Utilization Review Specialist (BCBA Licensee)

Job Title: Utilization Review Specialist (BCBA Licensee)
Location: Baltimore, MD (Remote – offsite)
Type: Contract To Hire
Compensation: $51/hr (W2)
Work Model: 100% Remote

Overview
Utilizing key principles of utilization management, the Utilization Review Specialist (BCBA Licensee) performs prospective, concurrent, and retrospective reviews to determine authorization, medical necessity, and appropriateness of Applied Behavior Analysis (ABA) services. This role leverages clinical expertise in behavior analysis and evidence-based ABA practices to evaluate treatment plans, service intensity, and clinical outcomes for individuals with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses.

Responsibilities


+ Perform prospective, concurrent, and retrospective reviews to determine authorization, medical necessity, and appropriateness of ABA services.

+ Review ABA treatment requests (initial, concurrent, and r...

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