Remote BCBA for Behavioral Health Utilization Management

Sentara Health; Richmond (VA); Remote; USD 70,000 - 108,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/403B with Employer Match

Tuition Assistance – $5,250/year

Job summary

Sentara Health is hiring a Board Certified Behavior Analyst (BCBA) for Behavioral Health Utilization Management in Virginia, remote. This full-time, 40 hours per week position operates from 8am to 5pm EST, Mon-Fri.

The role focuses on applying evidence-based guidelines for treatment, coordinating care, and ensuring appropriate utilization of ABA services across levels of care. Requires BCBA and Virginia LBA licensure, with 3 years of related experience.

Qualifications

• BCBA certification and Virginia LBA license required.
• 3 years of related experience in behavioral health/utilization management required.
• Experience with ASD/ABA applications preferred.

Responsibilities

• Interpret criteria and policies to determine appropriate services.
• Coordinate and evaluate options to facilitate healthcare services for members.
• Apply clinical criteria to render coverage.
• Coordinate with providers to facilitate care and address ABA compliance.
• Identify at-risk members and promote referrals.
• Promote quality and utilization of healthcare services.
• Lend expertise to coordination of the UM function.
• Enter accurate information into the claims system for processing of payment.

Skills

BCBA

LBA

Managed care

ABA ASD experience

Health plan experience

Education

Master's degree in Behavioral Analysis

Job description

Sentara Health is hiring a Board Certified Behavior Analyst (BCBA) for Behavioral Health Utilization Management in Virginia, remote. This full-time, 40 hours per week position operates from 8am to 5pm EST, Mon-Fri.

The role focuses on applying evidence-based guidelines for treatment, coordinating care, and ensuring appropriate utilization of ABA services across levels of care. Requires BCBA and Virginia LBA licensure, with 3 years of related experience.