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Commission Authorization Utilization Review Bcba Jobs

Umpqua Health

Utilization Review Specialist

Winston, OR · On-site

$41K - $47K/yr

Track prior authorization requests using established systems to ensure timely processing. * Support timely notification of prior authorization determinations. * Coordinate daily workflow and ...

Cynet Health

Utilization Review RN

Eureka, CA · On-site

$1.9K/wk

... prior authorizations, continued stay reviews, and utilization management using InterQual criteria while ensuring compliance with CMS, Medicare regulations, and hospital guidelines in an acute care ...

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$191.3K

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

As of Aug 8, 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, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $191,250 per year, or $91.9 per hour.

Utilization Review Coordinator

Port St. Lucie Hospital

Port Saint Lucie, FL • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 24 days ago

Job description

Utilization Review Coordinator

Location: Everwell Port St. Lucie Hospital, Inc

Position Summary

Everwell Port St. Lucie Hospital is seeking a detail-oriented Utilization Review Coordinator to coordinate insurance reviews, monitor patient authorizations, and support effective communication between the hospital, physicians, and insurance providers.

Key Responsibilities

  • Review all patients’ admissions on a daily basis to determine necessity and appropriateness of placement services as outlined in Plans and Procedures.

  • Assigns continued stay reviews according to criteria; reviews continued stay at least every ten (10) to fourteen (14) days and certified pursuant to approved criteria.

  • Maintains a system for monitoring all admissions to assure timely reviews; collects and records all necessary information/data for review of admission, continued stay, and utilization of services.

  • Reviews patient records upon request of insurance companies and communicates patient condition and treatment to external utilization review offices.

  • Contacts physicians and primary Nurses for clarification of information as necessary.

  • Assures appropriate Authorization of Release of Information forms are obtained prior to releasing information to insurance companies.

  • Completes mental health treatment reports and other reports, including appeal letters, required by insurance companies for review of patient care and treatment as requested.

  • Monitors information that is copied and sent per request to insurance companies for inpatient and assures that only required information is disseminated.

  • Contacts physicians, primary Nurses and other appropriate staff regarding potential problems or questions related to documentation of patient care issues.

  • Coordinates and schedules all PRO reconsideration hearings and schedules appropriate staff to attend hearings.

  • Coordinates the assemblage of records for review by Federal State, Professional and appropriate hospital groups.

  • Performs special projects or other related work as required or requested.

  • Shows ability to communicate in a clear and concise manner.                       

  • Demonstrates ability to work with others.

  • Adapt to changing situations or work assignments.

  • Demonstrates willingness to rotate to other areas of hospital within the limits of preparation and skill level.

  • Conform to uniform and dress code, personal hygiene and good grooming.

  • Wear and properly display name badge.                                                                 

  • Positively respond to guidance or counseling and attempts to benefit by it.

  • Adept in identifying potential problems within the department and seeks management guidance.

  • Demonstrates excellent organizational skills and originator of new ideas and methods.

  • Use verbal and non-verbal communication with others, i.e., courtesy, tone of voice, facial expressions, gestures, etc.

  • Demonstrates an understanding of and adherence to the Code of Conduct

  • Conduct reflects Oglethorpe’s values and a commitment to the Code of Conduct

Qualifications and Education

  • RN, LPN or Master's Level Clinician with experience

  • CPR Certification required

  • Minimum 2 years of healthcare experience preferred

  • Knowledge of utilization review processes and medical terminology

  • Experience working with insurance companies and behavioral health

    documentation preferred

  • Ability to use data collection techniques, and statistical computations.

  • Strong communication, organizational, and analytical skills

  • Familiarity with DSM criteria and healthcare compliance standards preferred

  • Thorough knowledge of effective and appropriate charting principles

    Work Environment

    • Primarily indoor, temperature-controlled healthcare environment

    • Collaborative team-focused setting

      Benefits

    • Medical, Dental and Vision insurance

    • 401K

    • PTO and Sick time

    This position requires a pre-employment Level 2 Background check: https://info.flclearinghouse.com