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Part Time Bcba Utilization Review Jobs (NOW HIRING)

$52.03 - $101.24/hr

Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical ... Employment Type: Part Time

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Part-time employees which includes: Medical, Dental and Vision plans Life Insurance Flexible ...

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Part-time employees which includes: • Medical, Dental and Vision plans • Life Insurance • ...

Part-time BCBA

Dedham, MA · On-site

$70 - $80/hr

Clinical ladder with progression from BCBA I-IV. * Growth into leadership , training, consultative ... Please review the full here: . Behavioral Health Center of Excellence (BHCOE) Accredited 2024 ...

Part-time and full-time positions available. For nearly 10 years, Total Spectrum has provided ... Analysis Support Team, and High-Risk Review Team * Experienced scheduling, training, and insurance ...

Part-Time BCBA

Honolulu, HI · On-site

$50 - $62/hr

... review treatment plans, progress reports, and documentation • Ensure compliance with clinical and ... BCBA who: • Brings strong clinical judgment and experience overseeing ABA programs • Is ...

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Part Time Bcba Utilization Review information

See salary details

$47.5K

$89.1K

$149K

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

As of Aug 2, 2026, the average yearly pay for part 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 are the key skills and qualifications needed to thrive as a Part Time BCBA Utilization Review Specialist, and why are they important?

To thrive as a Part Time BCBA Utilization Review Specialist, you need board certification as a Behavior Analyst (BCBA), strong understanding of ABA principles, and experience in clinical case review. Familiarity with electronic health records (EHRs), utilization management software, and compliance with insurance and regulatory guidelines is typically required. Outstanding analytical thinking, attention to detail, and effective written and verbal communication skills set top performers apart in this role. These skills ensure accurate, fair, and timely case evaluations that support quality care and compliance with payer requirements.

What is a Part Time BCBA Utilization Review?

A Part Time BCBA Utilization Review position involves a Board Certified Behavior Analyst (BCBA) reviewing treatment plans and clinical documentation to ensure that applied behavior analysis (ABA) services are medically necessary, effective, and compliant with insurance or regulatory guidelines. This role typically does not provide direct therapy but focuses on evaluating the quality and justification of ABA services for approval or reimbursement. Working part time, these BCBAs help organizations maintain high standards of care while ensuring that treatment protocols align with best practices and payer requirements.

How does a part-time BCBA in Utilization Review typically collaborate with other healthcare professionals?

As a part-time BCBA in Utilization Review, you will regularly interact with clinicians, case managers, and insurance representatives to assess the medical necessity and effectiveness of behavior analytic services. Collaboration often involves reviewing clinical documentation, providing recommendations, and participating in multidisciplinary team meetings to ensure clients receive appropriate care. Strong communication skills and an understanding of insurance guidelines are essential for successful teamwork in this fast-paced, detail-oriented environment.

What is the difference between Part Time Bcba Utilization Review vs Part Time Bcba?

AspectPart Time Bcba Utilization ReviewPart Time Bcba
CredentialsBCBA certification, additional training in utilization reviewBCBA certification
Work EnvironmentHealthcare or insurance companies, reviewing casesBehavior analysis settings, direct client work
Employer & IndustryInsurance providers, healthcare organizationsBehavior therapy clinics, schools, private practice
Job FocusReviewing treatment plans for insurance approvalDeveloping and implementing behavior intervention plans

Part Time Bcba Utilization Review primarily involves evaluating treatment plans for insurance coverage, focusing on case review and approval. In contrast, Part Time Bcba emphasizes direct client intervention and behavior analysis. Both roles require BCBA certification but differ in work environment and job responsibilities.

More about Part Time Bcba Utilization Review jobs
What cities are hiring for Part Time Bcba Utilization Review jobs? Cities with the most Part Time Bcba Utilization Review job openings:
What are the most commonly searched types of Bcba Utilization Review jobs? The most popular types of Bcba Utilization Review jobs are:
What states have the most Part Time Bcba Utilization Review jobs? States with the most job openings for Part Time Bcba Utilization Review jobs include:
Infographic showing various Part Time Bcba Utilization Review job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 3% Internship, 44% Full Time, 28% Part Time, 1% Contract, and 23% Nights. Highlights an 93% Physical, 4% Hybrid, and 3% Remote job distribution, with an average salary of $89,075 per year, or $42.8 per hour.

$52.03 - $101.24/hr

Part-time

Posted 7 days ago


Job description


Job Summary and Responsibilities

As our Utilization Review Nurse, you will ensure the medical necessity and appropriateness of care for all hospitalized patients, promoting fiscal responsibility and optimal patient outcomes. You will leverage specialized utilization review criteria, technologies, and tools to verify the correct level of care throughout their acute stay.
Every day you will perform meticulous clinical assessments, identify and coordinate cost-effective alternatives, and proactively support provider decision-making. You will collaborate with the healthcare team, patients, families, and both internal/external customers to achieve optimal outcomes efficiently and ethically, ensuring compliance with payer guidelines and regulatory standards.
To be successful in this role you will have strong analytical skills, persuasive communication, and a steadfast commitment to patient advocacy.  Fiscal stewardship is crucial for navigating complex clinical and financial landscapes, ensuring appropriate resource utilization.

Job Requirements

Required

  • Bachelor's degree in Nursing and 3 years of professional nursing experience in a hospital setting.
  • Active Washington State Registered Nurse License.
  • Experience in utilization review.
  • Demonstrated ability to work collaboratively with all members of the care team (CNLs, MSWs, MDs) in conveyance of information that affects patient care.
  • An understanding of variable payor rules and regulations is also required.

Preferred

  • Knowledge of core insurance coverage guidelines and financial principles.
  • Acute care nursing experience.
Where You'll Work

Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.

Qualifications:

Required

  • Bachelor's degree in Nursing and 3 years of professional nursing experience in a hospital setting.
  • Active Washington State Registered Nurse License.
  • Experience in utilization review.
  • Demonstrated ability to work collaboratively with all members of the care team (CNLs, MSWs, MDs) in conveyance of information that affects patient care.
  • An understanding of variable payor rules and regulations is also required.

Preferred

  • Knowledge of core insurance coverage guidelines and financial principles.
  • Acute care nursing experience.
Employment Type: Part Time