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Part Time Bcba Utilization Review Jobs in California

Autism Spectrum Therapies

Hybrid BCBA

Corona, CA

$78K - $90K/yr

Part-time and full-time positions available. For over 20 years, Autism Spectrum Therapies (AST) has ... Analysis Support Team, and High-Risk Review Team * Experienced scheduling, training, and insurance ...

Autism Spectrum Therapies

Hybrid BCBA

Corona, CA · On-site

$76K - $93K/yr

Part-time and full-time positions available. Allow Us to Introduce Ourselves For over 20 years ... Analysis Support Team, and High-Risk Review Team * Experienced scheduling, training, and insurance ...

Autism Spectrum Therapies

Hybrid BCBA

Corona, CA · On-site

$76K - $93K/yr

Part-time and full-time positions available. Allow Us to Introduce Ourselves For over 20 years ... Analysis Support Team, and High-Risk Review Team * Experienced scheduling, training, and insurance ...

Autism Spectrum Therapies

Senior BCBA

Fresno, CA · On-site

$78K - $90K/yr

Part-time and full-time positions available. We are now offering up to a $5k sign-on bonus! Allow ... Analysis Support Team, and High-Risk Review Team * Experienced scheduling, training, and insurance ...

Hi-5 ABA

BCBA - Cain Behavioral Therapy

Pleasanton, CA · On-site

$82K - $100K/yr

Review, provide feedback and approve: treatment targets, Behavior Support Plans developed by the ... Maintain at least 130 billable hours per month for full time/ part time hours a minimum of 80 hours ...

Autism Spectrum Therapies

Senior BCBA

Fresno, CA · On-site

$78K - $90K/yr

Part-time and full-time positions available. We are now offering up to a $5k sign-on bonus! Allow ... Analysis Support Team, and High-Risk Review Team * Experienced scheduling, training, and insurance ...

Autism Spectrum Therapies

Senior BCBA

Gardena, CA · On-site

$75K - $92K/yr

Part-time and full-time positions available. We are offering a $3k sign-on bonus! Allow Us to ... Analysis Support Team, and High-Risk Review Team * Experienced scheduling, training, and insurance ...

Autism Spectrum Therapies

Senior BCBA

Gardena, CA · On-site

$75K - $92K/yr

Part-time and full-time positions available. We are offering a $3k sign-on bonus! Allow Us to ... Analysis Support Team, and High-Risk Review Team * Experienced scheduling, training, and insurance ...

Autism Spectrum Therapies

Senior BCBA

Gardena, CA

$78K - $90K/yr

Part-time and full-time positions available. We are offering a $3k sign-on bonus! For over 20 years ... Analysis Support Team, and High-Risk Review Team * Experienced scheduling, training, and insurance ...

Autism Spectrum Therapies

Senior BCBA

Fresno, CA

$78K - $90K/yr

Part-time and full-time positions available. We are now offering up to a $5k sign-on bonus! For ... Analysis Support Team, and High-Risk Review Team * Experienced scheduling, training, and insurance ...

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Showing results 21-40

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:

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

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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.

Medical Director, Utilization Management

MASC Medical Recruitment Firm

San Diego, CA • On-site

$139.23 - $189.38/hr

Part-time

Posted 3 days ago

New

Job description

MASC Medical is seeking a part-time Medical Director of Utilization Management for a San Diego PACE program. This physician leadership role focuses on medical necessity determinations across various care settings, leading peer-to-peer discussions, and managing the appeals process. It offers the opportunity to influence care delivery for a frail, dual-eligible older adult population without direct patient care responsibilities or productivity targets.

Practice Info

  • Part-time physician leadership role
  • No patient panel
  • No call
  • Population-level impact on a frail, dual-eligible senior population

Responsibilities

  • Make and direct medical necessity determinations for outpatient, inpatient, and post-acute care (SNF, ALF, LTACH, palliative, hospice, home health)
  • Apply InterQual and CMS coverage criteria; own the standards and train the team on how to use them
  • Lead peer-to-peer discussions with site medical directors, PCPs, and external network and non-contracted providers
  • Serve as physician reviewer on escalated and complex utilization cases
  • Lead and protect the integrity of the appeals and grievance process under CMS, Medi-Cal, and PACE requirements
  • Support authorization review, concurrent review, and denial management alongside nurse UM specialists
  • Monitor for over- and under-utilization; spot patterns driving avoidable admissions and length-of-stay
  • Provide oversight of HCC/ICD-10 diagnosis coding and RAF accuracy

Compensation

  • $139.23 – $189.38 per hour
  • Roughly $145,000–$197,000 a year for a 20-hour week
  • $139–$189/hour — top of market for part-time physician UM work in Southern California

Benefits

  • No patient panel, no call, no productivity targets

Shift & Schedule

  • Part-time, 20 hours per week
  • 20 hours a week
  • Genuinely part-time, not a full-time job priced hourly

Requirements

  • Active, unrestricted California MD or DO license
  • Active DEA registration
  • Current BLS
  • Board certified or board eligible in a primary care specialty
  • 5+ years of clinical practice in Internal Medicine, Geriatrics, and/or Family Medicine
  • 3+ years in utilization/resource management or medical leadership within managed care, a health plan, or a value-based care setting
  • Working command of Medicare and Medicaid/Medi-Cal regulations and CMS coverage criteria
  • Experience applying evidence-based UM guidelines (InterQual preferred; MCG acceptable)
  • PACE clinical or PACE utilization management experience (preferred)
  • Advanced degree — MPH, MHA, MBA, or MS (preferred)
MASC Medical logo

About MASC Medical

Sourced by ZipRecruiter

Masc Medical is a prominent healthcare staffing firm based in Fort Lauderdale, Florida, US. As a recognized name in the healthcare industry, the company effectively connects healthcare providers and organizations across the country. Dedicated to offering a comprehensive set of recruitment services, Masc Medical helps healthcare organizations fill permanent vacancies as efficiently and effectively as possible. The company was established on a mission to pair medical offices with qualified healthcare professionals, striving to become an industry leader.

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

Fort Lauderdale, FL, US

Year founded

2010

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