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 , • Obtain clinical information from providers on Applied Behavior Analysis requests for treatment , • Determine if additional clinical treatment sessions for Applied Behavior Analysis are medically necessary in accordance with appropriate level of care guidelines , • Manage outpatient cases throughout the entire treatment plan , • Coordinate benefits and transitions between various areas of care including case management , • Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers on those ideas , • Provide education and resources to parents/caregivers specific to Applied Behavior Analysis treatment and/or their benefit plan , • 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) , • Licensed Behavior Analyst , • Board Certified Behavior Analyst certification (if the behavior analyst license is not offered in your state) , • 2+ years of post-independent licensure / BCBA certification experience in a related mental health environment , • Experience working with children and/or adolescents with Autism , • Computer literacy in a Windows environment including Microsoft Word and Outlook , • Proven ability to talk on the phone and type at the same time , • Access to install secure, high-speed internet and a dedicated, distraction-free workspace at home Nice-to-haves • ABA certification , • Managed Care experience , • Utilization Management experience , • Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients Benefits • Comprehensive benefits package , • Incentive and recognition programs , • Equity stock purchase , • 401k contribution Apply Job!