ZipRecruiter

Log In

2

Remote Authorization Utilization Review Bcba Jobs

next page

Showing results 1-20

All JobsAuthorization Utilization Review Bcba JobsRemote Authorization Utilization Review Bcba Jobs

Remote Authorization Utilization Review Bcba information

What are the key skills and qualifications needed to thrive as a Remote Authorization Utilization Review BCBA, and why are they important?

To thrive as a Remote Authorization Utilization Review BCBA, you need board certification as a Behavior Analyst (BCBA), deep knowledge of ABA therapy, and experience with clinical documentation and insurance authorization processes. Familiarity with electronic health record (EHR) systems, payer portals, and healthcare compliance tools is typically required. Strong analytical skills, attention to detail, and effective written communication are essential soft skills for success in this remote role. These competencies ensure accurate authorization reviews, compliance with regulations, and efficient support for patients and providers across virtual settings.

How does a Remote Authorization Utilization Review BCBA typically collaborate with healthcare providers and insurers during the review process?

A Remote Authorization Utilization Review BCBA frequently communicates with both healthcare providers and insurance representatives to assess and justify the necessity of ABA services for clients. This involves reviewing clinical documentation, clarifying treatment plans, and sometimes participating in peer-to-peer discussions to support authorization requests. Strong written and verbal communication skills are essential, as much of the collaboration is done via phone, email, or secure portals. Building positive relationships and ensuring clear, evidence-based recommendations can help streamline approvals and improve outcomes for clients.

What is a Remote Authorization Utilization Review BCBA?

A Remote Authorization Utilization Review BCBA is a Board Certified Behavior Analyst who works remotely to review and approve treatment plans for clients, typically in the context of Applied Behavior Analysis (ABA) therapy. Their main responsibility is to assess clinical documentation and ensure that the recommended services meet medical necessity criteria and payer guidelines. This role often involves collaborating with clinicians, insurance companies, and families to facilitate the authorization process for behavioral health services. Working remotely allows BCBAs in this position to provide their expertise from any location, using digital tools to conduct reviews and communicate with stakeholders.
More about Remote Authorization Utilization Review Bcba jobs
What cities are hiring for Remote Authorization Utilization Review Bcba jobs? Cities with the most Remote Authorization Utilization Review Bcba job openings:
What are the most commonly searched types of Authorization Utilization Review Bcba jobs? The most popular types of Authorization Utilization Review Bcba jobs are:
What states have the most Remote Authorization Utilization Review Bcba jobs? States with the most job openings for Remote Authorization Utilization Review Bcba jobs include:
What job categories do people searching Remote Authorization Utilization Review Bcba jobs look for? The top searched job categories for Remote Authorization Utilization Review Bcba jobs are:
Remote Authorization Utilization Review Bcba jobs near you
Infographic showing various Remote Authorization Utilization Review Bcba job openings in the United States as of July 2026, with employment types broken down into 66% Full Time, 17% Part Time, and 17% Contract. Highlights an 100% Remote job distribution.
Utilization Review Clinician

Utilization Review Clinician

Monte Nido & Affiliates, LLC

Remote

$70K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Grow with us!
Utilization Review Clinician
Monte Nido
Remote - MST/CST hours
Monte Nido has been delivering treatment for eating disorders for over two decades. Our programs offer a model of treatment that blends medically sophisticated care with a personalized treatment approach. Our work is grounded in evidence-based strategies for adults and adolescents suffering from eating disorders. We work from a multi-disciplinary treatment team approach while integrating state-of-the-art medical, psychiatric, nutritional, and clinical strategies to provide comprehensive care within an intimate home setting.
We are seeking a Utilization Review Clinician to join our team either on site in Miami or based Remotely
The Utilization Review Clinician is responsible for conducting all utilization reviews, peer reviews, and pre-certifications in a well formulated and comprehensive manner, documenting these reviews, and coordinating with both the on-site clinical team, admissions, verifications, and billing regarding clients' insurance status.
Pay: $70,000.00-$85,000.00 (depending on education and experience)
#LI-REMOTE
Total Rewards:
Discover a rewarding career with us and enjoy an array of comprehensive benefits! We prioritize your success and well-being, providing:
  • Competitive compensation
  • Medical, dental, and vision insurance coverage (Benefits At a Glance)
  • Retirement
  • Company-paid life insurance, AD&D, and short-term disability
  • Employee Assistance Program (EAP)
  • Flexible Spending Account (FSA)
  • Health Savings Account (HSA)
  • Paid time off
  • Professional development
  • And many more!

We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Responsibilities Include:
  • Complete and manage all authorizations for designated programs & departments including prior authorization, continued stay, change in level of care, discharge, retrospective, facilitating peer to peer reviews, and written appeals.
  • Engage in clinical rounds as an active treatment team member providing payor feedback and needs for next review, guidance on level of care recommendations, and feedback on what will be needed for authorization of clinically indicated services.
  • Support treatment team members & Admissions by discussing services covered by the members benefits and reviewing clinical documentation needed to advocate with our client's insurance most successfully.
  • Communicate with billing regarding billing/claims issues and status of single case agreements as needed.
  • Effectively communicate with program leadership, clinicians, and admissions regarding status of client authorization, potential denials, and potential for private payment.
  • Follow workflow and medical record requirements for utilization review and clinical documentation across programs.
  • Leverage understanding of medical necessity criteria and current behavioral health insurance landscape in verbal and written communications with payors to maximize our clients' access to care and decrease peer to peer reviews.
  • Communicate emerging trends with insurance companies to Director of Utilization Management.
  • Maintain database of insurance company clinical care guidelines, APA guidelines, medical necessity criteria and other necessary documents and clinical ammunition to support UR process.
  • Deliver care in a non-judgmental and non-discriminatory manner, sensitive to patient and staff diversity.
  • Seek corrective criticism and evaluate suggestions objectively.
  • Maintain acceptable overall attendance.
  • Promote a favorable/positive work atmosphere.
  • Attend in-services and educational training as necessary and as assigned.
  • Seek out learning experiences and incorporate new knowledge into practice.
  • Maintain flexibility and adaptability to expected and unexpected changes in the work environment.
  • Report incidents, accidents, and occurrences in accordance with policies and procedures.
  • Maintain safety of the physical environment.
  • Comply with facility policies and procedures.

Qualifications:
  • Master's Degree in Psychology, Social Work, Nutrition, or mental health-related field required
  • At least one year of experience relating to insurance authorizations and managed care.
  • Experience providing direct care to individuals with an eating disorder preferred.
  • Licensed behavioral health clinician/provider or RD

#montenido

Apply