ZipRecruiter

Log In

1

From Home Bcba Autism Utilization Review Jobs (NOW HIRING)

Nationwide Children's Hospital

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 ...

Little Spurs Autism Centers

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 ...

Apex Therapy Services

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 ...

next page

Showing results 1-20

All Jobsremote JobsHealthcare JobsHealth Counseling JobsBehavioral Therapist JobsFrom Home Bcba Autism Utilization Review Jobs

From Home Bcba Autism Utilization Review information

See salary details

$47.5K

$89.1K

$149K

How much do from home bcba autism utilization review jobs pay per year?

As of Aug 31, 2026, the average yearly pay for from home bcba autism utilization review in the United States is $89,075.00, according to ZipRecruiter salary data. Most workers in this role earn between $74,000.00 and $90,500.00 per year, depending on experience, location, and employer.

What is the difference between From Home Bcba Autism Utilization Review vs From Home Bcba Autism Case Manager?

AspectFrom Home Bcba Autism Utilization ReviewFrom Home Bcba Autism Case Manager
CredentialsBCBA certification, relevant autism experienceBCBA certification, autism experience, case management training
Work EnvironmentRemote, administrative review settingRemote, client and provider coordination
Employer & IndustryHealthcare, insurance, autism service providersHealthcare, 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.

What cities are hiring for From Home Bcba Autism Utilization Review jobs?

Cities with the most From Home Bcba Autism Utilization Review job openings:

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

The most popular types of Bcba Autism Utilization Review jobs are:

What states have the most From Home Bcba Autism Utilization Review jobs?

States with the most job openings for From Home Bcba Autism Utilization Review jobs include:

From Home Bcba Autism Utilization Review jobs near you

Utilization Review Specialist - Autism

Nationwide Children's Hospital

Hybrid

Full-time

Re-posted 10 days ago

Nationwide Children's Hospital rating

6.9

Company rating: 6.9 out of 10

Based on 131 frontline employees who took The Breakroom Quiz

551st of 1,064 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:


Reviews behavioral health cases to determine medical necessity and appropriateness of care, ensuring compliance with established guidelines and policies. Performs pre-certifications, pre-authorizations, re-authorization, concurrent utilization reviews, retrospective reviews, and denial management. Interacts with staff and departments of the hospital to facilitate appropriate, cost-effective patient care.


Job Description:


Essential Functions:

  • 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, or equivalent education and experience, 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"

What Nationwide Children's Hospital employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Nationwide Children's Hospital logo

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

View All Nationwide Children's Hospital Jobs

Apply