Autism Care Advocate - ABA Utilization Management - Remote

UnitedHealth Group•Eden Prairie, MN

1d•$60,200 - $107,400•Remote

About The Position

In this role, you will work directly with providers to review medical necessity criteria for Applied Behavior Analysis (ABA) treatment requests and provide autism education and resources to parents and caregivers. This is a telephonic, queue-based position with a structured schedule between the business hours of 7am - 7pm CST, Monday - Friday. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

Independent clinical mental health license (Social Worker, Counselor, Therapist, or Psychologist) OR Licensed Behavior Analyst (LBA) OR Board Certified Behavior Analyst (BCBA) if the LBA is not offered in your state (must be active and unrestricted)
2+ years of experience in a related behavioral health environment
Experience working with children and/or adolescents on the autism spectrum
Proficient in Microsoft Office Suite including Teams, Word, and Outlook
Dedicated, distraction-free workspace and access to high-speed internet in home
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Candidates are required to pass a drug test before beginning employment.

Nice To Haves

ABA certification
Managed Care experience
Utilization Management experience

Responsibilities

Review comprehensive diagnostic evaluations to ensure valid diagnoses
Obtain clinical information from providers on Applied Behavior Analysis treatment requests
Determine if additional clinical treatment sessions for Applied Behavior Analysis are medically necessary in accordance with appropriate level of care guidelines
Manage outpatient cases throughout the entire treatment plan
Coordinate benefits and transitions between various areas of care including case management
Identify ways to add value to treatment plans and consult with facility staff / outpatient care providers
Provide education and resources to parents/caregivers specific to Applied Behavior Analysis treatment and/or their benefit plan
Quote benefits and provide referrals as needed