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Commission Authorization Utilization Review Bcba Jobs

Sentara Healthcare

UTILIZATION REVIEW NURSE

Norfolk, VA · On-site +1

The Utilization Review Nurse is responsible for utilization management services within the scope of ... Conducts primary functions of prior authorization, retrospective review, medical director referrals ...

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ... Responsibilities: • Prepares authorization paperwork, processes requests for authorizations, and ...

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$191.3K

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How much do commission authorization utilization review bcba jobs pay per year?

As of Sep 5, 2026, the average yearly pay for commission authorization utilization review bcba in the United States is $191,250.00, according to ZipRecruiter salary data. Most workers in this role earn between $141,000.00 and $253,500.00 per year, depending on experience, location, and employer.

What is the difference between Commission Authorization Utilization Review Bcba vs Behavior Analyst?

AspectCommission Authorization Utilization Review BcbaBehavior Analyst
CertificationsBCBA, additional authorization for utilization reviewBCBA, Board Certified Behavior Analyst
Work EnvironmentUtilization review teams, healthcare settingsClinical practice, therapy sessions, research
Employer & Industry UsageInsurance companies, healthcare organizationsClinics, schools, private practice

The Commission Authorization Utilization Review BCBA focuses on reviewing and authorizing services for insurance and healthcare providers, while the Behavior Analyst primarily provides direct behavioral therapy and assessments. Both roles require BCBA certification, but their work environments and responsibilities differ significantly.

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Commission Authorization Utilization Review Bcba jobs near you
Infographic showing various Commission Authorization Utilization Review Bcba job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $191,250 per year, or $91.9 per hour.

Utilization Review Specialist

Berkshire Hathaway Homestate Companies

Omaha, NE • On-site

Other

Re-posted 3 days ago

Job description

Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Utilization Review Specialist in Omaha to join its Medical Management team. The individual ensures that medical treatment requests from providers are medically appropriate and reviewed in compliance with State laws and Company policies.
ESSENTIAL RESPONSIBILITIES
  • Triages and manages intake coordination of requests for authorization and independent medical review requests.
  • Reviews authorization requests for approval in accordance with evidence-based medical treatment guidelines.
  • Researches claim files in relation to the requested medical treatment, interprets medical reports while utilizing critical thinking, and applies appropriate established guidelines to requested treatment.
  • Advocates for the injured worker and Claims department, ensuring proposed treatment requests are appropriate for the diagnosis.
  • Escalates treatment requests outside of authorization authority for review by a Utilization Review Specialist 2 or Utilization Review Nurse.
  • Ensures that utilization review processes are performed in accordance with the time limits and other requirements set by State law and Company policy.
  • Routinely contacts providers to clarify treatment requests and examination findings, as well as to obtain additional medical information as needed.
  • Gains and Maintains a thorough understanding of Company policies regarding the review of authorization requests by Utilization Review Specialists.
  • Establishes and maintains a close, positive communicative relationship and working partnership with Medical Bill Review staff to ensure effective and efficient integrated medical management of treatment provided to injured workers.
  • Fosters a positive and close working relationship with other Company staff, including adjusting staff, other Medical Management staff, Special Investigations Unit, Legal, Liens, Customer Care, and Client Services.
  • Maintains patient confidentiality and safeguards protected health information in accordance with State and Federal laws and Company policies.
  • Enters clear, concise, and accurate documentation of requested medical treatments, to include clinical findings, treatment guidelines, and determinations.
  • Ensures that appropriate notices are forwarded to medical providers, injured workers, Claims staff, and attorneys.
  • Provides general office or administrative support throughout the department.

QUALIFICATIONS
  • EDUCATION: Bachelor's or Associate's degree in a medical field from an accredited college or technical school required.
  • EXPERIENCE: Minimum of 6 months of relevant experience and/or training in a medical field, or equivalent combination of education and experience, required.
  • TECHNICAL SKILLS: Able to effectively use Microsoft Office/365 applications and able to become proficient in proprietary and vendor software applications.
  • LANGUAGE ABILITY: Able to read and understand basic documents, including statutes, regulations, medical records, medical bills, medical resource materials, claim notes, and claim data fields. Able to write clear, concise reports accurately conveying complex and nuanced information, as well as correspondence on medical and legal points. Able to effectively present information and respond to questions with adjusting staff, Management, and others.
  • MATH AND REASONING ABILITY: Able to solve practical problems and deal with a variety of variables in situations where only limited standardization exists. Able to interpret a variety of instructions furnished in written, oral, diagram, graph, or schedule form. Able to apply concepts such as addition, subtraction, multiplication, division, fractions, percentages, ratios, and proportions to practical situations. Ability to derive appropriate conclusions and apply on the job.

CORE COMPETENCIES
ATTENTION TO DETAIL
• Double-checks the accuracy of information and work product to provide accurate and consistent work.
• Completes all work according to procedures and standards.
• Works in a conscientious, consistent, and thorough manner.
COMMUNICATION
• Communicates and articulates clearly; is informative and appropriately concise.
• Asks questions freely to broaden knowledge and skills.
• Prepares clear and concise e-mails and other basic required written communications.
PROBLEM SOLVING & DECISION MAKING
• Is objective; is able to evaluate facts apart from personal bias.
• Identifies key decisions within area of responsibility and escalates tasks to appropriate authority as needed.
• Effectively uses appropriate decision-making techniques.

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