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Full Time Bcba Utilization Review Jobs in Virginia

UHS

PHP Utilization Review Coordinator

Leesburg, VA · On-site

$64K/yr

North Spring Behavioral Healthcare is looking for a fulltime Utilization Review Coordinator (on-site) to join our compassionate and dynamic team! What We Offer: * Competitive Salary * Comprehensive ...

New

UHS

PHP Utilization Review Coordinator

Leesburg, VA · On-site

North Spring Behavioral Healthcare is looking for a fulltime Utilization Review Coordinator (on-site) to join our compassionate and dynamic team! What We Offer: * Competitive Salary * Comprehensive ...

New

ICBD

Board Certified Behavior Analyst / BCBA

Hopewell, VA · On-site

$100K - $120K/yr

... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ... BCBA roles. Closing Statement ABA Centers is an Equal Opportunity Employer and is committed to ...

ICBD

Board Certified Behavior Analyst / BCBA

Ashland, VA · On-site

$100K - $120K/yr

... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ... BCBA roles. Closing Statement ABA Centers is an Equal Opportunity Employer and is committed to ...

ICBD

Board Certified Behavior Analyst / BCBA

Richmond, VA · On-site

$100K - $120K/yr

... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ... BCBA roles. Closing Statement ABA Centers is an Equal Opportunity Employer and is committed to ...

ICBD

Board Certified Behavior Analyst / BCBA

Petersburg, VA · On-site

$100K - $120K/yr

... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ... BCBA roles. Closing Statement ABA Centers is an Equal Opportunity Employer and is committed to ...

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All JobsBcba Utilization Review JobsFull Time Bcba Utilization Review JobsFull Time Bcba Utilization Review Jobs in Virginia

Full Time Bcba Utilization Review information

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.

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 are the most commonly searched types of Bcba Utilization Review jobs in Virginia?

The most popular types of Bcba Utilization Review jobs in Virginia are:

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For Full Time Bcba Utilization Review jobs in Virginia, the most frequently searched job titles are:

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The top searched job categories for Full Time Bcba Utilization Review jobs in Virginia are:

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Full Time Bcba Utilization Review jobs near you
Infographic showing various Full Time Bcba Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 91% In-person, and 9% Remote job distribution.

Clinical Coordinator - Utilization Review

Hampton, VA • On-site

Hampton-Newport News Community Services Board
Offices of Mental Health Practitioners • 501 - 1,000 employees
Learn more about Hampton-Newport News Community Services Boardexternal

$62K - $66K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 15 days ago

Job description

Clinical Coordinator - Utilization Review
Annual Salary: $62,406 - $66,000
Work Schedule: Monday - Friday 8:30 am - 5:00 pm
The Hampton-Newport News Community Services Board (CSB) is seeking a Clinical Coordinator - Utilization Review to join the Region 5 Reinvestment Initiative. This full-time position plays an important role in ensuring individuals receive timely, appropriate, and effective behavioral health services while supporting regional efforts to improve access to care and coordinate treatment placements.
The Clinical Coordinator - Utilization Review conducts utilization reviews of acute and intermediate levels of care, evaluates medical necessity and appropriateness of services, and manages behavioral health bed utilization on a daily basis. This position works closely with hospitals, treatment facilities, CSB staff, and regional partners to support timely movement to the most appropriate level of care.
Minimum Qualifications
To qualify for this position, candidates must have:
  • Master's degree in Human Services or a related field.
  • Three (3) years of experience in behavioral health, including utilization management.
Key Responsibilities
  • Conduct utilization reviews of acute and intermediate levels of care to assess medical necessity, appropriateness of treatment, and continued stay criteria.
  • Manage and monitor acute care bed availability and placements to support timely and appropriate transitions in care.
  • Conduct face-to-face assessments and gather information regarding an individual's treatment needs, progress, and current level of functioning.
  • Review treatment progress and outcomes and make recommendations regarding the most appropriate level of care.
  • Coordinate communication among hospitals, facilities, CSB staff, and regional partners regarding admissions, continued stays, discharges, and placements.
  • Provide guidance and recommendations related to acute, sub-acute, crisis stabilization, and community-based services.
  • Monitor consumer placements and assist with identifying appropriate and least restrictive treatment options.
  • Communicate findings, recommendations, and utilization concerns to appropriate stakeholders.
  • Prepare utilization reports and provide data-driven recommendations to support regional behavioral health planning and resource management.
  • Promote quality, cost-effective care while supporting timely access to appropriate services.
  • Participate in regional initiatives and activities designed to improve behavioral health system coordination and outcomes.

BENEFITS
  • Health, Vision, and Dental Insurance
  • Virginia Retirement System
  • Flexible Spending Account (FSA)
  • Life Insurance
  • 11 Paid Holidays

The selected candidate must successfully pass a criminal history fingerprint background investigation, DMV record check, Child Registry search, drug screening test and employment reference checks.

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