Schedule: Monday-Friday (8:00am-4:30pm) Position is work from home after a 90 day in-office ... Conducts utilization reviews of behavioral health cases to determine medical necessity ...
Schedule: Monday-Friday (8:00am-4:30pm) Position is work from home after a 90 day in-office ... Conducts utilization reviews of behavioral health cases to determine medical necessity ...
Schedule: Monday-Friday (8:00am-4:30pm) Position is work from home after a 90 day in-office ... Conducts utilization reviews of behavioral health cases to determine medical necessity ...
Schedule: Monday-Friday (8:00am-4:30pm) Position is work from home after a 90 day in-office ... Conducts utilization reviews of behavioral health cases to determine medical necessity ...
In Home BCBA
San Antonio, TX · On-site +1
$63K - $77K/yr
Why Join Little Spurs Autism Centers? * Competitive salary of $80,000-$110,000, plus monthly bonus ... With thoughtful referral practices, flexible scheduling, and work-from-home options for programming ...
In Home BCBA
San Antonio, TX · On-site +1
$63K - $77K/yr
Why Join Little Spurs Autism Centers? * Competitive salary of $80,000-$110,000, plus monthly bonus ... With thoughtful referral practices, flexible scheduling, and work-from-home options for programming ...
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Quick apply
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Quick apply
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Quick apply
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Quick apply
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Quick apply
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Work From Home Work From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for ...
Work From Home Work From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for ...
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · On-site
$51.77/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · On-site
$51.77/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Quick apply
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Quick apply
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Quick apply
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
Quick apply
Utilization Review Specialist (BCBA Licensee)
Baltimore, MD · Remote
$51/hr
... with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses ... Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based ...
BCBA - Autism Program
Trenton, MI · On-site
$66K - $81K/yr
Our home-based program offers personalized interventions grounded in Applied Behavior Analysis (ABA ... As part of the Apex Autism Services team, you will benefit from: * Competitive pay and benefits ...
Quick apply
BCBA - Autism Program
Trenton, MI · On-site
$66K - $81K/yr
Our home-based program offers personalized interventions grounded in Applied Behavior Analysis (ABA ... As part of the Apex Autism Services team, you will benefit from: * Competitive pay and benefits ...
Utilization Review
Tuba City, AZ · On-site
RN - Utilization Review Excel is seeking highly skilled healthcare professionals for travel assignments across the United States. As a travel healthcare professional, you will have the opportunity to ...
New
Utilization Review
Tuba City, AZ · On-site
RN - Utilization Review Excel is seeking highly skilled healthcare professionals for travel assignments across the United States. As a travel healthcare professional, you will have the opportunity to ...
New
... review, and informal discussions, as appropriate. * Provide meaningful behavioral services to ... Requirements Requirements We are looking for a BCBA - Autism Services who: * Has experience and ...
... review, and informal discussions, as appropriate. * Provide meaningful behavioral services to ... Requirements Requirements We are looking for a BCBA - Autism Services who: * Has experience and ...
Utilization Review
Tuba City, AZ · On-site
RN - Utilization Review Ready for your next adventure? Axis Medical Staffing, one of the leading ... Shift Hours: Monday - Friday from 8am - 5pm. Callback on weekends/holidays * Active and ...
New
Utilization Review
Tuba City, AZ · On-site
RN - Utilization Review Ready for your next adventure? Axis Medical Staffing, one of the leading ... Shift Hours: Monday - Friday from 8am - 5pm. Callback on weekends/holidays * Active and ...
New
Board Certified Behavior Analyst (BCBA) - Autism Services
Saint Louis, MO · On-site
$75K - $85K/yr
... review, and informal discussions, as appropriate. * Provide meaningful behavioral services to ... Requirements Requirements We are looking for a BCBA - Autism Services who: * Has experience and ...
Board Certified Behavior Analyst (BCBA) - Autism Services
Saint Louis, MO · On-site
$75K - $85K/yr
... review, and informal discussions, as appropriate. * Provide meaningful behavioral services to ... Requirements Requirements We are looking for a BCBA - Autism Services who: * Has experience and ...
Utilization Review Specialist
Pompano Beach, FL · Remote
$50K - $65K/yr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Remote flexibility -- work from anywhere while collaborating with clinical, billing, and operations ...
Quick apply
Utilization Review Specialist
Pompano Beach, FL · Remote
$50K - $65K/yr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Remote flexibility -- work from anywhere while collaborating with clinical, billing, and operations ...
From Home Bcba Autism Utilization Review information
See salary details
$47.5K - $56.7K
1% of jobs
$56.7K - $66K
5% of jobs
$73K is the 25th percentile. Wages below this are outliers.
$66K - $75.2K
24% of jobs
The median wage is $80.2K / yr.
$75.2K - $84.4K
35% of jobs
$89K is the 75th percentile. Wages above this are outliers.
$84.4K - $93.6K
18% of jobs
$93.6K - $102.9K
5% of jobs
$102.9K - $112.1K
1% of jobs
$112.1K - $121.3K
1% of jobs
$121.3K - $130.5K
3% of jobs
$130.5K - $139.8K
3% of jobs
$139.8K - $149K
2% of jobs
$47.5K
$89.1K
$149K
How much do from home bcba autism utilization review jobs pay per year?
What is the difference between From Home Bcba Autism Utilization Review vs From Home Bcba Autism Case Manager?
| Aspect | From Home Bcba Autism Utilization Review | From Home Bcba Autism Case Manager |
|---|---|---|
| Credentials | BCBA certification, relevant autism experience | BCBA certification, autism experience, case management training |
| Work Environment | Remote, administrative review setting | Remote, client and provider coordination |
| Employer & Industry | Healthcare, insurance, autism service providers | Healthcare, autism service providers, case management firms |
While both roles require BCBA certification and autism experience, the Autism Utilization Review focuses on evaluating treatment plans for insurance approval, whereas the Autism Case Manager involves coordinating care and services directly with clients and providers. Understanding these differences helps professionals choose the role that best fits their skills and career goals.
Full-time
Posted 19 days ago
Nationwide Children's Hospital rating
6.9
Based on 131 frontline employees who took The Breakroom Quiz
551st of 1,056 rated hospitals
Job description
Overview:
Schedule: Monday-Friday (8:00am-4:30pm)
Position is work from home after a 90 day in-office training period.
Job Description Summary:
Job Description:
- Conducts utilization reviews of behavioral health cases to determine medical necessity, appropriateness of care, and adherence to clinical guidelines.
- Communicates with healthcare teams and third-party payors to ensure the delivery of quality care and optimum payment.
- Assists with retrospective reviews and denial management to maintain appropriate and cost-effective patient care.
- Documents all case reviews and maintains accurate records of all clinical activities and coverage information.
- Provides education and support regarding utilization review and management activities and processes.
- Analyzes clinical data to identify trends and patterns that may impact patient care. Participates in quality improvement initiatives to enhance the overall delivery of behavioral health services.
- Facilitates reimbursement by communicating with payers, other staff, patients, and families concerning status of funding and required actions.
Education Requirement:
Bachelor's Degree in Social Work, Psychology, or related field, required.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
- Excellent written and verbal communication and interpersonal skills.
- Excellent customer service and organizational skills.
- Working knowledge of CMS and other review agency standards.
- Proficient with software applications including CM, payer web applications, MITS, and others.
Experience:
- Three years of behavioral health experience, required.
- One year of experience in pediatric care or services, required.
- Utilization review or utilization management experience, preferred.
Physical Requirements:
OCCASIONALLY: Bend/twist, Climb stairs/ladder, Flexing/extending of neck, Lifting / Carrying: 0-10 lbs, Reaching above shoulder, Squat/kneel
FREQUENTLY: Standing, Walking
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting
Additional Physical Requirements performed but not listed above:
(not specified)
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
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About Nationwide Children's Hospital
Sourced by ZipRecruiter
Nationwide Children's Hospital, established in 1894, is a leading pediatric healthcare system based in Columbus, Ohio, United States. They serve as a primary pediatric network, providing wellness, preventive, diagnostic, treatment, and rehabilitative care for infants, children, adolescents, and adults with congenital disease. Being the third-largest pediatric hospital in the nation, Nationwide Children's Hospital prides itself on its relentless commitment to children and their families, driven by their core values of respect, integrity, determination, empathy, and solidarity. The institution's comprehensive mission is to enhance the health of children by providing high-quality, family-centered care, conducting groundbreaking research, advocating for pediatric health, and training top healthcare professionals.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Columbus, OH, US
Year founded
1892