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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