ZipRecruiter

Log In

2

Part Time Bcba Utilization Review Jobs in California

Devereux

BCBA

Laguna Hills, CA · On-site

$41.53 - $42.83/hr

Description Devereux Day Academy-Laguna Hills Seeking a Part-Time BCBA to support students with ... Ability to review behavior analytic research and support applied research or outcome studies

Devereux

BCBA

Laguna Hills, CA · On-site

$45 - $50/hr

Devereux Day Academy-Laguna Hills Seeking a Part-Time BCBA to support students with disabilities ... Ability to review behavior analytic research and support applied research or outcome studies

Devereux

BCBA

Laguna Hills, CA · On-site

$45 - $50/hr

DescriptionDevereux Day Academy-Laguna Hills Seeking a Part-Time BCBA to support students with ... Ability to review behavior analytic research and support applied research or outcome studies

Devereux

BCBA

Laguna Hills, CA

$41.53 - $42.83/hr

Devereux Day Academy-Laguna Hills Seeking a Part-Time BCBA to support students with disabilities ... Ability to review behavior analytic research and support applied research or outcome studies

Madera Community Hospital

Peer Review Nurse

Madera, CA · On-site

$46 - $61.91/hr

Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...

Madera Community Hospital

Peer Review Nurse

Madera, CA

$46 - $61.91/hr

Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...

Madera Community Hospital

Peer Review Nurse

Madera, CA · On-site

$46 - $61.91/hr

Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...

ROMAN EMPIRE

BCBA Part-Time

Alhambra, CA

$0.01 - $105/hr

BCBA is responsible for ensuring treatment fidelity across all cases supervised, this includes Functional Behavior Assessments (FBA) and Behavior Intervention Plans frequent review and ensuring that ...

Kaweahhealth

Care Coordination Specialist

Visalia, CA · On-site

Benefits Eligible Part-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States ... Utilization review and/or coding experience Knowledge/Skills/Abilities Must understand basic ...

LIBERTY DENTAL

$74 - $82/hr

Employment Type: Part-Time, Non-Exempt Work Arrangement: Fully Remote Schedule: 20 hours per week ... Experience in dental claims review, utilization management, managed care, or payer environments.

next page

Showing results 1-20

All JobsBcba Utilization Review JobsPart Time Bcba Utilization Review JobsPart Time Bcba Utilization Review Jobs in California

Part Time Bcba Utilization Review information

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 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 are the key skills and qualifications needed to thrive as a part time BCBA utilization review specialist?

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 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.

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

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

What are popular job titles related to Part Time Bcba Utilization Review jobs in California?

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

What job categories do people searching Part Time Bcba Utilization Review jobs in California look for?

The top searched job categories for Part Time Bcba Utilization Review jobs in California are:

What cities in California are hiring for Part Time Bcba Utilization Review jobs?

Cities in California with the most Part Time Bcba Utilization Review job openings:

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

Utilization Review Case Manager - PT Days

Torrance Memorial Medical Center

Torrance, CA

$56.39 - $87.25/hr

Part-time

Posted 4 days ago

Torrance Memorial Medical Center rating

7.8

Company rating: 7.8 out of 10

Based on 41 frontline employees who took The Breakroom Quiz

197th of 1,064 rated hospitals

Job description

Under general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most appropriate level of care based on nationally accepted admission criteria. The UR CM uses medical necessity screening tools, such as InterQual or MCG criteria, to complete initial (if not complete) and continued stay reviews in determining appropriate levels of patient care. The UR CM secures authorization for the patient's clinical services through collaboration and communication with the payers as required. The UR CM follows the UR process as defined in the Utilization Review Plan in accordance with the CMS condition of Participation for Utilization Review.Core Competencies
  • Anticipates and assesses and informs payers of patient's discharge planning needs.
  • Assesses need for home durable equipment, follows-up with home health and include(s) anticipated need in communication with payers
  • Assists and supports a new or transferred employee through a planned orientation.
  • Assists with the orientation and competency assessment of staff.
  • Attends denial management committee.
  • Collaborates with interdisciplinary and communicates this plan to the payer
  • Collaborates with RN Case Managers and the Physician Advisors to facilitate the peer to peer process in order to mitigate potential denials
  • Collaborates/communicates with external case managers.
  • Communicates with the patient, family, medical staff and others during the continuum of care
  • Completes all documentation in a clear, clean, concise manner.
  • Complies with all applicable laws and regulations.
  • Complies with organizational quality dashboard/benchmarking goals
  • Complies with Joint Commission's national patient safety goals
  • Demonstrates culturally competent patient care.
  • Demonstrates good customer relations skills.
  • Demonstrates independent judgment, autonomy, initiative, time management and organizational skills and the ability to prioritize projects/functions in a busy work environment.
  • Demonstrates knowledge of clinical norms for the different age groups as applicable to job functions.
  • Develops and maintains cooperative relationships with hospital personnel, physicians, suppliers and insurance case managers.
  • Demonstrates interpersonal communication skills that enable exchange of ideas and information effective with patients, families, and colleagues of all levels
  • Documents daily using MCG criteria.
  • Ensures optimal customer service/patient experience by role modeling excellent customer service
  • Ensures the physician writes an order to admit the patient to appropriate level of care along with nursing, verify the physician writes a valid patient status order.
  • Evaluates and makes positive suggestions for change in the environment.
  • Follows up with a phone call in order to answer questions, problem solve.
  • Facilitates transfer to other facilities.
  • Follows up with Medi-Cal TAR submission during the patients stay according to the DHS requirement.
  • Gives initial review and updates to insurance provider.
  • Identifies and monitors Observation cases on a daily basis.
  • Identifies and resolves delays and obstacles in collaboration with the RN Case Managers, nursing and the attending physicians
  • Identifies inappropriate bed utilization and quality of care problems and refers them to Utilization Management physician advisor.
  • Maintains Blue Cross Hold under 2 million dollars daily.
  • Maintains working knowledge of Medicare requirements for patient status (Two-Midnight Rule, Inpatient Only List)
  • Performs chart reviews and quality assessments on all patients using MCG criteria and secondary review as directed by Administration and the Medical Staff or as per contract or payer expectation (UR Committee).
  • Performs retrospective reviews.
  • Provides documentation for denial letter, collaborates with RN case manager for the delivery of denial letters to patients.
  • Researches denial claims and submits additional clinical for reconsideration when appropriate, or refers to physician advisor for recommendation
  • Reviews all commercial accounts daily or as per contract or payer expectation
  • Tracks avoidable days.
EducationDegreeProgramBachelorsNursing
ExperienceNumber of Years ExperienceType of Experience1Acute hospital case management, Health Plan Utilization Review2Clinical experience in an acute care facilityLicense / Certification RequirementsRegistered Nurse License

Compensation Range:

$56.39 - 87.25 / Hour

Employment Type: Part-Time

What Torrance Memorial Medical Center employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply