Insurance Auditor Bcba Jobs in Riverside, CA (NOW HIRING)

Working at Easterseals Southern California is an opportunity to make profound and positive differences in people's lives. At ESSC, you'll join a team of caring colleagues who support each other, encourage collaboration and refine clinical skills to benefit the participants we serve.

OVERVIEW OF POSITION: Under general direction, reviews delivery of behavior programs to subcontracted vendor participants based on the principles of Applied Behavior Analysis (ABA). Ensures subcontractors provide adequate caregiver training; assures the development and delivery of specific intervention activities in accordance with the treatment plan by auditing subcontracted vendors and monitoring development of children diagnosed on the Autism Spectrum Disorder (ASD).

ESSENTIAL FUNCTION:

• Evaluates subcontracted vendor's programs for quality assurance by observing procedures at locations throughout the organization's territory.
• Reviews and approves treatment plans and progress reports submitted by the subcontracted vendor(s). Assures authorization is active for each participant receiving subcontracted therapy and participant is making progress toward established goals.
• Troubleshoots and resolve subcontracted vendor/parent concerns, e.g. expired authorization, monitoring vendor productivity, or ensuring participant receives appropriate level of care.
• Evaluates effective subcontracted vendor service by reviewing participant assignments to a subcontracted vendor and the adequacy of communication to relevant parties (e.g., family, administrative assistant, etc.).
• Participates in all monthly meetings. Conducts annual vendor audits and corresponding written follow-up as assigned by the Director.
• Prepares and reports monthly caseload status including participant concerns and progress, and vendor concerns.
• Performs other duties as assigned.

EDUCATION:

• Master's degree from an accredited college or university with a concentration in early childhood education/development, early childhood special education, special education, psychology or related field.
• Must be a Board-Certified Behavior Analyst (BCBA); Marriage Family Therapist (MFT) or licensed psychologist preferred.
• Must have and maintain current CPR certification card.

EXPERIENCE:

• 3 years of related professional experience working with children with Autism Spectrum Disorders (ASD) in a multi- disciplinary team setting preferred.

KNOWLEDGE, SKILLS, ABILITIES:

• Advanced knowledge of scientifically validated methodologies and approaches found to benefit children with ASD, familiar with current related research findings.
• Expertise in approaches to intervention based on the science of Applied Behavior Analysis. Competent in employing and directing behavior analytic methodologies including Pivotal Response Training (PRT), Natural Environment Teaching (NET), Picture Exchange Communication System (PECS), Behavior Skills Training (BST), and Experimental Functional Analysis (EFA).
• Expertise in all empirically evaluated assessment and intervention strategies related to program and service delivery for individuals with ASD.
• Strong clinical, administrative, and leadership skills. Case management experience required.
• Able to interpret and implement policies, procedures, and regulations.
• Able to consistently demonstrate good judgment and decision-making skills.
• Ability to maintain customer service orientation and professionalism in all interactions.
• Ability to communicate effectively, through oral and written skills, and work cooperatively with a variety of individuals and groups. Must relate well to children and their families and maintain positive affect.
• Ability to exercise discretion and maintain a high level of confidentiality to handle sensitive and confidential situations and documentation.
• Very good working knowledge of Microsoft Office (Outlook, Word, Excel, etc.) and related computer software.
• Ability to pass a post-offer physical examination and a TB test.
• Ability to provide proof of required vaccinations or positive titer showing immunity. A signed declination may be acceptable for certain vaccinations
• Ability to obtain and maintain a criminal record/fingerprint clearance from the Department of Justice and Federal Bureau of Investigation per Easterseals Southern California and/or program requirements.

PHYSICAL REQUIREMENTS IN ACCORDANCE WITH ADA:

Carrying/Lifting: Occasional.
Standing: Occasional.
Sitting: Frequent.
Walking: Occasional.
Repetitive Motion/Activity: Frequent speaking, listening to clients, staff, and other professionals in meetings and on the telephone.
Visual Acuity: Maintaining close visual attention to write reports and to work at a computer.
Travel: This position requires up to 50% local travel. Ability to travel locally; maintain driving record in compliance with Transportation Safety Standards; maintain auto insurance and vehicle registration.
Environmental Exposure: Good working conditions with almost complete absence of disagreeable elements. Exposure to unpleasant or hazardous working conditions (noise, heat, dust, bodily fluids, etc.) less than 5% of work time.