Molina Healthcare
Care Review Clinician, Applied Behavioral Analysis (ABA)
United States
Sponsorship not specifiedDetected 2 days ago
CommunicationCollaborationProblem SolvingMicrosoft Office
Stay score
odds of building a lasting career here
31Risky
Cap-exempt (no lottery)0
Sponsors this role58
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
Thin sponsorship signal and lottery-bound. A low-probability bet with your clock running. Prioritize cap-exempt roles and proven entry-level sponsors first.
Lottery odds assume a STEM candidate.
Personalize to your clock →Employer immigration record
from this employer's Department of Labor filings
Green-card filing pattern in this occupation
Context, not a finding about this posting: of this employer's 7 green-card filings in this occupation, 100% were for a worker who already held the job.
Green-card follow-through: 40%
Of 5 labor certifications old enough to have been used, 3 expired without the employer filing the next step. Median time from filing to decision: 500 days.100% of their filings were for a worker who already held the job.Only certifications past the 180-day window are counted — recent ones cannot have expired yet.
Files H-1B transfers
2 transfer filings in the last year, covering 2 workers. Median labor-condition decision: 8 days. An employer that already files transfers is one that can take over an existing H-1B.
Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.
Community outcomes
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About the role
- Contributes to overarching strategy to provide quality and cost-effective member care.
- Assesses applied behavioral analysis (ABA) services for members - ensuring optimum outcomes, cost-effectiveness and compliance with all state and federal regulations and guidelines.
- Analyzes clinical service requests from members/providers against evidence based clinical guidelines.
Responsibilities
- Provides support for member clinical review processes specific to applied behavioral analysis (ABA) services.
- Provides peer-to-peer consultation to BHT in-network providers to support treatment planning and maximize member progress
- Collaborates with provider contracting and providers services to support recruitment and provider relations in order to ensure network adequacy, quality of care and timeliness of services.
- Performs ongoing monitoring of BHT treatment plans to evaluate effectiveness and treatment efficacy.
- Develops and coordinates internal and external BHT trainings.
- Creates and develops forms, recommendations and guidelines for BHT service delivery.
- Ability to develop and maintain professional relationships.
Requirements
- License must be active and unrestricted in state of practice.
- Demonstrated knowledge of community resources.
- Ability to operate proactively and demonstrate detail-oriented work.
- Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
- Ability to work independently, with minimal supervision and demonstrate self-motivation.
- Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
- Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
- Microsoft Office suite/applicable software program(s) proficiency.
- 30% estimated local travel may be required (based upon state/contractual requirements).
Nice to have
- Utilization management experience.
- Appeals experience is preferred
- To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Compensation
- Molina Healthcare offers a competitive benefits and compensation package.
Benefits
- Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
- Works collaboratively with the utilization and care management departments to provide ABA and behavioral health therapy (BHT) services to Molina members with autism spectrum disorder (ASD) and other related disorders.
- Approves prior authorization requests for BHT treatment by reviewing BHT assessments and treatment plans for medical necessity and BHT best practice guidelines.
- Collaborates and coordinates with behavioral health medical directors to ensure proper management of the BHT benefit.
- At least 2 years health care experience, including experience working as a behavioral analyst, or equivalent combination of relevant education and experience.
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This listing is sourced directly from Molina Healthcare's careers page and normalized into a canonical job model.