Previous utilization review experience in a psychiatric healthcare facility preferred. * License ... Reports appropriate denial, and authorization information to designated resource. * Actively ...
Previous utilization review experience in a psychiatric healthcare facility preferred. * License ... Reports appropriate denial, and authorization information to designated resource. * Actively ...
Previous utilization review experience in a psychiatric healthcare facility preferred. * License ... Reports appropriate denial, and authorization information to designated resource. * Actively ...
Previous utilization review experience in a psychiatric healthcare facility preferred. * License ... Reports appropriate denial, and authorization information to designated resource. * Actively ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... Reports appropriate denial, and authorization information to designated resource. * Actively ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... Reports appropriate denial, and authorization information to designated resource. * Actively ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... Reports appropriate denial, and authorization information to designated resource. * Actively ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... Reports appropriate denial, and authorization information to designated resource. * Actively ...
UTILIZATION REVIEW RN
Seymour, IN · On-site
Utilization Review and Medical Necessity * Concurrent Review and Length of Stay Management ... Payer Communication & Authorization * Denials Management and Appeals Equal Opportunity Employer ...
UTILIZATION REVIEW RN
Seymour, IN · On-site
Utilization Review and Medical Necessity * Concurrent Review and Length of Stay Management ... Payer Communication & Authorization * Denials Management and Appeals Equal Opportunity Employer ...
UTILIZATION REVIEW RN
Seymour, IN · On-site
... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ... Authorization 5. Denials Management and Appeals Equal Opportunity Employer This employer is ...
UTILIZATION REVIEW RN
Seymour, IN · On-site
... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ... Authorization 5. Denials Management and Appeals Equal Opportunity Employer This employer is ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... Reports appropriate denial, and authorization information to designated resource. * Actively ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... Reports appropriate denial, and authorization information to designated resource. * Actively ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... Reports appropriate denial, and authorization information to designated resource. * Actively ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... Reports appropriate denial, and authorization information to designated resource. * Actively ...
... thorough review of the total resources available to patient pre and post-discharge from ... Completes pre-certification and prior authorization timely for admission and or services. Documents ...
Quick apply
... thorough review of the total resources available to patient pre and post-discharge from ... Completes pre-certification and prior authorization timely for admission and or services. Documents ...
... thorough review of the total resources available to patient pre and post-discharge from ... Completes pre-certification and prior authorization timely for admission and or services.
... thorough review of the total resources available to patient pre and post-discharge from ... Completes pre-certification and prior authorization timely for admission and or services.
... thorough review of the total resources available to patient pre and post-discharge from ... Completes pre-certification and prior authorization timely for admission and or services.
... thorough review of the total resources available to patient pre and post-discharge from ... Completes pre-certification and prior authorization timely for admission and or services.
... thorough review of the total resources available to patient pre and post-discharge from ... Completes pre-certification and prior authorization timely for admission and or services.
... thorough review of the total resources available to patient pre and post-discharge from ... Completes pre-certification and prior authorization timely for admission and or services.
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain ...
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain ...
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain ...
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain ...
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain ...
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain ...
BCBA
$70K - $86K/yr
Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...
BCBA
$70K - $86K/yr
Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...
BCBA
Indianapolis, IN · On-site
$70K - $86K/yr
Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...
BCBA
Indianapolis, IN · On-site
$70K - $86K/yr
Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...
BCBA - Part-time
$70K - $86K/yr
Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...
BCBA - Part-time
$70K - $86K/yr
Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...
Authorization Utilization Review Bcba information
What is an authorization utilization review BCBA?
An Authorization Utilization Review BCBA is responsible for reviewing treatment plans, ensuring medical necessity, and obtaining insurance authorizations for applied behavior analysis (ABA) services. They analyze data, collaborate with clinicians, and communicate with insurance providers to optimize care while adhering to policies and guidelines. Their goal is to ensure that ABA services are both effective and appropriately funded within insurance requirements.
What does an authorization utilization review BCBA do?
An Authorization Utilization Review BCBA is primarily responsible for reviewing clinical documentation to determine the medical necessity of ABA services, preparing and submitting authorization requests to insurance companies, and responding to requests for additional information. The role involves collaborating closely with clinical staff, insurance representatives, and sometimes directly with clients or caregivers to ensure all documentation meets regulatory and payer requirements. You may also provide guidance to therapy teams on proper documentation and help streamline internal utilization review processes. This position requires balancing client advocacy with payer guidelines, making each day both detailed and dynamic.
What are the key skills and qualifications needed to thrive as an authorization utilization review BCBA?
To thrive as an Authorization Utilization Review BCBA, you need a strong background in applied behavior analysis, in-depth knowledge of utilization review processes, and active BCBA certification. Familiarity with insurance authorization platforms, electronic health record (EHR) systems, and current procedural terminology (CPT) coding is typically required. Excellent analytical skills, attention to detail, and effective communication abilities set outstanding candidates apart. These skills ensure accurate authorization decisions, regulatory compliance, and efficient collaboration with providers and insurance teams.
What are popular job titles related to Authorization Utilization Review Bcba jobs in Indiana?
For Authorization Utilization Review Bcba jobs in Indiana, the most frequently searched job titles are:
- Utilization Review Physician
- Non Clinical Utilization Review
- Utilization Management Coordinator
- Night Utilization Review Nurse
- Remote Utilization Management Nurse
- Medical Review Coordinator
- Per Diem Utilization Review Nurse
- Remote Utilization Review Nurse
- Utilization Review Specialist
- Part Time Utilization Review Nurse
What job categories do people searching Authorization Utilization Review Bcba jobs in Indiana look for?
The top searched job categories for Authorization Utilization Review Bcba jobs in Indiana are:
- Remote Navihealth Utilization Review
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What cities in Indiana are hiring for Authorization Utilization Review Bcba jobs?
Cities in Indiana with the most Authorization Utilization Review Bcba job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 28 days ago
LifePoint Health rating
5.9
Based on 272 frontline employees who took The Breakroom Quiz
758th of 888 rated healthcare providers
Job description
Your experience matters
At Brentwood Springs , we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.
What we offer
Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:
- Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
- Competitive Paid Time Off
- Employee Assistance Program - mental, physical, and financial wellness assistance
- Tuition Reimbursement/Assistance for qualified applicants
- And much more...
About Us
People are our passion and purpose. Brentwood Springs is a 48 bed hospital located in Newburgh, IN and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters
How you'll contribute
Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to determine legitimacy of admission, treatment, and length of stay and interfaces with managed care organizations, external reviewers and other payers. UR advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric or emotional disorders to managed care providers for necessary treatment. UR contacts external case managers/managed care organizations for certification of insurance benefits throughout the patient's stay and assists the treatment team in understanding the insurance company's requirements for continued stay and discharge planning.
Qualifications and requirements
- Education: Bachelor's degree required. Master's degree preferred.
- Experience: Previous utilization review experience in a psychiatric healthcare facility preferred.
- License: Current unencumbered clinical license strongly preferred.
- Additional Requirements: CPR certification and Crisis Prevention Training (CPI) preferred.
Essential Functions:
- Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocates on behalf of the patient to secure coverage for needed services
- Completes pre and re-certifications for inpatient and outpatient services. Reports appropriate denial, and authorization information to designated resource.
- Actively communicates with interdisciplinary team to acquire pertinent information and give updates on authorizations.
- Participate in treatment teams to ensure staff have knowledge of coverage and to collect information for communication with agencies.
- Works with DON to ensure documentation requirements are met.
- Ensure appeals are completed thoroughly and on a timely basis.
- Interface with managed care organizations, external reviews, and other payers.
- Communicate with physicians to schedule peer to peer reviews.
- Accurately report denials.
EEOC Statement:
Brentwood Springs is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
About Us
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
About the Team
We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.
What LifePoint Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About LifePoint Health
Sourced by ZipRecruiter
Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Brentwood, TN, US
Year founded
1999