• Perform behavioral health duties using established guidelines to ensure an appropriate level of care • Plan for the transition to the continuum of care • Review Applied Behavior Analysis evaluations and progress reports for authorization or denial recommendations • Present cases to Autism Joint Case Rounds with medical directors and interdisciplinary team • Evaluate the necessity and appropriateness of behavioral health medical services • Coordinate and assist in implementation of plans for members • Monitor and coordinate services rendered outside of the network • Advocate for the member/family among various sites • Document accurately based on standards of practice and organization policies • Interact and communicate with multidisciplinary teams for continuity and efficiency • Evaluate care by problem solving and participating in quality improvement programs.