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Autism Program Specialist II

Job Category:  Clinical
Department:  Behavioral Health
Location: 

Los Angeles, CA, US, 90017

Position Type:  Full Time
Requisition ID:  8002

             

Job Summary

The Autism Program Specialist II is the primary contact for the community concerning the added behavioral health treatment services benefit for Medi-Cal beneficiaries. Responsibilities will include program development, essential building of pieces of programmatic efforts as required by federal and state regulations, training and education to both internal L.A. Care staff and the community at large, and submission of federal and state required reports. On the internal side, this position will need to develop an understanding of how Autism Spectrum Disorder services will be handled in claims and utilization management. A large component of this position would also include reviewing comprehensive diagnostic evaluations and reviewing/approving Behavioral Health Treatment plans. Support the Provider Development Manager in ensuring network adequacy, quality of care and timely services. Participate in countywide multiagency collaboration in preventing duplication of services from various agencies such as Department of Education, Regional Centers, L.A. county DMH, etc.

Duties

Ensure treatment plan is being followed and progress is being made. Ensure all required covered services and limitations are standardized across necessary departments within L.A. Care Health Services as per regulation. (25%)

 

Review Comprehensive Diagnostic Evaluations. Approve/authorize full BHT assessment to establish timely treatment plans. Assist in Continuity of Care. (25%)

 

Review Behavioral Health Treatment plans. (20%)

 

Assist Utilization Management in prior authorization process. (10%)

 

Outreach to members, providers, and Regional Centers. (10%)

 

Perform other duties as assigned. (10%)

Education Required

Associate's Degree
In lieu of degree, equivalent education and/or experience may be considered.

Education Preferred

Bachelor's Degree

Experience

Required:
At least 4 years of experience in Behavioral Health/Health Care-Autism diagnosis, treatment, programs, regulations.

 

Experience in Face-to-face case management in the field.

Skills

Required:
Understand the EPSDT process and the eligibility criteria.

 

Excellent verbal, written communication and presentation skills

 

Proficient in Microsoft Office and computer skills

Licenses/Certifications Required

Board Certified Behavioral Analyst - Active, current and unrestricted California license.

Licenses/Certifications Preferred

Licensed Clinical Social Worker (LCSW) - Active, current and unrestricted California License
Licensed Marriage and Family Therapy (LMFT) - Active, current and unrestricted California License
Licensed Pharmacy Doctorate / Psychology Doctorate

Required Training

Additional Information

 

Department: Behavioral Health  

Paygrade: I 

 

At L.A. Care, we value our team members’ safety. In order to keep our work locations safe, each employee is required to self-screen for symptoms prior to entering any L.A. Care location each day. L.A. Care and all of its staff are required to comply with all state and local masking orders. Therefore, when on-site at any L.A. Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed.

As a condition of employment, L.A. Care requires a COVID-19 vaccine. This requirement includes our remote workforce. If you would like to request an exemption, L.A. Care has implemented a process to consider exemptions, for documented medical conditions and sincerely held religious beliefs. L.A. Care will review all exemption requests prior to proceeding with the recruitment process.


Nearest Major Market: Los Angeles

Job Segment: Behavioral Health, Social Worker, Claims, Pharmacy, Healthcare, Service, Insurance

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