Care Manager, Autism/ABA Specialist

7 days ago


Atlanta, Georgia, United States Magellan Health Full time
Job Summary

We are seeking a highly skilled Care Manager to join our team at Magellan Health. As a Care Manager, Autism/ABA, you will play a critical role in shaping the care planning and provision of ABA services for our members.

Key Responsibilities
  • Authorize and review utilization of autism services, including Applied Behavioral Analysis (ABA)
  • Collect and analyze utilization data to inform care planning decisions
  • Assist with shaping of ABA services and assure coordination with other service providers
  • Work with the ABA treatment team to shape care planning and provision, and assure ongoing measurements of progress
  • Assure overall case management with the inclusion of behavioral health services when required
  • Coach and mentor less experienced Care Managers
  • Perform concurrent reviews with treatment team providers
  • Review all submitted materials and consultation with treatment team providers
  • Review IEP, psych testing, and other case evaluation materials
  • Provide information to members and providers regarding mental health and autism benefits, community treatment resources, mental health managed care programs, and company policies and procedures
  • Interact with the company's Medical and Associate Medical Directors and/or Physician Advisors to discuss clinical and authorization questions and concerns
  • Participate in quality improvement activities, including data collection, tracking, and analysis
  • Lead or participate in activities to improve Care Center performance, excellence, and culture
Requirements
  • A minimum of six (6) years post-degree experience in the provision of ABA services, including oversight of paraprofessionals performing ABA services
  • Behavioral Health license such as LCSW, LPC, LMFT, or BCBA certification
  • Knowledge of DSM V or most current diagnostic edition
  • Ability to analyze specific utilization problems, plan, and implement solutions that directly influence quality of care
What We Offer

Magellan Health offers a comprehensive benefits package, including health, life, and voluntary benefits, as well as a competitive salary range of $64,285 - $102,855. This position may be eligible for short-term incentives and other perks that enhance your physical, mental, emotional, and financial well-being.

Magellan Health is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.



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