FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Board Certified Assistant, Behavior Analyst, Utilization Reviewer
Blue Cross and Blue Shield of Louisiana. Conduct comprehensive clinical reviews of ABA treatment requests to determine medical necessity and alignment with evidence-based practices .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting clinical reviews and evaluations in Applied Behavior Analysis (ABA), ensuring compliance with regulations and effective treatment planning. Proficient in managing clinical staff and collaborating across departments to enhance service delivery and resolve issues.
Highest-signal resume keywords
BCABA CertificationClinical Review ExpertiseUtilization Management ExperienceStrong Knowledge of ABA PrinciplesProficiency in Microsoft Office
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Documentation ReviewTreatment PlanningBehavior Analytic PrinciplesData Collection MethodsAnalytical Skills
Soft Skills
Excellent Communication SkillsOrganizational SkillsCritical-Thinking Abilities
Tools & Technologies
Electronic Health Record SystemsMicrosoft Office Applications
Certifications & Qualifications
BCaBA Certification
Industry Keywords
ABA ServicesAutism ServicesBehavioral HealthUtilization ManagementCompliance with Regulations
About the role
Key responsibilities & impact- Conduct comprehensive clinical reviews of ABA treatment requests to determine medical necessity and alignment with evidence-based practices
- Evaluate treatment goals, progress metrics, and data collection methods
- Oversee and direct unlicensed clinical staff involved in utilization management
- Communicate with ABA providers to gather clinical information and provide feedback on documentation and treatment planning
- Ensure compliance with state and federal regulations, payer-specific guidelines, and internal policies
- Participate in developing and refining utilization management protocols and clinical review tools
- Collaborate with claims, provider relations, and member services to resolve clinical and administrative issues
- Support appeals and grievance processes by preparing clinical rationales and participating in case reviews
- Stay current with ABA research, clinical guidelines, and payer policy changes through continuing education and professional development
- Represent the organization in external audits, accreditation reviews, and inter-agency meetings as needed
- Perform other job-related duties within the scope of responsibilities
Requirements
What you’ll need- Bachelor's degree in Applied Behavior Analysis, Psychology, Special Education, Human Services, Social Work, or a related field; four years of related experience may be used in lieu of the Bachelor's degree
- Minimum of 2 years of experience working in ABA services, autism services, behavioral health, utilization management, or a related healthcare setting
- BCaBA certification required within 1 year of hire
- Strong knowledge of ABA terminology, treatment planning, behavior analytic principles, and service delivery models
- Experience reviewing clinical documentation and treatment records
- Excellent written, verbal, and professional communication skills
- Strong analytical, organizational, and critical-thinking abilities
- Proficiency with Microsoft Office applications and electronic health record systems
- Ability to manage multiple priorities while maintaining attention to detail
- Residency in or relocation to Louisiana is preferred
- Must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support
- Successful completion of background and pre-employment drug screening; offer contingent on satisfactory drug testing results
- Must meet physical and cognitive demands, including the ability to comprehend, document, calculate, visualize, and analyze
Benefits
Comp & perks- Resources to live well and be healthy
- Continuing learning, professional development, and skill development opportunities
- Smoke- and tobacco-free company properties
- Reasonable accommodations for individuals with disabilities
- Full-time employment