County); À distance; USD 85 000 - 120 000; Plein temps

Résumé du poste

Independence Blue Cross, LLC is seeking a Behavioral Health Autism Care Management Coordinator to evaluate a member's BH condition and determine medical necessity for Autism and ABA services. The role involves reviewing medical records, collaborating with providers, and ensuring access to appropriate care for members in the TriState area.

This position requires an active licensed professional and BCBA certification, with strong analytical and communication skills, and the ability to navigate

Qualifications

• Must hold an active unrestricted independent mental health license.
• Board-certified ABA certification required.
• Experience with autism and ABA case management preferred.

Responsabilités

• Evaluate member BH condition and determine medical necessity for Autism/ABA services.
• Interact with providers to obtain additional BH information when needed.
• Comply with regulatory requirements and advocate for members navigating care.

Connaissances

DSM-V knowledge

ABA experience

Excellent communication

Analytical skills

Time management

Formation

Active unrestricted independent clinical mental health license

Board Certified Behavior Analyst Certification

Outils

Microsoft Word

Outlook

Excel

SharePoint

Adobe programs

Description du poste

Independence Blue Cross, LLC is seeking a Behavioral Health Autism Care Management Coordinator to evaluate a member's BH condition and determine medical necessity for Autism and ABA services. The role involves reviewing medical records, collaborating with providers, and ensuring access to appropriate care for members in the TriState area.

This position requires an active licensed professional and BCBA certification, with strong analytical and communication skills, and the ability to navigate