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Full Time Bcba Utilization Review Jobs (NOW HIRING)

Midland Health

Nurse Utilization Review

Midland, TX

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... SHIFT AND SCHEDULE Full Time, Monday - Friday; 8:00 AM - 5:00 PM ESSENTIAL FUNCTIONS/PERFORMANCE ...

Midland Health

Nurse Utilization Review

Midland, TX

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... SHIFT AND SCHEDULE Full Time, Monday - Friday; 8:00 AM - 5:00 PM ESSENTIAL FUNCTIONS/PERFORMANCE ...

Midland Health

Nurse Utilization Review

Midland, TX

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... SHIFT AND SCHEDULE Full Time, Monday - Friday; 8:00 AM - 5:00 PM ESSENTIAL FUNCTIONS/PERFORMANCE ...

Midland Health

Nurse Utilization Review

Midland, TX · On-site

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... SHIFT AND SCHEDULE Full Time, Monday - Friday; 8:00 AM - 5:00 PM ESSENTIAL FUNCTIONS/PERFORMANCE ...

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Full Time Bcba Utilization Review information

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$89.1K

$149K

How much do full time bcba utilization review jobs pay per year?

As of Jun 11, 2026, the average yearly pay for full time bcba 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 Full Time Bcba Utilization Review vs Full Time Bcba?

AspectFull Time Bcba Utilization ReviewFull Time Bcba
CertificationsBCBA certification requiredBCBA certification required
Work EnvironmentFocuses on reviewing treatment plans and insurance authorizationsProvides direct behavioral therapy to clients
Employer & Industry UsageUsed by insurance companies, clinics, and healthcare organizations for case reviewEmployed by clinics, schools, and private practices for client services
Job ResponsibilitiesAssessing treatment plans, ensuring compliance, reviewing utilizationImplementing behavior intervention plans, direct client work

While both roles require BCBA certification, the Full Time Bcba Utilization Review primarily involves evaluating treatment plans and insurance utilization, whereas the Full Time Bcba provides direct behavioral therapy to clients. The roles differ mainly in daily responsibilities and work focus, though both are essential in behavioral health services.

What is a Full Time BCBA Utilization Review?

A Full Time BCBA Utilization Review is a Board Certified Behavior Analyst who works in a utilization review capacity, typically for insurance companies or healthcare organizations. Their primary role is to review and evaluate treatment plans and service requests for Applied Behavior Analysis (ABA) therapy to ensure medical necessity, effectiveness, and compliance with clinical guidelines. They collaborate with providers, assess documentation, and make recommendations to approve, modify, or deny services based on established criteria. This role requires strong analytical skills, up-to-date knowledge of ABA best practices, and a current BCBA certification. Working full time, these professionals play a key part in maintaining quality standards and cost-effectiveness in behavioral health services.

What are some common challenges faced by a BCBA in Utilization Review positions, and how can they be addressed?

BCBAs working in Utilization Review often navigate the challenge of balancing clinical recommendations with payer requirements and cost-effectiveness. They may encounter situations where they need to justify medically necessary services or adapt treatment plans to align with insurance criteria. Success in this role requires strong communication skills, attention to documentation, and the ability to advocate for clients while maintaining compliance with guidelines. Collaborating closely with clinical teams and staying updated on payer policies can help address these challenges effectively.

What are the key skills and qualifications needed to thrive as a Full Time BCBA Utilization Review specialist, and why are they important?

To thrive as a Full Time BCBA Utilization Review specialist, you need board certification as a Behavior Analyst (BCBA), a solid background in Applied Behavior Analysis (ABA), and experience in clinical case review. Familiarity with electronic health records (EHRs), insurance authorization systems, and documentation software is essential for efficient case management. Strong analytical thinking, written communication, and attention to detail help ensure accurate reviews and clear reports. These skills and qualities are crucial for maintaining compliance, ensuring quality care, and optimizing service delivery in behavioral health settings.
More about Full Time Bcba Utilization Review jobs
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Full Time Bcba Utilization Review jobs near you
Infographic showing various Full Time Bcba Utilization Review job openings in the United States as of June 2026, with employment types broken down into 65% Full Time, and 35% Part Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $89,075 per year, or $42.8 per hour.
Utilization Review Specialist

Utilization Review Specialist

PRAESUM HEALTHCARE

West Palm Beach, FL • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Job description

Praesum Healthcare:
Position Title: Utilization Review Specialist
Founded in 2003, Praesum Healthcare provides administrative services for healthcare providers in key geographical locations throughout the Northeast, mid-Atlantic, and Southeast regions. Praesum is an established leader in the healthcare industry. With a solid, growth-focused business model, strong finances, and expert management team, Praesum will continue to grow in the years to come. Praesum currently provides services to behavioral health facilities providing all levels of care from inpatient psychiatric and substance abuse detoxification, through SUD and mental health outpatient clinics.
Utilization Review Specialist Job description:
Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care settings.
Utilization Review Specialist Duties/Responsibilities:
• Initiate pre-certification and continued stay authorizations based on ASAM criteria
• Communicate directly with facility regarding patients' needs and symptomology
• Maintain daily census scheduling all new admissions and concurrent reviews
• Input of authorizations and appropriate demographic information to EHR for billing purposes
• Completing "peer to peer" reviews and scheduling "Doctor to Doctor" reviews when needed
• Confirm insurance coverage of each patient
• Organize weekend census of all detox and residential patients for all our impatient facilities
• Collect all appropriate clinical data for each patient that requires precertification
Utilization Review Specialist Requirements:
• High School Diploma
• A minimum of 3-5 years of utilization review experience.
• Individual must be computer literate with proficiency in Microsoft Office applications.
Utilization Review Specialist Schedule:
• Full Time, Friday - Monday (weekends) with potential for bonus
• 8:30am to 05:00pm
Utilization Review Specialist Compensation:
• Hourly rate competitive with experience and location
Full time employees may be eligible for the following:
• Insurance: Medical, Dental, Vision, and STD options
• Medical FSA and Dependent Care Account
• 401k with company match up to 5%
• Accrued Paid Time Off (PTO)
• Education reimbursement
• Career Advancement Opportunities
*** This job does NOT sponsor visa's and we are unable to consider out of country applicants ***
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