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Part Time Utilization Management Bcba Jobs in Florida

CivicMinds, Inc.

BCBA

Tampa, FL · On-site

$69K - $85K/yr

Experience supervising RBTs preferred * Ability to manage documentation and clinical ... Monday-Friday schedule - No weekends * Full-time and part-time opportunities available

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All JobsUtilization Management Bcba JobsPart Time Utilization Management Bcba JobsPart Time Utilization Management Bcba Jobs in Florida

Part Time Utilization Management Bcba information

What is the difference between Part Time Utilization Management Bcba vs Part Time Behavior Analyst?

AspectPart Time Utilization Management BcbaPart Time Behavior Analyst
CertificationsBCBA or BCaBA, plus utilization management trainingBCBA or BCaBA
Work EnvironmentHealthcare, insurance, or managed care settingsClinical, educational, or behavioral therapy settings
Job FocusReviewing service necessity, authorizations, and resource allocationDeveloping and implementing behavior intervention plans
Employer UsageHealth plans, insurance companies, healthcare providersSchools, clinics, private practices

While both roles require BCBA credentials, the Part Time Utilization Management Bcba focuses on managing healthcare resources and authorizations, whereas the Part Time Behavior Analyst concentrates on direct behavioral assessment and intervention. Understanding these differences helps professionals choose the role that aligns with their skills and career goals.

What are the most commonly searched types of Utilization Management Bcba jobs in Florida? The most popular types of Utilization Management Bcba jobs in Florida are:
What cities in Florida are hiring for Part Time Utilization Management Bcba jobs? Cities in Florida with the most Part Time Utilization Management Bcba job openings:
Part Time Utilization Management Bcba jobs near you
RN, Utilization Management | Utilization Management| Night | Part Time

RN, Utilization Management | Utilization Management| Night | Part Time

UF Health

Gainesville, FL • On-site

Part-time

Posted 2 days ago

Job description

Overview
Make an impact by supporting the right care at the right time through utilization management excellence.
Work Style: Onsite
Location: Gainesville, FL
FTE: Part-Time (.6 FTE)
⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM
Plays a critical role in evaluating patient medical records to ensure the necessity and appropriateness of healthcare services. Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization. Requires clear communication of authorization decisions and ongoing monitoring to support timely discharge planning. Analyzes utilization data to identify trends and collaborates with interdisciplinary teams to enhance care coordination while ensuring accurate documentation and regulatory compliance.
Responsibilities
Key Responsibilities
  • Evaluates patient medical records to determine the medical necessity and appropriateness of healthcare services.
  • Coordinates with healthcare providers and care teams to ensure compliance with utilization management guidelines and payer requirements.
  • Supports effective treatment planning, patient care coordination, and appropriate resource utilization.
  • Communicates authorization decisions and utilization determinations while supporting timely discharge planning efforts.
  • Analyzes utilization management data and trends to identify opportunities for improved care coordination and operational efficiency.
  • Collaborates with interdisciplinary teams to ensure accurate documentation, regulatory compliance, and quality patient outcomes.

Qualifications
Education & Licensure
  • Registered Nurse (RN) with a current Florida nursing license required.

Experience & Skills
  • Minimum of three (3) years of experience in utilization review, utilization management, or case management required.
  • Knowledge of healthcare utilization guidelines, payer requirements, and regulatory compliance standards.
  • Experience evaluating medical necessity, treatment plans, and appropriate levels of care.
  • Strong communication and collaboration skills related to authorization determinations and care coordination.
  • Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.

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