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Aba Utilization Review Jobs (NOW HIRING)

Familiarity with multiple ABA payer guidelines, authorization processes, and documentation standards * Experience using EHRs and clinical review platforms * Experience analyzing claims, utilization ...

$72K - $89K/yr

Specific duties in utilization review may be assigned within individual staff scope of practice and ... ABA targets/goals accurately identify baseline data as well as outcome and new targeting measures ...

Care Review Clinician, ABA

Orlando, FL · On-site

$26.41 - $51.49/hr

Works collaboratively with the utilization and care management departments to provide ABA and ... Approves prior authorization requests for BHT treatment by reviewing BHT assessments and treatment ...

Care Review Clinician, ABA

Long Beach, CA · On-site

$26.41 - $51.49/hr

Works collaboratively with the utilization and care management departments to provide ABA and ... Approves prior authorization requests for BHT treatment by reviewing BHT assessments and treatment ...

Care Review Clinician, ABA

Miami, FL · On-site

$26.41 - $51.49/hr

Works collaboratively with the utilization and care management departments to provide ABA and ... Approves prior authorization requests for BHT treatment by reviewing BHT assessments and treatment ...

Care Review Clinician, ABA

Tampa, FL · On-site

$26.41 - $51.49/hr

Works collaboratively with the utilization and care management departments to provide ABA and ... Approves prior authorization requests for BHT treatment by reviewing BHT assessments and treatment ...

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Aba Utilization Review information

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How much do aba utilization review jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for aba utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is ABA utilization review?

ABA Utilization Review is a process used by healthcare providers and insurance companies to evaluate the medical necessity, appropriateness, and efficiency of Applied Behavior Analysis (ABA) therapy services. The goal is to ensure that clients receive the right amount of therapy based on their individual needs and that services are consistent with established guidelines. Utilization reviewers assess treatment plans, progress reports, and documentation to determine if continued ABA therapy is justified. This process helps manage healthcare costs while ensuring quality care for individuals with autism and other developmental disorders.

How does an ABA utilization review professional typically collaborate with clinicians and insurance providers?

ABA Utilization Review professionals work closely with both clinical teams and insurance companies to ensure that clients receive appropriate and authorized services. Their daily responsibilities often involve reviewing treatment plans, communicating clinical justifications, and providing supporting documentation to payers. Effective collaboration requires strong interpersonal and organizational skills, as these professionals must balance the needs of clients, therapists, and payers while ensuring compliance with regulatory standards. Regular meetings, transparent communication, and thorough documentation are key aspects of their collaborative workflow.

What are the key skills and qualifications needed to thrive as an ABA utilization review specialist, and why are they important?

To thrive as an ABA Utilization Review Specialist, you need a background in applied behavior analysis, knowledge of insurance guidelines, and often a relevant certification such as BCBA or experience with ABA therapy. Familiarity with electronic health record (EHR) systems, utilization management software, and insurance authorization portals is typically required. Strong analytical skills, attention to detail, and effective communication help professionals excel in reviewing clinical documentation and coordinating with providers. These skills are crucial to ensure services meet clinical standards, support appropriate insurance reimbursement, and advocate for client care.

What is the difference between Aba Utilization Review vs ABA Therapist?

AspectAba Utilization ReviewABA Therapist
CredentialsTypically requires certification in utilization review or healthcare administrationRequires BCBA, BCaBA, or RBT certification
Work EnvironmentHealthcare facilities, insurance companies, or clinics focusing on case reviewTherapy sessions with clients, schools, or clinics
Primary FocusReviewing treatment plans for appropriateness and insurance coverageImplementing ABA therapy directly with clients

While Aba Utilization Review focuses on evaluating treatment plans for coverage and compliance, ABA Therapists provide direct therapy services to clients. Both roles require specialized certifications but differ in daily responsibilities and work settings.

What states have the most Aba Utilization Review jobs?

States with the most job openings for Aba Utilization Review jobs include:

What are popular job titles related to Aba Utilization Review jobs?

For Aba Utilization Review jobs, the most frequently searched job titles are:

Infographic showing various Aba Utilization Review job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 1% Temporary, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Autism Care Advocate - ABA Utilization Management - Remote

Eden Prairie, MN • On-site, Remote

UnitedHealth Group
Insurance Services • 10K+ employees

$60K - $107K/yr

Full-time

Retirement

Posted 12 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz


Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
In this role, you will work directly with providers to review medical necessity criteria for Applied Behavior Analysis (ABA) treatment requests and provide autism education and resources to parents and caregivers.
This is a telephonic, queue-based position with a structured schedule between the business hours of 7am - 7pm CST, Monday - Friday.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Review comprehensive diagnostic evaluations to ensure valid diagnoses
  • Obtain clinical information from providers on Applied Behavior Analysis treatment requests
  • Determine if additional clinical treatment sessions for Applied Behavior Analysis are medically necessary in accordance with appropriate level of care guidelines
  • Manage outpatient cases throughout the entire treatment plan
  • Coordinate benefits and transitions between various areas of care including case management
  • Identify ways to add value to treatment plans and consult with facility staff / outpatient care providers
  • Provide education and resources to parents/caregivers specific to Applied Behavior Analysis treatment and/or their benefit plan
  • Quote benefits and provide referrals as needed

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • One of the following credentials; must be active and unrestricted:
    • Independent clinical mental health license (Social Worker, Counselor, Therapist, or Psychologist)
    • Licensed Behavior Analyst (LBA)
    • Board Certified Behavior Analyst (BCBA) if the LBA is not offered in your state
  • 2+ years of experience in a related behavioral health environment
  • Experience working with children and/or adolescents on the autism spectrum
  • Proficient in Microsoft Office Suite including Teams, Word, and Outlook
  • Dedicated, distraction-free workspace and access to high-speed internet in home

Preferred Qualifications:
  • ABA certification
  • Managed Care experience
  • Utilization Management experience

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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