Autism Care Advocate - ABA Utilization Management - Remote
About The Position
Optum is seeking an Autism Care Advocate to review medical necessity criteria for Applied Behavior Analysis (ABA) treatment requests and provide autism education and resources to parents and caregivers. The role works directly with providers and manages outpatient cases throughout the treatment plan, coordinating benefits, care transitions, and referrals as needed. This is a telephonic, queue-based position with a structured schedule within business hours of 7 a.m. to 7 p.m. CST, Monday through Friday. The position may be performed remotely from anywhere in the United States. Remote employees must comply with UnitedHealth Group’s Telecommuter Policy and have a dedicated, distraction-free workspace and high-speed internet access. The role requires an active, unrestricted qualifying clinical or behavior-analysis credential and at least two years of related behavioral health experience, including work with children and/or adolescents on the autism spectrum. The salary range is $60,200–$107,400 annually based on full-time employment. Benefits and incentives are subject to eligibility requirements.
Requirements
- Hold one active and unrestricted qualifying credential: an independent clinical mental health license (Social Worker, Counselor, Therapist, or Psychologist); Licensed Behavior Analyst (LBA); or Board Certified Behavior Analyst (BCBA) if LBA is not offered in the state.
- At least 2 years of experience in a related behavioral health environment.
- Experience working with children and/or adolescents on the autism spectrum.
- Proficiency in Microsoft Office Suite, including Teams, Word, and Outlook.
- Dedicated, distraction-free workspace and access to high-speed internet at home.
- Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.
- Candidates must 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 regarding Applied Behavior Analysis treatment requests.
- Determine whether additional ABA treatment sessions are medically necessary in accordance with appropriate level-of-care guidelines.
- Manage outpatient cases throughout the entire treatment plan.
- Coordinate benefits and transitions between areas of care, including case management.
- Identify ways to add value to treatment plans and consult with facility staff and outpatient care providers.
- Provide parents and caregivers with education and resources related to ABA treatment and/or their benefit plan.
- Quote benefits and provide referrals as needed.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase.
- 401(k) contribution.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
