Behavioral Health Specialist
3 days ago
The Community Behavioral Health (CBH) Clinical Care Manager – Neurodevelopmental Services is a crucial role that involves utilization management, population management, cross-system consultation, provider management, and treatment quality monitoring.
Key Responsibilities- Conduct utilization review activities, including interagency meetings, social determinants interviews with members, treatment team meetings, case consultations, care coordination, provider meetings, reviews, treatment linkage, and authorization generation.
- Authorize and extend treatment authorizations when Medical Necessity Criteria are met.
- Consult with Physician Advisor, Psychologist Advisor, and/or Clinical Supervisor as clinically appropriate.
- Generate denial letters based on physician consults and in accordance with state regulations as needed.
- Complete discharge reviews in a timely manner.
- Manage ABA-Designated Providers within the IBHS Level of Care, consult to teams managing other Levels of Care, as needed or assigned.
- Complete an average of 8-15 utilization management (UM) activities per day.
- Participate in at least 8 inter-agency or inter-disciplinary team meetings per month for members being recommended for or receiving ABA Services.
- Ensure collaboration and continuity of care for members with multiple services or in multiple child-serving systems.
- Master's degree in Applied Behavior Analysis, Psychology, or Special Education preferred. Master's degree in a closely related field (e.g., Social Work, Counseling) with at least 18 credits in graduate-level coursework in ABA accepted.
- BCBA or BCBA-eligible within 18 months (1.5 years) of accepting position preferred. If not BCBA or BCBA-eligible, MUST have Pennsylvania License as a Behavior Specialist (BSL).
- PA Child Abuse Clearance required.
- Minimum of 2 years direct clinical experience with children required, with experience in the provision of ABA services to individuals with Autism spectrum or other neurodevelopmental disorders strongly preferred.
Salary: $65,000 - $80,000 per year.
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