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Bcba Utilization Review Jobs in Michigan (NOW HIRING)

Centria Healthcare - Autism Services

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Center Administrator

Dearborn, MI · On-site

$22 - $24/hr

BT utilization - Goal is 80% for center-based clients * Center usage to capacity: Goal to achieve ... Bi-weekly performance reviews with Operations Director Required Qualifications, Skills, and ...

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Bcba Utilization Review information

What is a BCBA Utilization Review?

A BCBA Utilization Review job involves assessing treatment plans and services for individuals receiving Applied Behavior Analysis (ABA) therapy to ensure medical necessity, compliance, and cost-effectiveness. Professionals in this role review documentation, monitor provider adherence to best practices, and collaborate with insurance companies or agencies to approve appropriate care. Their goal is to balance quality treatment while preventing unnecessary services or excessive costs.

What are the key skills and qualifications needed to thrive in the BCBA Utilization Review position, and why are they important?

To thrive as a BCBA Utilization Review professional, you need deep knowledge of applied behavior analysis (ABA), clinical assessment, and a current Board Certified Behavior Analyst (BCBA) certification. Familiarity with electronic health record (EHR) systems, utilization review software, and documentation protocols is often required. Strong analytical thinking, attention to detail, and effective communication skills are valuable for evaluating clinical data and collaborating with care teams. These abilities ensure that treatment plans meet best practice standards and payer requirements while supporting quality client care.

What are the typical daily responsibilities of a BCBA Utilization Review specialist?

As a BCBA Utilization Review specialist, your day-to-day tasks include reviewing ABA therapy treatment plans, evaluating clinical documentation for medical necessity, and ensuring compliance with insurance and regulatory guidelines. You may communicate frequently with providers and clinical teams to request additional information or clarify treatment recommendations. Collaboration with other reviewers and participation in case discussions are common, as is preparing detailed reports on your findings. The role is primarily desk-based and requires strong analytical and communication skills to balance client needs with payer criteria.

What are the most commonly searched types of Bcba Utilization Review jobs in Michigan?

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

Utilization Management and Behavioral Analyst

West Michigan Community Mental Health System

Ludington, MI • On-site

Full-time

Re-posted 14 days ago

Job description

The UMBA, under general direction, provides a variety of specialized services, including both direct clinical work and indirect clinical support. The primary focuses of the position include:

1. Utilization Management Review Services: Using BCBA training and behavioral expertise, reviews authorization requests from providers, conducts special case reviews, and consults on clinical cases in the areas of Autism Services, Specialized Residential Placements, Self Directed arrangements, and other identified services or cases that require a higher level of specialized UM review.

2. Behavior Treatment Planning and other BCBA Treatment Planning Consultation: Conducts related work and other specialized case reviews where behavioral interventions may be helpful including participation in Behavior Treatment Committee (BTC) meetings, obtaining special consents for behavior treatment, creating and reviewing BTC plans, required in person monitoring as designed through behavior treatment planning, and training others to those plans, as needed and in person whenever possible. This may also include reviewing other cases not in the BTC process, as defined, where specialized behavioral interventions may be of value. This may include high risk cases, highly complex behavioral cases, and/or high service utilization cases. May include assisting with implementing work plans around BTC annual survey data.

3. Family Support and Training: This is a direct service provided to open cases of all consumer populations where training of parents/care givers/guardians is beneficial for improved clinical outcomes.

4. Other identified duties where the expertise of an BCBA is needed to assist in clinical services.

The UMBA works as part of an interdisciplinary team and is expected to consult with other disciplines and provide BCBA expertise regarding all populations served by CMH, including children and adults with Intellectual/developmental disabilities, children with severe emotional disturbance, and adults with severe mental illness. The UMBA provides ongoing data review and analysis of behavioral support plans and relevant mental health factors and teaches persons responsible for implementing those plans on how to do so and provides information relevant to person's diagnosis and other factors that need to be considered in providing adequate support and performs other work-related duties as required.

This position is part of a staff pool that serves to fulfill the agency’s Crisis Stabilization Service. This may require on-call hours including nights, weekends, and holidays.

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