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Authorization Utilization Review Bcba Jobs in Springfield, MO

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 the most commonly searched types of Authorization Utilization Review Bcba jobs in Springfield, MO?

The most popular types of Authorization Utilization Review Bcba jobs in Springfield, MO are:

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For Authorization Utilization Review Bcba jobs in Springfield, MO, the most frequently searched job titles are:

What cities near Springfield, MO are hiring for Authorization Utilization Review Bcba jobs?

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Infographic showing various Authorization Utilization Review Bcba job openings in Springfield, MO as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

DMH Vocational Support Specialist

Brightli

Springfield, MO • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago


Brightli rating

7.7

Company rating: 7.7 out of 10

Based on 17 frontline employees who took The Breakroom Quiz


Job description

Job Description:
Job Title: DMH Vocational Support Specialist (VSS)
Location: Springfield, Missouri
Employment Type: Full-time
Job Summary:
The DMH Vocational Support Specialist (VSS) is responsible for providing on/off site training and support for clients during skill development, career planning, and employment retention. A VSS will conduct instructional activities related to soft, work, and independent living skills. A VSS may be responsible for locating competitive job sites in the community, contacting employers, and conducting job site analyses. A VSS completes necessary reports and paperwork, as assigned.
Position Perks & Benefits:
  • Employee benefits package - health, dental, vision, retirement, life, & more**
  • Paid time off - 29 days per year including vacation & holiday pay
  • Mileage reimbursement - company paid for work functions requiring travel
  • Top-notch training - initial, ongoing, comprehensive, and supportive
  • Career mobility - advancement opportunities/promoting from within
  • Welcoming, warm, supportive - a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

Key Responsibilities:
  • Treat all clients, referral sources, stakeholders, and team members with dignity and respect
  • Adhere to all confidentiality, CARF, and contractual standards during provision of services
  • Maintain flexibility in work availability including evenings, weekends and overnight shifts
  • Develop and maintain a working knowledge of disabilities and potential assistive technology/accommodations that can support individuals with disabilities to meet personal and employment goals
  • Compile and review vocational, medical, psychological and educational information, and utilize this information to assist clients with skill development, career planning and employment retention
  • Contribute to and/or develop individualized service plans with clients
  • Conduct activities identified within clients' individualized service plans
  • Coordinate paid, work-based learning experiences with participants to include orientation, new hire paperwork and timesheets, in individual and group settings
  • Transport clients to carry out goals and objectives identified in their individualized service plan
  • Monitor and report on progress toward individualized service plan goals
  • Ensure authorizations for services are current and services provided fall within date ranges of authorizations
  • Track and report units of service relative to clients' authorizations to ensure utilization does not exceed authorized services (daily, monthly or overall)
  • Complete daily, weekly, monthly and activity based reporting as required for function being performed
  • Instruct and facilitate clients' pre-vocational/vocational, social and independent living skill development
  • Develop strategies, lessons and/or curriculum necessary to facilitate skill development based on clients' individualized service plans
  • Establish community-based sites for carrying out skill development and career planning activities
  • Assist clients to determine what they learned about themselves regarding strengths, needs, abilities and preferences as it relates to their personal and employment goals
  • Provide onsite job supports to assist clients with learning and performing their job duties, interacting with co-workers, and developing natural supports
  • Implement a variety of job support techniques to accommodate learning styles and unique needs of clients being supported, including physically assisting with completion of job duties when necessary
  • Serve as a liaison between employers, clients and co-workers by assisting clients to acclimate to the requirements, culture and social/behavioral expectations of their work environment
  • Educate employers regarding benefits of hiring persons with disabilities and facilitate job accommodations (e.g., assistive technology adaptations, job carving, etc.)
  • Provide off site job supports such as coordinating additional services, benefits and financial planning/reporting, transportation/bus training and other essential supports as identified in the individualized service plan
  • Facilitate long-term employment success by implementing on site/off site job supports adhering to the support type, frequency, location and method of contact with clients identified in the Extended Services Plan
  • Respond to crisis situations that may occur with clients at their worksite
  • Maintain frequent contact with referral sources for the purpose of discussing shared clients and identifying potential referrals
  • Teach and reinforce job seeking and job retention skills with clients
  • Create employer relationships and provide customer service to all employers designed to develop competitive, integrated employment opportunities
  • Serve as an advocate for clients with employers, referral sources and other stakeholders (family, schools, other social service agencies, etc.)
  • Promote the organization, services and clients in a professional manner with employers and through participation in community events and awareness activities, this may include making presentations or public speaking

Education and/or Experience Qualifications:
  • A high school diploma or equivalent certificate is required; an associate's or bachelor's degree in an applicable field from an accredited institution is preferred.
  • Experience in rehabilitation, employment services, case management, social services or other applicable experience is preferred.

Additional Qualifications:
  • Possess strong customer service skills
  • Have skilled computer knowledge (Word, Excel, internet platforms, other electronic media)
  • Able to communicate effectively and accurately in verbal and written form
  • Have an understanding of supporting individuals with disabilities and/or barriers to employment, education, and/or independent living

Brightli is on a Mission:
A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance use care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.
As a behavioral and community mental health provider, we value diversity, equity, and inclusion in our workforce and encourage applications from individuals from diverse backgrounds and experiences. If you are passionate about empowering your local communities and promoting health equity, we invite you to join our mission-driven organization that is committed to building a diverse, equitable, inclusive and authentic workplace.
Position Perks & Benefits:
Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
Top-notch training: initial, ongoing, comprehensive, and supportive
Career mobility: advancement opportunities/promoting from within
Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness
Brightli is on a Mission:
A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.
As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.
We are an Equal Employment Opportunity Employer.
Firefly is a Smoke and Tobacco Free Workplace.

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