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About the role
Key responsibilities & impact- Provide utilization management and care management for behavioral health and health care navigation for ASD services provided to Lucet eligible members
- Collaborates in assessment, planning, facilitation, discharge planning, and advocacy to meet member health needs using available resources
- Engages members and families through telephonic assessments, follow‑up support, education, and linkage to resources
- Verifies member eligibility and benefits, completes utilization review for ABA therapy
- Maintains accurate clinical documentation, protects client confidentiality, practices within licensure scope
Requirements
What you’ll need- Current BCBA certification and licensure if applicable for state of residence
- Direct experience in working with children with Autism Spectrum Disorder in home and/or clinic setting
- Strong computer skills (Word and Excel)
- Ability to comprehend medical policy and criteria to clearly articulate health information
- Ability to pass background check upon hire and throughout employment
Benefits
Comp & perks- Hourly compensation between $37 - $42
- 401(k) with competitive employer match
- Remote work flexibility (role-dependent)
- Opportunity for meaningful growth, both personally and professionally
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
utilization managementcare managementtelephonic assessmentsutilization reviewclinical documentationABA therapy
Soft Skills
collaborationadvocacyeducationlinkage to resourcescomprehension of medical policy
Certifications
BCBA certification