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!