Sentara Healthcare-posted 9 months ago
Full-time • Mid Level
Remote • Norfolk, VA
Hospitals

Sentara Health is hiring for a Board Certified Behavior Analyst (BCBA)/Behavioral Health Utilization Management- Remote in VA! This is a full-time, permanent position (40 hours) with standard working hours from 8am to 5pm EST, Monday to Friday. The position is remote in Virginia only. The BCBA Utilization Management Professional applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence-based care, and clinical practice guidelines for Behavioral Health, specific to Behavior Analysis. The role involves utilizing clinical experience and skills in a collaborative process to assess the appropriateness of treatment plans across levels of care, applying evidence-based standards, and practice guidelines to treatment where appropriate.

  • Uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, understanding complex issues and policies and procedures to determine the best and most appropriate services.
  • Coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
  • Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage.
  • Coordinates with providers and other parties to facilitate optimal care/treatment and to educate and address clinical necessity concerns and ABA.
  • Board Certified Behavior Analyst (BCBA) certification.
  • Experience in Behavioral Health and Utilization Management.
  • Strong critical thinking and communication skills.
  • Experience in a clinical setting.
  • Knowledge of evidence-based care and clinical practice guidelines.
  • Professional development opportunities.
  • Work-life benefits.
  • Diversity and inclusiveness in the workplace.
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