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Part Time Utilization Management Bcba Jobs in Tennessee

Proud Moments

BCBA

Franklin, TN · On-site

$73K - $89K/yr

Meaningful work-life balance with flexible working schedules (full or part-time) * Multi-tiered ... Exceptional communication, problem-solving, organizational and project management skills while ...

Proud Moments

BCBA

Franklin, TN · On-site

$73K - $89K/yr

Meaningful work-life balance with flexible working schedules (full or part-time) * Multi-tiered ... Exceptional communication, problem-solving, organizational and project management skills while ...

Proud Moments

BCBA

Franklin, TN

$73K - $89K/yr

Meaningful work-life balance with flexible working schedules (full or part-time) * Multi-tiered ... Exceptional communication, problem-solving, organizational and project management skills while ...

Project Play Therapy

School BCBA

Nashville, TN · On-site

$71K - $87K/yr

Supportive Leadership and Management team readily available * An interdisciplinary model created ... Salaried or full time hourly position (ask us about part-time options, too!) * Paid documentation ...

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

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 Tennessee? The most popular types of Utilization Management Bcba jobs in Tennessee are:
Part Time Utilization Management Bcba jobs near you

Part Time Utilization Specialist

Crestwyn Behavioral Health

Memphis, TN

Part-time

Posted 11 days ago

Job description

Overview

PURPOSE STATEMENT: 

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.  

Responsibilities

ESSENTIAL FUNCTIONS: 

  • Act as liaison between managed care organizations and the facility professional clinical staff. 
  • Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. 
  • Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.  
  • Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. 
  • Conduct quality reviews for medical necessity and services provided.   
  • Facilitate peer review calls between facility and external organizations.  
  • Initiate and complete the formal appeal process for denied admissions or continued stay.  
  • Assist the admissions department with pre-certifications of care.  
  • Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates. 

OTHER FUNCTIONS:  

  • Perform other functions and tasks as assigned. 
Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

  • Required Education: High school diploma or equivalent. 
  • Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field. 
  • Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred 

LICENSES/DESIGNATIONS/CERTIFICATIONS:  

  • Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services. 
  • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.   
  • First aid may be required based on state or facility requirements. 

 

ADDITIONAL REGULATORY REQUIREMENTS: 

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances  (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate. 

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

Employment Type: PART_TIME

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