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Centene Corporation

Utilization Review Clinician – ABA

Centene Corporation

Utilization Review Clinician managing ABA services for Centene's Medical Management team. Evaluating member care and ensuring medical appropriateness of behavioral health services and treatment.

Posted 7/29/2026full-timeRemote • Montana • 🇺🇸 United StatesJuniorMid-Level💰 $27 - $49 per hourWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in evaluating and monitoring ABA services, ensuring clinical effectiveness and efficiency in member care. Proficient in analyzing behavioral health data to enhance service quality and educate members and families on ABA processes.

Highest-signal resume keywords
BCBA CertificationLCSW CertificationLMHC CertificationABA Services KnowledgeBehavioral Health Utilization Review

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Clinical Effectiveness MonitoringCare EvaluationData AnalysisQuality ImprovementMember Education
Certifications & Qualifications
LCSWLMHCLPCLMFTLMHPBCBA
Industry Keywords
ABA ServicesBehavioral HealthUtilization ReviewMember CareHealth Status Evaluation

About the role

Key responsibilities & impact
  • Performs reviews of member's care and health status of ABA services
  • Monitors clinical effectiveness and efficiency of member's care
  • Evaluates member’s care and health status before, during, and after provision of ABA services
  • Analyzes BH member data to improve quality and appropriate utilization of services
  • Provides education to members and their families regarding ABA and BH utilization process

Requirements

What you’ll need
  • Graduate of an Accredited School of Nursing or Bachelor's degree
  • 2-4 years of related experience
  • 2+ years providing ABA services as a BCBA
  • LCSW or LMHC or LPC or LMFT or LMHP or BCBA required
  • Knowledge of ABA services and BH utilization review process required

Benefits

Comp & perks
  • health insurance
  • 401K and stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules