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Remote Authorization Utilization Review Bcba Jobs in Baton Rouge, LA

RN Care Manager - Inpatient

New Roads, LA ยท Remote

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

RN Care Manager - PRN

New Roads, LA ยท Remote

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

RN Care Manager

New Roads, LA ยท Remote

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

Utility Sales Support

LA ยท Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

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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 Baton Rouge, LA?

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Board Certified Behavior Analyst (BCBA) - Remote

All Care Therapies

Baton Rouge, LA โ€ข Remote

$43 - $56/hr

Part-time

Posted 11 days ago


Job description



All Care Therapies is a leading provider of Physical, Occupational, Speech, and ABA therapy services, delivering care through virtual, in-home, and clinic-based settings across California, Texas, and Nevada. We serve individuals of all ages, combining innovative technology with a collaborative, patient-centered approach. Our dedicated clinicians provide flexible, high-quality care that meets patients where they are, supporting recovery, enhancing communication, and driving meaningful, long-term outcomes.


Job Description


The Board Certified Behavior Analyst (BCBA) is a licensed clinical professional responsible for designing, implementing, supervising, and evaluating Applied Behavior Analysis (ABA) therapy programs for patients across the lifespan. The BCBA at ACT works in alignment with our mission to deliver individualized, compassionate care and maintains clinical excellence in accordance with the BACB's ethical and professional standards.

This role may be performed via tele health, in a clinic environment, in the patient's home, or on-site at a school or care facility — providing maximum flexibility to match the BCBA's preferred work style with ACT's patient population needs.


Qualifications


Clinical Practice

  • Conduct comprehensive functional behavior assessments (FBA) and skill assessments (e.g., VB-MAPP, ABLLS-R, PEAK) to identify treatment priorities.
  • Develop individualized ABA treatment plans with measurable goals based on assessment findings, patient needs, and family priorities.
  • Design, implement, and modify behavior intervention plans (BIPs) using evidence-based ABA methodologies.
  • Deliver direct ABA therapy services to patients as clinically indicated and within the scope of the BCBA's practice.
  • Monitor patient progress through consistent data collection and analysis; adjust treatment plans accordingly.
  • Collaborate with interdisciplinary team members including SLPs, OTs, PTs, physicians, and educators to coordinate holistic care.

Supervision & Team Leadership

  • Supervise and mentor Registered Behavior Technicians (RBTs) and BCaBA candidates in accordance with BACB supervision requirements.
  • Provide ongoing training, performance feedback, and professional development support to supervisees.
  • Conduct regular session observations and ensure fidelity to treatment plans across all service settings.

Documentation & Compliance

  • Complete all clinical documentation accurately and within required timeframes, including session notes, progress reports, treatment plans, and authorization requests.
  • Maintain compliance with all applicable federal, state, and payer-specific regulations, including HIPAA and Medicaid/insurance billing standards.
  • Participate in utilization review and authorization processes in coordination with ACT's billing and operations teams.

Family & Caregiver Collaboration

  • Provide caregiver training and coaching to support generalization of ABA strategies across home, school, and community settings.
  • Engage families as active partners in treatment planning and progress review.
  • Conduct regular parent/caregiver meetings to review goals, data trends, and next steps.

Requirements:

  • Active BCBA certification in good standing with the BACB
  • Active state licensure where required by the state of practice
  • Master's degree in Applied Behavior Analysis, Psychology, Education, or a related field
  • Minimum 2 years of ABA clinical experience, including direct therapy and supervision
  • Proficiency in ABA assessment tools (FBA, VB-MAPP, ABLLS-R, or equivalent)
  • Experience with electronic health records (EHR) and data collection platforms
  • Excellent written and verbal communication skills
  • Ability to obtain a background clearance per ACT and state requirements

Why Join Us

  • We are a therapist-owned and operated organization
  • Career Advancement - We believe in recognizing high-performing teams
  • Efficient web-based documentation system
  • Growing company in a new model of service delivery
  • Monthly team meetings
  • Supportive collaboration with the Clinical team and Supervisors
  • Training, assessments, and materials provided


Additional information


All your information will be kept confidential according to EEO guidelines.


All Care Therapies is an equal opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.