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Utilization Review Clinician - ABA (Behavior Analyst) A-Line Staffing is now hiring Utilization Review Clinician - ABA (Behavior Analyst) in Georgia (Remote). The Utilization Review Clinician - ABA (Behavior Analyst) would be working for a Major Health Plan and has career growth potential. Highlights Schedule: Monday-Friday, 8:00 AM-5:00 PM EST Pay Range: $28-$35 Hourly (determined on experience) Work Location: Remote for GA residents only Responsibilities Manage a caseload of 73+ active members and 30+ pending cases, ensuring timely outreach, follow-up, and care coordination. Conduct monthly outreach to all active members at minimum once per month to assess needs, provide resources, address barriers to care, and follow up on ongoing care plans. Support members in maintaining independent daily functioning by identifying needs, connecting members with appropriate community and healthcare resources, and monitoring progress. Conduct member outreach through telephone-based care management and digital care management platforms to provide ongoing support and engagement. Assess member needs and coordinate appropriate services, resources, referrals, and follow-up interventions to support positive health and care outcomes. Participate in multidisciplinary care team meetings to discuss member needs, care plans, barriers, and progress. Participate in and facilitate ABA rounds, contributing to case discussions, care planning, and coordination of member services. Maintain accurate and timely documentation of member outreach, assessments, interventions, resources provided, and follow-up activities. Prioritize and manage daily workload independently while balancing active caseload responsibilities, pending cases, outreach requirements, care coordination, and team meetings. Identify members requiring additional intervention or escalation and collaborate with appropriate care team members to address complex needs. Manage a caseload of 73+ active cases and 30+ pending cases for members with possible and verified Autism diagnosis. Provide resources, attend meetings, and run ABA Rounds where high acuity ABA members are discussed. Required Qualifications BCBA — Board Certified Behavior Analyst / Licensed Behavior Analyst 2-4 years of related experience Ability to manage a 90+ member caseload, identify member needs, coordinate services, and transition members into active care management. Experience conducting high-volume outreach, working with BH members and conditions, and engaging members in appropriate healthcare services. Proficiency with healthcare case-management/CRM systems, maintaining task queues, documenting outreach, tracking member status, and managing daily productivity/conversion metrics. #J-18808-Ljbffr A-Line Staffing Solutions LLC