Licensed Autism Care Advocate - Remote Nationwide

About the position

As a Licensed Autism Care Advocate at Optum, you will play a crucial role in reviewing medical necessity for Applied Behavior Analysis (ABA) requests and providing education and resources to parents and caregivers. This remote position requires you to work telephonically with a structured schedule, ensuring that you can effectively manage outpatient cases and coordinate benefits across various areas of care. You will be expected to achieve measurable results while working with a diverse member population, all within a fast-paced environment.

Responsibilities
? Review comprehensive diagnostic evaluations to ensure valid diagnosis has been given
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? Obtain clinical information from providers on Applied Behavior Analysis requests for treatment
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? Determine if additional clinical treatment sessions for Applied Behavior Analysis are medically necessary in accordance with appropriate level of care guidelines
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? Manage outpatient cases throughout the entire treatment plan
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? Coordinate benefits and transitions between various areas of care including case management
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? Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers on those ideas
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? Provide education and resources to parents/caregivers specific to Applied Behavior Analysis treatment and/or their benefit plan
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? Quote benefits and provide referrals as needed

Requirements
? Active, unrestricted, clinical mental health license that allows you to practice independently without supervision (e.g., Social Worker, Counselor, Therapist, or Psychologist)
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? Licensed Behavior Analyst
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? Board Certified Behavior Analyst certification (if the behavior analyst license is not offered in your state)
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? 2+ years of post-independent licensure / BCBA certification experience in a related mental health environment
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? Experience working with children and/or adolescents with Autism
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? Computer literacy in a Windows environment including Microsoft Word and Outlook
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? Proven ability to talk on the phone and type at the same time
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? Access to install secure, high-speed internet and a dedicated, distraction-free workspace at home

Nice-to-haves
? ABA certification
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? Managed Care experience
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? Utilization Management experience
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? Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients

Benefits
? Comprehensive benefits package
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? Incentive and recognition programs
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? Equity stock purchase
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? 401k contribution

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