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Acentra Health · 3 weeks ago

Board Certified Behavior Analyst

United States

Full-time

Remote

Mid Level

$27.88/hr - $35/hr

3+ years exp

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. They are seeking a Board Certified Behavior Analyst to utilize clinical expertise and decision-making skills to review medical records and determine the medical appropriateness of Autism Spectrum Disorder Services.

Health Care

Responsibilities

Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for service

Determines approval or initiates doctoral level consultant; processes consultant decision ensuring any denial reason is described in sufficient detail on outgoing correspondence

Performs ongoing assessment of review process to offer opportunities for improvement and/or change

Assures accuracy and timeliness of all applicable cases within contract requirements

Assesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department

Fosters positive and professional relationships with internal and external customers

Responsible for attending training and scheduled meetings and for maintenance and use of current/updated clinical practice or policy information for appropriate case reviews

Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following Acentra Health’s policies, procedures and guidelines

Actively cross trains to perform duties of other contracts to provide a flexible workforce to meet client/customer needs

Always maintains medical record confidentiality through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies

Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules

Qualification

Licensed Behavior AnalystBCBA CertificationMasters in ABAPsychologyClinical experienceUtilization ManagementMedical necessity reviewMicrosoft Office SuiteCollaboration toolsState Medicaid experienceCritical thinkingOrganizational skillsCommunication skills