Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Review Case Manager - PT Days
$56.39 - $87.25/hr
The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most ... Attends denial management committee. * Collaborates with interdisciplinary and communicates this ...
Utilization Review Case Manager - PT Days
$56.39 - $87.25/hr
The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most ... Attends denial management committee. * Collaborates with interdisciplinary and communicates this ...
Job Type: Part-time Contractor Required Skills and Experience: * Broad state licensure coverage * Medicare Utilization Management experience * Comfort with learning and adapting to new technologies
Job Type: Part-time Contractor Required Skills and Experience: * Broad state licensure coverage * Medicare Utilization Management experience * Comfort with learning and adapting to new technologies
This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE ... utilization management topics via yearly continuing medical education programs and self-study.
This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE ... utilization management topics via yearly continuing medical education programs and self-study.
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE ... utilization management topics via yearly continuing medical education programs and self-study.
This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE ... utilization management topics via yearly continuing medical education programs and self-study.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Review Case Manager - PT Days
Torrance, CA ยท On-site
$56.39 - $87.25/hr
The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most ... Attends denial management committee. * Collaborates with interdisciplinary and communicates this ...
Utilization Review Case Manager - PT Days
Torrance, CA ยท On-site
$56.39 - $87.25/hr
The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most ... Attends denial management committee. * Collaborates with interdisciplinary and communicates this ...
RN Case Manager - Utilization Management - Part Time
Fishersville, VA ยท On-site
$35.43 - $54.21/hr
This position works closely with admitting and attending providers as well as the Utilization Management Physician Advisor to ensure patient status is accurate and compliant with regulatory standards.
RN Case Manager - Utilization Management - Part Time
Fishersville, VA ยท On-site
$35.43 - $54.21/hr
This position works closely with admitting and attending providers as well as the Utilization Management Physician Advisor to ensure patient status is accurate and compliant with regulatory standards.
This position works closely with admitting and attending providers as well as the Utilization Management Physician Advisor to ensure patient status is accurate and compliant with regulatory standards.
This position works closely with admitting and attending providers as well as the Utilization Management Physician Advisor to ensure patient status is accurate and compliant with regulatory standards.
Act as liaison between managed care organizations and the facility professional clinical staff ... PART_TIME
Act as liaison between managed care organizations and the facility professional clinical staff ... PART_TIME
Perform utilization management (UM) medical-necessity reviews and level-of-care determinations for ... Employment Type: PART_TIME
Perform utilization management (UM) medical-necessity reviews and level-of-care determinations for ... Employment Type: PART_TIME
Perform utilization management (UM) medical-necessity reviews and level-of-care determinations for ... Employment Type: PART_TIME
Perform utilization management (UM) medical-necessity reviews and level-of-care determinations for ... Employment Type: PART_TIME
Responsibilities We are seeking a Utilization Review Nurse to join our dynamic team on a part-time ... Perform utilization management (UM) medical-necessity reviews and level-of-care determinations for ...
Responsibilities We are seeking a Utilization Review Nurse to join our dynamic team on a part-time ... Perform utilization management (UM) medical-necessity reviews and level-of-care determinations for ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Lewiston, ID ยท Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Lewiston, ID ยท Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Pocatello, ID ยท Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Pocatello, ID ยท Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Coeur D Alene, ID ยท Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Coeur D Alene, ID ยท Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Salt Lake City, UT ยท On-site
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Salt Lake City, UT ยท On-site
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Vancouver, WA ยท Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Vancouver, WA ยท Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Part Time Utilization Management Bcba information
See salary details
$47.5K - $56.7K
1% of jobs
$56.7K - $66K
5% of jobs
$73K is the 25th percentile. Wages below this are outliers.
$66K - $75.2K
24% of jobs
The median wage is $80.2K / yr.
$75.2K - $84.4K
35% of jobs
$89K is the 75th percentile. Wages above this are outliers.
$84.4K - $93.6K
18% of jobs
$93.6K - $102.9K
5% of jobs
$102.9K - $112.1K
1% of jobs
$112.1K - $121.3K
1% of jobs
$121.3K - $130.5K
3% of jobs
$130.5K - $139.8K
3% of jobs
$139.8K - $149K
2% of jobs
$47.5K
$89.1K
$149K
How much do part time utilization management bcba jobs pay per year?
What is the difference between Part Time Utilization Management Bcba vs Part Time Behavior Analyst?
| Aspect | Part Time Utilization Management Bcba | Part Time Behavior Analyst |
|---|---|---|
| Certifications | BCBA or BCaBA, plus utilization management training | BCBA or BCaBA |
| Work Environment | Healthcare, insurance, or managed care settings | Clinical, educational, or behavioral therapy settings |
| Job Focus | Reviewing service necessity, authorizations, and resource allocation | Developing and implementing behavior intervention plans |
| Employer Usage | Health plans, insurance companies, healthcare providers | Schools, 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 cities are hiring for Part Time Utilization Management Bcba jobs?
Cities with the most Part Time Utilization Management Bcba job openings:
What are the most commonly searched types of Utilization Management Bcba jobs?
The most popular types of Utilization Management Bcba jobs are:
What states have the most Part Time Utilization Management Bcba jobs?
States with the most job openings for Part Time Utilization Management Bcba jobs include:
Utilization Specialist - Part Time
Nashville, TN โข On-site
Part-time
Re-posted yesterday
Job description
PURPOSE STATEMENT:ย
Proactively monitor utilization of services for patients to optimize reimbursement for the facility. ย
ResponsibilitiesESSENTIAL FUNCTIONS:ย
- Act as liaison between managed care organizations and the facility professional clinical staff.ย
- 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.ย
- Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay. ย
- 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.ย
- Conduct quality reviews for medical necessity and services provided.ย ย
- Facilitate peer review calls between facility and external organizations. ย
- Initiate and complete the formal appeal process for denied admissions or continued stay. ย
- Assist the admissions department with pre-certifications of care. ย
- Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.ย
OTHER FUNCTIONS: ย
- Perform other functions and tasks as assigned.ย
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:ย
- Required Education: High school diploma or equivalent.ย
- Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.ย
- Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferredย
LICENSES/DESIGNATIONS/CERTIFICATIONS: ย
- 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.ย
- CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.ย ย
- First aid may be required based on state or facility requirements.ย
ย
ADDITIONAL REGULATORY REQUIREMENTS:ย
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 ย (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.ย
We are committed to providing equalย ย employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
ASCST
Employment Type: PART_TIME