Utilization Management Applied Behavioral Analysis Professional
Core
Utilizes behavioral health knowledge to coordinate, document, and communicate medical services and benefit administration determinations for members.
Role type
Utilization Management Applied Behavioral Analysis Professional
Builds
Treatment plans and care coordination for members
Domain
Healthcare / Behavioral Health
Deliverable
client delivery
Required skills
Board-Certified Behavioral Analysis, Licensed Behavior Analyst (LBA), Applied Behavioral Analysis clinical experience, critical thinking, policy interpretation
Preferred skills
Managed care experience, knowledge of community health and social service agencies
Technologies
MS Office (Word, Excel, Outlook)
Responsibilities
Interpret criteria, policies, and procedures to determine appropriate courses of action; coordinate and communicate with providers and members to facilitate optimal care; make independent decisions regarding work methods in ambiguous situations.
Seniority
Mid-level, independent contributor