Select Health Autism Utilization Review Care Manager
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About The Position
Select Health is a not-for-profit community health plan serving more than 1 million members in the Intermountain west. Select Health's line of businesses (LOB) includes Medicare, Medicaid, FEHB, Marketplace Qualified Health Plans and fully funded and self-funded Commercial plan. This position is a hybrid role that combines the expertise of a Licensed and Masters Prepared Behavior Health Specialist with Utilization and Care management. This role is essential in ensuring that members receive high-quality, cost-effective care. The ideal candidate will possess a strong understanding of Applied Behavior Analysis (ABA) principles, as well as a solid foundation in healthcare operations and regulatory compliance. Candidate will apply expertise in Applied Behavior Analysis (ABA) to review medical records and treatment plans for individuals with autism and other behavioral health conditions to ensure that services are medically necessary, appropriate, and cost-effective.
