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From Home Authorization Utilization Review Bcba Jobs

Banyan

Utilization Review Specialist

Pompano Beach, FL · On-site

$50K - $65K/yr

Remote flexibility - work from anywhere while collaborating with clinical, billing, and operations ... Verify insurance benefits, coordinate authorizations, and communicate effectively with external ...

US Tech Solutions

Utilization Review Nurse

Chicago, IL · On-site

Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and ... Must have prior authorization utilization experience * Experience with Medcompass Skills: * MUST ...

Discovery Institute

Utilization Review

Marlboro, NJ · On-site

Monitor authorization expiration dates and request extensions before expiration. * Communicate ... Participate in utilization review meetings and case conferences. * Generate reports on ...

Nationwide Children's Hospital

Schedule: Monday-Friday (8:00am-4:30pm) Position is work from home after a 90 day in-office ... Performs pre-certifications, pre-authorizations, re-authorization, concurrent utilization reviews ...

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From Home Authorization Utilization Review Bcba information

What is a from home Authorization Utilization Review BCBA?

A 'From Home Authorization Utilization Review BCBA' is a Board Certified Behavior Analyst (BCBA) who works remotely to review and authorize treatment plans for clients, typically in the field of applied behavior analysis (ABA). Their primary responsibility is to evaluate submitted treatment requests, ensure they meet clinical guidelines and insurance requirements, and approve or deny them accordingly. This role combines clinical expertise with administrative tasks and is essential for maintaining quality and compliance in ABA therapy services. Working from home allows BCBAs to perform these duties flexibly, using secure online systems to review documentation and communicate with providers.

What are the key skills and qualifications needed to thrive as a from home Authorization Utilization Review BCBA?

To thrive as a From Home Authorization Utilization Review BCBA, you need certification as a Board Certified Behavior Analyst (BCBA), a strong background in applied behavior analysis, and experience with clinical review processes. Familiarity with electronic health records (EHR), utilization management software, and insurance authorization systems is typically required. Strong analytical thinking, attention to detail, and effective communication are essential soft skills for collaborating remotely and ensuring accurate case evaluations. These skills enable efficient and evidence-based review of treatment requests, ensuring appropriate care and compliance with payer guidelines.

What are some common challenges faced by a from home Authorization Utilization Review BCBA, and how can they be managed?

A remote Authorization Utilization Review BCBA often encounters challenges such as limited direct client interaction, reliance on thorough documentation, and navigating varying payer requirements. Staying organized and maintaining clear, detailed case notes are crucial for accurate reviews and justifying treatment authorizations. Regular communication with clinical teams and payers, as well as utilizing secure telehealth and documentation platforms, can help manage these challenges. Being proactive about ongoing training in payer guidelines also ensures compliance and efficiency in the role.

What is the difference between From Home Authorization Utilization Review Bcba vs From Home Authorization Utilization Review Bcba?

AspectFrom Home Authorization Utilization Review Bcba

Since the comparison is with the same job title, there is no difference between From Home Authorization Utilization Review Bcba and itself. Typically, variations may exist based on employer or specific job duties, but the core credentials, work environment, and industry usage remain consistent for this role.

Can a From Home Authorization Utilization Review BCBA work remotely?

Yes, a From Home Authorization Utilization Review BCBA can work remotely, as many roles in behavioral health and utilization review are performed virtually. This position typically requires strong communication skills, certification, and familiarity with telehealth tools and electronic health records, allowing for flexible work environments.

Is utilization review work from home?

Utilization review roles, including those for BCBA professionals, are increasingly offered as remote positions, especially with the use of telehealth and digital documentation tools. Many employers allow work-from-home arrangements, but specific policies depend on the company and job requirements, such as certification and experience in behavioral health. Candidates should verify remote options during the application process or interview stage.

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From Home Authorization Utilization Review Bcba jobs near you

Utilization Review Specialist

Banyan

Pompano Beach, FL • On-site

$50K - $65K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Job description

Utilization Review Specialist | Remote | Full-Time
$50,000 - $65,000 Annually | Weekdays (Weekend Availability as Needed)
Banyan Treatment Centers is seeking an experienced and detail-driven Utilization Review Specialist to join our corporate team. In this remote role, you'll manage a caseload of 50-75 patients, conducting admission and continuing-stay reviews, coordinating authorizations, and serving as a key liaison between Banyan's clinical operations and the managed care organizations that fund patient treatment. Your work directly protects patient access to care and keeps the business running.
This is a high-volume, relationship-driven role for someone who thrives on precision, knows how to navigate managed care, and understands the stakes on both sides of the authorization process.
About Banyan Treatment Centers
Banyan Treatment Centers is a leading national provider of intensive treatment for individuals facing substance use and mental health disorders. Backed by TPG, one of the nation's largest private equity investors, Banyan is rapidly expanding access to high-quality, compassionate care.
Why Join Our Team?
  • Mission-driven work with real business impact - your authorizations directly determine whether patients stay in treatment. Few roles sit closer to the intersection of clinical care and organizational sustainability.
  • Nationally recognized organization - Joint Commission-accredited, with 18 locations and telehealth services nationwide, and the infrastructure to support your work at scale.
  • Remote flexibility - work from anywhere while collaborating with clinical, billing, and operations teams across the country.
  • Collaborative environment - partner closely with clinical, operational, and billing teams to resolve outstanding case issues, support discharge planning, and ensure timely reimbursement.
  • Room to grow - join a rapidly expanding organization where UR professionals have visibility across the enterprise and opportunities to advance.
  • Comprehensive benefits including medical, dental, and vision insurance; whole and term life insurance; short- and long-term disability; 401(k) with employer match; paid time off and holidays; wellness incentives; and employee assistance and referral programs.

Key Responsibilities
  • Manage a caseload of 50-75 patients, authorizing 15-25 cases daily and ensuring timely utilization reviews and appropriate level of care determinations
  • Conduct admission and continuing-stay reviews to assess medical necessity and ensure compliance with treatment standards
  • Verify insurance benefits, coordinate authorizations, and communicate effectively with external case managers and managed care organizations
  • Establish and maintain contracts with managed care companies and request rate increases when appropriate
  • Collaborate with clinical and billing departments to support discharge planning, documentation, and timely reimbursement
  • Identify and address over- and underutilization trends
  • Assist in resolving outstanding case issues with insurers

Qualifications
Required:
  • High school diploma or equivalent
  • Minimum one year of utilization review experience in a psychiatric or chemical dependency setting
  • Strong organizational, documentation, and communication skills
  • Ability to manage high caseloads with accuracy and efficiency
  • Comfortable working independently in a remote environment

Preferred:
  • Graduate degree in a health or behavioral health related field
  • Clinical licensure (LCSW, LMHC, LPC, RN, or equivalent) - valued but not required
  • Experience working with managed care organizations, insurance authorization, and level of care criteria
  • Familiarity with Joint Commission standards and behavioral health regulatory requirements

Apply Now
If you're experienced in utilization review, thrive in a fast-paced and high-volume environment, and want your work to matter beyond the spreadsheet, we'd like to meet you. Apply today to join the Banyan Treatment Centers corporate team.
Banyan Treatment Centers is an equal opportunity employer.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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