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$47.5K

$89.1K

$149K

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

As of Jun 8, 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.

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Part Time Bcba Utilization Review jobs near you
Infographic showing various Part Time Bcba Utilization Review job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 58% Full Time, 40% Part Time, and 1% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $89,075 per year, or $42.8 per hour.
RN Utilization Review - Patient & Family Services - Per Diem

RN Utilization Review - Patient & Family Services - Per Diem

solutionhealth

Nashua, NH

Part-time

Medical, Dental, Vision, Life, Retirement

Posted 19 days ago

Job description

Come work at the best place to give and receive care!

Job Description:

This Role is On-Site

Who We Are:

Southern NH Medical Centers strives to keep patients on a continuous track to discharge and receive the continuity of care that our patients and their families need. Our Patient and Family Services Department is the driving force to assure communication, respect, and safety follows our patients throughout the admission phase, all the way through the discharge process. This department includes a dedicated team of Case Managers, Social Workers, and Interpreters that ensure that all care is equal, and our patient's dignity is maintained above all else.

About the Job:

The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and proactively prevent denials. This specialist ensures level of care charges are applied accurately and meet compliance with CMS and commercial insurance guidelines as well as reviewing appeal options for medical necessity insurance denials

What You'll Do:

  • Assess acute medical necessity utilizing appropriate criteria.
  • Collect and trend Utilization Review data metrics.
  • Review appeal options for commercial insurance, RAC, and QIO medical necessity denials.
  • Understand and apply CMSRegulations to meet compliance

Who You Are:

  • Current NH Nursing License as a Registered Nurse.
    • ASN accepted; BSN required within 10 years of hire.
  • A minimum of 5-years' of experience as a Registered Nurse.
  • Experience in use of Interqual, Milliman or other Healthcare acute criteria preferred.

Why You'll Love Us:

  • Health, dental, prescription, and vision coverage for full-time & part-time employees
  • Short-term, long-term disability, life & pet insurance
  • Student Loan Forgiveness & Discounts
  • 403(b) Retirement savings plans
  • Continuous earned time accrual

& So much more!

Work Shift:

Per diem weekends and holiday. Other days available if staff have availability.

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

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