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Bcba Utilization Review Jobs in Delaware (NOW HIRING)

Bcba Utilization Review information

What is a BCBA Utilization Review?

A BCBA Utilization Review job involves assessing treatment plans and services for individuals receiving Applied Behavior Analysis (ABA) therapy to ensure medical necessity, compliance, and cost-effectiveness. Professionals in this role review documentation, monitor provider adherence to best practices, and collaborate with insurance companies or agencies to approve appropriate care. Their goal is to balance quality treatment while preventing unnecessary services or excessive costs.

What are the key skills and qualifications needed to thrive in the BCBA Utilization Review position, and why are they important?

To thrive as a BCBA Utilization Review professional, you need deep knowledge of applied behavior analysis (ABA), clinical assessment, and a current Board Certified Behavior Analyst (BCBA) certification. Familiarity with electronic health record (EHR) systems, utilization review software, and documentation protocols is often required. Strong analytical thinking, attention to detail, and effective communication skills are valuable for evaluating clinical data and collaborating with care teams. These abilities ensure that treatment plans meet best practice standards and payer requirements while supporting quality client care.

What are the typical daily responsibilities of a BCBA Utilization Review specialist?

As a BCBA Utilization Review specialist, your day-to-day tasks include reviewing ABA therapy treatment plans, evaluating clinical documentation for medical necessity, and ensuring compliance with insurance and regulatory guidelines. You may communicate frequently with providers and clinical teams to request additional information or clarify treatment recommendations. Collaboration with other reviewers and participation in case discussions are common, as is preparing detailed reports on your findings. The role is primarily desk-based and requires strong analytical and communication skills to balance client needs with payer criteria.

What are the most commonly searched types of Bcba Utilization Review jobs in Delaware?

The most popular types of Bcba Utilization Review jobs in Delaware are:

What are popular job titles related to Bcba Utilization Review jobs in Delaware?

For Bcba Utilization Review jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Bcba Utilization Review jobs in Delaware look for?

The top searched job categories for Bcba Utilization Review jobs in Delaware are:

What cities in Delaware are hiring for Bcba Utilization Review jobs?

Cities in Delaware with the most Bcba Utilization Review job openings:

Behavior Interventionist/Specialist (10+1 Contract)

Lake Forest School District

Felton, DE

$19.25 - $25.75/hr

Full-time

Re-posted 3 days ago


Job description

TITLE: Behavior Interventionist/Specialist (10+1 Contract)

QUALIFICATIONS:

  1. Must be certified by the State of Delaware Department of Education in at least one of the following areas: Social Worker (LBSW, LMSW, LCSW, SSW), Behavior Analysis (BCBA), Licensed Mental Health Therapist, Psychologist.
  2. Ability to coach, model, and build the knowledge and skills of teachers in the areas of social-emotional behaviors and their influences.
  3. Ability to engage students in developing the knowledge, coping strategies, and behavioral skills needed for success through supportive and therapeutic practices.
  4. Excellent organizational and management skills.
  5. Excellent skills in collecting, analyzing, and using data to develop strategies and plans that provide behavioral supports to all students.
  6. Excellent oral and written communication, facilitation, interpersonal, and collaboration skills.
  7. Excellent technology application skills.

REPORTS TO: Special Programs Supervisor

LOCATION: District wide

JOB GOAL: Increase appropriate behaviors within the instructional setting by providing a proactive approach to behavior intervention.

PERFORMANCE RESPONSIBILITIES:

  1. Works in collaboration with administrators, school psychologist, PBS Team and IST Teams to develop and implement effective programming for students with intense behavior needs.
  2. Assists with crisis intervention and in accessing higher levels of mental health support.
  3. Build capacity for utilization of appropriate behavior interventions among district staff and administration.
  4. Provides support and collaboration with school families in need of services outside of school.
  5. Collaborates with teachers and staff to develop plans to support students dealing with trauma.
  6. Participates as a member of school MTSS Teams to review, assess, and monitor data collected.
  7. Advises MTSS teams of Tier II and III intervention strategies.
  8. Completes Functional Behavior Assessments and Positive Behavior Intervention Plans for students who have been referred by their IEP team.
  9. Works with teachers in a modified capacity including observing, coaching, modeling, and assisting with implementation of behavior plans.
  10. Act as a liaison with building administrators and staff to ensure implementation of a high quality and effective programming with fidelity.
  11. Advises the implementation of FBAs and BIPs for students to ensure fidelity to the prescribed program.
  12. Participates in IEP meetings when necessary.
  13. Works with building administrators to determine needs for expanding the continuum of services at all grade levels for behavioral concerns.
  14. Other duties as assigned by the direct supervisor. 

SPECIAL REQUIREMENTS: Required to attend school meetings, programs and activities outside of the instructional day per the LFEA agreement. 

TERMS OF EMPLOYMENT: Ten-month annual contract with an additional 19 days (10+1) of service during summer months as approved by the direct supervisor.

EVALUATION: Performance will be evaluated in accordance with provisions of the Board's policy on Evaluation of Professional Personnel.
The following are conditions of employment for new employees:


  1. Satisfactory criminal background check prior to being placed on payroll.
  2. Satisfactory child protection registry check.
  3. Mandatory direct deposit of pay
  4. Documentation of Mantoux skin test results for entrance to school system.

All applicants are required to submit three (3) letters of reference, with one from an immediate supervisor that is dated within the past year. Applicants are advised that a copy of the most recent evaluation will be requested if selected for an interview. The evaluation can be loaded as part of the application in advance.
Lake Forest is an advocate of inclusion practices in all grade levels.



LAKE FOREST SCHOOL DISTRICT
Human Resources Office
5423 Killens Pond Road
Felton, DE            19943
www.lf.k12.de.us
Phone: 302.284.3020 Fax: 302.284.5832
The Lake Forest School District does not discriminate in employment or in educational programs, services or activities based on race, color, national origin, religion, gender, gender identity, sexual orientation, age, military/veteran status, disability, marital status or any other protected category in accordance with state and federal laws.  Inquiries should be directed to the Director of Personnel, Lake Forest Central Business Office, 5423 Killens Pond Road, Felton, DE  19943.  Telephone: (302)284-3020.