Top 59 Aba authorization Jobs in Remote

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. —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
ABA Team Scheduler
Grow With Me - Creciendo Juntos —Remote
- $25 - $28 an hour
- Full-time
- Remote
- Spanish
- Google Workspace
- Customer service
- Health insurance
- 401(k)
Quick Apply
19h
ABA Billing Specialist
Colorful Minds ABA —Remote
- $20 - $25 an hour
- Part-time
- Remote
- Mid-level
- Organizational skills
- Adolescents
- Paid time off
- Flexible schedule
Quick Apply
2d
Insurance and Billing Coordinator - ABA Therapy
Assent Therapy ABA —Remote
- $21 - $27 an hour
- Part-time
- Remote
- Customer service
- Computer literacy
- 3 years
Quick Apply
6d
ABA Utilization Review (UR) Specialist
Spectrum Billing Solutions —Remote
- Full-time
- Hybrid work
- Applied behavior analysis
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Medical Billing Specialist ABA
RightWay ABA —Clifton, NJ
- $21 - $28 an hour
- Full-time
- Remote
- Applied behavior analysis
- Mid-level
- 2 years
- Health insurance
- Dental insurance
Quick Apply
ABA Benefits and Authorizations Specialist
Alternative Behavior Strategies —Sugar Land, TX
- $18 - $19 an hour
- Remote
- Computer literacy
- Basic math
- HIPAA
- Opportunities for advancement
2d
Credentialing & VOB/Authorizations Specialist ABA (Remote)
RightWay ABA —Clifton, NJ
- $21 - $28 an hour
- Full-time
- Remote
- Applied behavior analysis
- Mid-level
- 2 years
- Health insurance
- Dental insurance
Quick Apply
Remote ABA Therapy Medical Billing Specialist
House of Hearts ABA —Hollywood, FL
- $20 - $28 an hour
- Part-time
- Remote
- Bachelor's degree
- Children
- Organizational skills
Quick Apply
4d
Workers Compensation Authorization & Verification Specialist
Ivy Rehab Network —White Plains, NY
- $20 - $23 an hour
- Full-time
- Remote
- Mid-level
- Analysis skills
- 2 years
- Paid parental leave
- Paid holidays
Quick Apply
13d
Director of ABA Revenue Cycle Management (Remote)
RightWay ABA —Clifton, NJ
- $100,000 - $150,000 a year
- Full-time
- Remote
- 6 years
- Analysis skills
- Mentoring
- Health insurance
- Dental insurance
Quick Apply
Law Clerk I
Amentum —Remote
- $38.77 an hour
- Full-time
- Hybrid work
- Word processing
- Writing skills
- Office
- Employee stock purchase plan
- Paid holidays
ABA Therapy Operations Assistant
Leading Pathways ABA Therapy —Boca Raton, FL
- $20 - $21 an hour
- Full-time
- Remote
- Background check
- Google Workspace
- HIPAA
- Dental insurance
- Paid time off
Quick Apply
3d
AR Specialist
RethinkFirst —Remote
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Paid holidays
- Health insurance
Quick Apply
Community Behavioral Health Solutions Consultant
Noteable —Remote
- $60,000 - $75,000 a year
- Full-time
- Remote
- Mid-level
- Residential
- Presentation skills
- Health insurance
- Dental insurance
Quick Apply
9d
Family Success Liaison
MeBe —Fresno, CA
- $27 - $32 an hour
- Extended hours
- Remote
- Mid-level
- Children
- Organizational skills
- AD&D insurance
- Disability insurance
Quick Apply
1d
Central Operations Manager, Revenue Cycle Management
Soar Autism Center —Remote
- $100,000 - $130,000 a year
- Full-time
- Remote
- Computer science
- System design
- Bachelor's degree
Quick Apply
Board Certified Behavior Analyst (BCBA) | REMOTE| BILINGUAL
Progressive Option Support Services —Remote
- $80 - $85 an hour
- Part-time
- Remote
- Spanish
- Management
- Mid-level
- Flexible schedule
- Referral program
Quick Apply

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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 authorization jobs in remote

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

ABA Team Scheduler

ABA Billing Specialist

Insurance and Billing Coordinator - ABA Therapy

ABA Utilization Review (UR) Specialist

Medical Billing Specialist ABA

ABA Benefits and Authorizations Specialist

Credentialing & VOB/Authorizations Specialist ABA (Remote)

Remote ABA Therapy Medical Billing Specialist

Workers Compensation Authorization & Verification Specialist

Director of ABA Revenue Cycle Management (Remote)

Law Clerk I

ABA Therapy Operations Assistant

AR Specialist

Community Behavioral Health Solutions Consultant

Family Success Liaison

Central Operations Manager, Revenue Cycle Management

Board Certified Behavior Analyst (BCBA) | REMOTE| BILINGUAL

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