Remote LBA/BCBA Utilization Management Consultant (Florida)
CVS Health
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Job summary
CVS Health is hiring a Behavior Analysis Utilization Management Clinical Consultant (LBA/BCBA) for a 100% remote role serving Florida residents. The position requires FL licensure and involves reviewing treatment plans, determining medical necessity, and supporting utilization management processes.
The role emphasizes evidence-based care, quality outcomes, and collaboration with providers. Ideal candidates have 3+ years in behavior analysis or autism treatment, 2+ years of MS Office experience,
Qualifications
- Florida-licensed LBA/BCBA required
- Experience in ABA/behavioral health settings
- Experience with Medicaid/managed care
- Utilization management experience a plus
Responsibilities
- Review treatment plans, documentation, and service requests for behavioral analysis and autism-related services
- Apply evidence-based guidelines to determine medical necessity and coverage
- Evaluate and monitor services to support appropriate treatment and benefit utilization
- Support quality improvement by identifying opportunities to enhance treatment effectiveness
- Serve as a subject matter expert on behavioral analysis within utilization management
Skills
Education
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Job description
CVS Health is hiring a Behavior Analysis Utilization Management Clinical Consultant (LBA/BCBA) for a 100% remote role serving Florida residents. The position requires FL licensure and involves reviewing treatment plans, determining medical necessity, and supporting utilization management processes.
The role emphasizes evidence-based care, quality outcomes, and collaboration with providers. Ideal candidates have 3+ years in behavior analysis or autism treatment, 2+ years of MS Office experience,
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