Top 23 Aba utilization review Jobs in Florida

Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Florida
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Miami, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Tampa, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Orlando, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
HRIS Technology Analyst (UKG Ready)
ICBD —Fort Lauderdale, FL
- $75,000 - $110,000 a year
- Full-time
- Computer science
- Computer Science
- 5 years
- Paid parental leave
- Health savings account
Quick Apply
Case Manager
Applied ABC —Hollywood, FL
- Full-time
- Spanish
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
1d
Board Certified Assistant Behavior Analyst / BCaBA
ICBD —Miami, FL
- $85,000 - $100,000 a year
- Full-time
- Hybrid work
- Mid-level
- Master's degree
- Driver's License
- Continuing education credits
- Mileage reimbursement
Quick Apply
Lead Speech-Language Pathologist
Mindful Sprouts —Boca Raton, FL
- Full-time
- Background check
- Spanish
- Doctoral degree
- Dental insurance
- Vision insurance
Quick Apply
2d
Director of Finance
Virtus Health —Sarasota, FL
- $115,000 - $125,000 a year
- Full-time
- Background check
- Management
- CPA
- Paid holidays
- Health insurance
Quick Apply
Insurance Manager
Step Forward ABA —Miami, FL
- Remote
- HIPAA
- Finance
- Master's degree
Quick Apply
Board Certified Behavior Analyst / BCBA
ICBD —Miami, FL
- $85,000 - $100,000 a year
- Full-time
- Hybrid work
- Management
- Master's degree
- Driver's License
- Continuing education credits
- Mileage reimbursement
Quick Apply
BCBA - Residential Clinical Lead and RBT Supervisor
Access Granted Now, Inc. —Parrish, FL
- $85,000 - $95,000 a year
- Full-time
- Background check
- School experience
- Classroom
- Paid training
- Paid holidays
Quick Apply
7h
Interior Designer
BRS —Jacksonville, FL
- Full-time
- Background check
- Construction site
- 5 years
13d
Sr. Interior Designer
BRS —Jacksonville, FL
- Full-time
- Background check
- Construction site
- Master's degree
13d
Youth Caregiver
Children's Home Network —Tampa, FL
- Weekends as needed
- CPR Certification
- Residential
- High school diploma or GED
Quick Apply

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Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Florida
May require behavioral analyst experience, and/or board certification/licensure as a behavioral analyst (BCBA and/or LBA).
$26.41 - $51.49 an hour
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Tampa, FL
May require behavioral analyst experience, and/or board certification/licensure as a behavioral analyst (BCBA and/or LBA).
$26.41 - $51.49 an hour

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Family Preservation Clinical Supervisor
Mentor Behavioral Health —Columbus, OH
Ensures program compliance with all company policy and procedures, state requirements and legal requirements, including billing compliance.
$75,000 a year
8d

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aba utilization review jobs near florida

Care Review Clinician (BH Licensed) - Remote in FL

Molina Healthcare, Inc. -
Florida

Apply Now

Job Details

Full-time
$26.41 - $51.49 an hour

Benefits

Health insurance

Qualifications

Productivity software

Full Job Description

JOB DESCRIPTION Job Summary

Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations, and ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Assesses services for members - ensuring optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization / financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors and presents cases in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote Molina care model.
Adheres to utilization management (UM) policies and procedures.
May work collaboratively with appropriate departments to provide applied behavior analysis (ABA)/behavioral health therapy (BHT) services to Molina members with autism spectrum disorder (ASD) and other related disorders.
May approve requests for BHT by reviewing behavioral assessments and treatment plans for medical necessity and BHT best practice guidelines. This includes but is not limited to: psychological evaluation requests, comprehensive diagnostic evaluations, functional behavioral assessments, and progress reports.
May perform ongoing monitoring of BHT treatment plans to evaluate effectiveness and treatment efficacy.
May provide peer to peer consultation BHT in-network providers to support treatment planning and maximize member progress.
May work collaboratively with ABA providers to ensure best service practices for members.
May create and develops forms, recommendations and guidelines and training for BHT service delivery.
May collaborate and coordinate with behavioral health medical directors, and senior medical directors to ensure proper management of the BHT benefit.

Required Qualifications

At least 2 years health care experience, including experience in behavioral health and/or hospital acute care, or equivalent combination of relevant education and experience.
Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT) or equivalent behavioral health licensure. License must be active and unrestricted in state of practice.
May require behavioral analyst experience, and/or board certification/licensure as a behavioral analyst (BCBA and/or LBA).
Demonstrated knowledge of community resources.
Ability to operate proactively and demonstrate detail-oriented work.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and demonstrate self-motivation.
Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
Excellent problem-solving, and critical-thinking skills.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

Recent hospital behavioral health experience in an intensive care unit (ICU) or emergency room.

#PJHS3

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Apply Now

Refine Your Search

aba utilization review jobs in florida

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

HRIS Technology Analyst (UKG Ready)

Case Manager

Board Certified Assistant Behavior Analyst / BCaBA

Lead Speech-Language Pathologist

Director of Finance

Insurance Manager

Board Certified Behavior Analyst / BCBA

BCBA - Residential Clinical Lead and RBT Supervisor

Interior Designer

Sr. Interior Designer

Youth Caregiver

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