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Remote Authorization Utilization Review Bcba Jobs in Michigan

Integra Partners

Utilization Management Coordinator

Troy, MI · On-site +1

$19/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes * Verify ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:

Integra Partners

Director of Utilization Management

Troy, MI · On-site +1

$160K - $160K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... review of prior authorizations and appeals * Responsible for UM-related quality improvement ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:

Integra Partners

Utilization Management Nurse - LPN/LVN

Troy, MI · On-site +1

$60K - $60K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Communicate outcomes of UM authorization reviews, both verbally and in writing * Process ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:

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Acorn Health

Hybrid BCBA

Cadillac, MI · On-site +1

$76K - $94K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position has additional flexibility expecting 3 days in clinic and allowing 2 days remote. We ... Monitor and review client programs to analyze data, measure progress and make necessary changes to ...

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Remote Authorization Utilization Review Bcba information

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.

What are the key skills and qualifications needed to thrive as a remote authorization utilization review BCBA?

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 are the most commonly searched types of Authorization Utilization Review Bcba jobs in Michigan?

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Remote Authorization Utilization Review Bcba jobs near you

Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote

Corporate Services

Troy, MI • Remote

Full-time

Re-posted 23 days ago

Job description

In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be boarded as inpatient instead of outpatient.  You will also review the CPTs that were boarded for meeting inpatient on the CMS inpatient list and the InterQual inpatient list based on payer criteria used.

Hours are Monday - Friday from 830am until 5pm with no weekends

EDUCATION AND EXPERIENCE: 

  • RHIT, RHIA, or related coding certification required. 
  • Minimum 3-5 years of clinical experience preferred. 
  • Previous utilization management or case management experience preferred. 

CERTIFICATIONS/LICENSURES REQUIRED:

  •  RHIT, RHIA, or related coding certification required.
Additional Information
  • Organization: Corporate Services
  • Department: Central Utilization Mgt
  • Shift: Day Job
  • Union Code: Not Applicable

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