DEPARTMENT(S): Behavioral Health Integration REPORTS TO: Supervisor, Behavioral Health (ABA - TCM) FLSA STATUS: Non-Exempt SALARY GRADE: K - $70,000 - $98,000
JOB SUMMARY
The position is responsible for the oversight and review of Applied Behavior Analysis (ABA) services offered to eligible CalOptima members. The incumbent will screen, triage, and assess members to determine appropriate level of care based on medical necessity criteria. Reviews and processes requests for authorization of ABA services from behavioral health providers. This position is also responsible for utilization management, quality reviews, and monitoring activities of ABA services. The incumbent will directly interact with providers.
POSITION RESPONSIBILITIES:
POSSESSES THE ABILITY TO:
EXPERIENCE & EDUCATION:
PREFERRED QUALIFICATIONS:
KNOWLEDGE OF:
CalOptima is an equal employment opportunity employer and makes all employment decisions on the basis of merit. CalOptima wants to have qualified employees in every job position. CalOptima prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.
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Required Skills Required Experience
Demonstrated creativity, passion and interest in design and planning of healthcare facilities.
Strong knowledge of healthcare planning, healthcare operational requirements, and technical healthcare design requirements including understanding of interventional, patient care and clinical support areas.
Advanced knowledge of progressive technical and regulatory requirements for healthcare facilities design and understanding of fundamental departmental organization and functionality.
Advanced knowledge of healthcare delivery systems and how design impacts those systems – public/private space, adjacencies, staff and patient flow, support functions, central plant, etc.
Knowledge of design, trends, construction methodology, materials application and manufacturer-supplier appropriateness.
Advanced knowledge of furniture, fixture and equipment (FF&E), architectural/interior finishes, lighting, signage, art, and color schemes to carryout design intent.
Knowledge of building regulations and safety codes.
Knowledge of design techniques, tools, and principles involved in production of precision technical plans, drawings, and models.
Knowledge of sustainability, integrated design and LEED guidelines.
Proficiency in the basic technical skills of interior design including the following computer skills:
Ability to effectively meet deadlines and provide high quality service to clients.
Ability to communicate effectively, both verbally and in writing.
Ability to direct work efforts of other staff.
Ability to work in team environment.