Utilization Management, Clinician Behavioral Health - Autism Care Team - Remote
Core
Assess appropriateness of treatment plans for ABA services and coordinate healthcare services for members with autism diagnoses.
Role type
Utilization Management Clinician (Behavioral Health)
Builds
Coverage determinations and care coordination for autism care members
Domain
Healthcare / Behavioral Health / Autism Care
Required skills
Clinical judgment, Crisis intervention, ABA service assessment, Treatment plan evaluation, Care coordination, Policy application
Preferred skills
Managed Care experience
Technologies
Residential broadband (25mbps/3mbps)
Responsibilities
Assess appropriateness of treatment plans for ABA services, Coordinate and monitor healthcare services for members, Provide triage and crisis support, Render coverage determinations based on clinical criteria, Facilitate referrals for members at risk, Consult with internal and external constituents on benefit management
