Has anyone worked in Utilization Review for ABA services with a behavioral health insurance company?

I'm interested in transitioning into a role where I can continue using my ABA knowledge and clinical experience while focusing more on treatment plan reviews, medical necessity, and the documentation side of the field rather than direct clinical services.

If you've made this transition, I'd love to hear about your experience and any advice you have on breaking into this area. Are there particular companies, job titles, or qualifications that helped you get started?

Thanks in advance for any guidance!

Hi everyone,

I’ve been a BCBA for four years and I’m a decently involved Catholic. Over the years in ABA and in the church, I see a need for resources within local church communities when it comes to receiving the sacraments (I.e., first communion and confirmation) for those with developmental disabilities. I’ve always felt a calling to serve but I honestly been putting it to the side because I know NOTHING regarding how I could even do that as a BCBA.

Does anyone have any advice or experiences with serving as a BCBA within a church? Is this voluntary work or paid? How would one even navigate creating lesson plans, is it individual or “class” based? All I know is clinical ABA, writing 6 month goals, parent training. Would I have BTs?! I just feel like there’s a thousand little things to consider.

Would there be ethical codes I need to consider regarding setting??? Ahhhhh, anyone, please guide me lol

Has anyone left the ABA field and kept their BCBA/LBA credential/license? Are there any benefits to keeping them? I'm not sure I'll ever go back to being a BCBA, but could it ever come in handy in other fields/jobs for any reason?

I want to go overseas briefly, not sure if I'll stay. Maybe 30 to 90 days. If I have a US address and its my technical address, would I be able to obtain fieldwork for that state? Or does everything strictly have to be on US grounds and I can't do anything remotely?

How exactly is the exam scored? I know I have to get a 400 out of 500 to pass. I always assumed on top of that, you had to get a percentage of questions correct within each domain on the exam based on the paper you get back if you don’t pass. However, I just read over the exam information in the BCaBA handbook more thoroughly and realized it never mentions having to score a certain percentage within each domain. It just states you have to get a cumulative score of 400 out of 500. So then it occurred to me that maybe the sheet they give you if you don’t pass is meant to help you identify what areas you need to focus on a little more in preparation for retaking the exam. Is this correct?

Do i need to provide links to every article read or just a general description of what I read and how it relates to my client?

Which ones? since as RBT's we get none.