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Remote Bcba Utilization Review Jobs (NOW HIRING)

The Recovery Village

Utilization Review Specialist

$50K/yr

We are looking for a Remote Utilization Review Specialist Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse ...

Dane Street, LLC

Utilization Review Physician

Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Remote work from home * Full-time, Monday-Friday * Availability for occasional weekends and holiday ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

Medica

Utilization Review III

$70.20K - $120.40K/yr

The Utilization Review III position is responsible for the review, investigation, and resolution of ... This position is a Remote role. To be eligible for consideration, candidates must have a primary ...

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Remote Bcba Utilization Review information

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$47.5K

$89.1K

$149K

How much do remote bcba utilization review jobs pay per year?

As of May 30, 2026, the average yearly pay for remote bcba utilization review in the United States is $89,075.00, according to ZipRecruiter salary data. Most workers in this role earn between $74,000.00 and $90,500.00 per year, depending on experience, location, and employer.

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

To excel as a Remote BCBA Utilization Review specialist, you need Board Certified Behavior Analyst (BCBA) certification, in-depth knowledge of applied behavior analysis (ABA), and experience with clinical documentation standards. Familiarity with electronic health record (EHR) systems, utilization review platforms, and insurance authorization processes is typically required. Strong analytical thinking, attention to detail, and effective written communication distinguish top performers in this role. These competencies ensure accurate service reviews, compliance with payer requirements, and support for quality client care in a remote environment.

What are some common challenges faced by a Remote BCBA Utilization Review professional, and how can they be managed?

Remote BCBA Utilization Review professionals often encounter challenges such as balancing thorough case evaluations with productivity targets and adapting to varying documentation standards from different providers. Effective time management and strong communication skills are key to addressing these challenges. Additionally, staying current with payer guidelines and collaborating closely with clinical teams can help ensure accurate and efficient reviews, ultimately supporting high-quality care for clients.

What are Remote BCBA Utilization Review jobs?

Remote BCBA Utilization Review jobs involve Board Certified Behavior Analysts (BCBAs) who review and assess the medical necessity and effectiveness of Applied Behavior Analysis (ABA) therapy services, usually for insurance companies or healthcare organizations. These professionals work remotely to evaluate clinical documentation, ensure compliance with treatment guidelines, and approve or deny service requests based on established criteria. The role helps ensure that clients receive appropriate care while also managing costs for payers. Strong analytical and communication skills are essential, as is up-to-date BCBA certification.

What is the difference between Remote Bcba Utilization Review vs Remote Bcba Case Manager?

AspectRemote Bcba Utilization ReviewRemote Bcba Case Manager
CertificationsBCBA, possibly additional utilization review credentialsBCBA, case management certifications often preferred
Work EnvironmentReviewing medical and treatment plans remotely, focusing on insurance and authorizationCoordinating care, managing cases, and supporting clients remotely
Employer & IndustryHealthcare, insurance companies, behavioral health providersBehavioral health agencies, healthcare organizations

Both roles require BCBA certification and involve remote work, but the Utilization Review focuses on evaluating treatment plans for insurance approval, while the Case Manager manages ongoing client care and services. Understanding these differences helps professionals choose the right career path in behavioral health.

More about Remote Bcba Utilization Review jobs
What cities are hiring for Remote Bcba Utilization Review jobs? Cities with the most Remote Bcba Utilization Review job openings:
What are the most commonly searched types of Bcba Utilization Review jobs? The most popular types of Bcba Utilization Review jobs are:
What states have the most Remote Bcba Utilization Review jobs? States with the most job openings for Remote Bcba Utilization Review jobs include:
What job categories do people searching Remote Bcba Utilization Review jobs look for? The top searched job categories for Remote Bcba Utilization Review jobs are:
Remote Bcba Utilization Review jobs near you
Infographic showing various Remote Bcba Utilization Review job openings in the United States as of May 2026, with employment types broken down into 67% Full Time, 22% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $89,075 per year, or $42.8 per hour.
Utilization Review Specialist

Utilization Review Specialist

The Recovery Village

Remote

$50K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

We are looking for a Remote Utilization Review Specialist
Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, eating disorders and mental health issues. We put behavioral health front and center, providing assistance to people with substance abuse issues, addictions and mental health concerns. With facilities in various regions of the U.S., we have been furthering this mission since our inception, applying our advanced approach to patient care.
Every facility in the Advanced Recovery Systems network strives to provide the highest quality of care, using evidence-based therapeutic models that really work. Our goal is to help men, women and adolescents live healthy, happy lives without the burden of substance abuse or mental illness.
The Utilization Review Specialist (UR Specialist) is responsible for contacting external case managers/managed care organizations for pre-authorization and concurrent reviews throughout the duration of patient's treatment stay, and assists the treatment team in understanding the different requirements that various insurance companies have for admission, continued stay and discharge planning.
Core Job Duties:
  • Completes pre-authorizations/concurrent reviews/internal UR reviews
  • Consults with various members of the multidisciplinary treatment team concerning required information to complete concurrent reviews
  • Schedules peer to peer reviews and coordinates urgent/expedited appeals
  • Staffs individual cases with MDs as needed
  • Follows all standard ARS Utilization Review Department policies and procedures
  • Utilizes the UR Census Report on a daily basis
  • Makes all initial calls within 24 hours, and follow up calls every 24 hours
  • Data entry, records management and assisting with the appeals process
  • Completing detailed daily documentation
  • Works with Finance Department regarding client service authorizations
  • Communicating frequently with the treatment team
  • Other duties as assigned

Requirements
  • Bachelor's degree in a health or behavioral health related field required, Graduate degree in a health or behavioral health related field preferred, OR
  • High School diploma or equivalent and a State license (e.g., Registered Nurse, Licensed Practical Nurse, LCSW, LMHC) preferred
  • Minimum of three years' experience working in a psychiatric or chemical dependency setting
  • Minimum of three years' Utilization Review experience preferred
  • State licensure preferred (Registered Nurse, Licensed Practical Nurse, Licensed Clinical Social Worker, Licensed Mental Health Counselor)

Position Competencies:
  • Proficiency in establishing and maintaining positive and effective communication with managed care companies.
  • Ability to aligns medical and counseling staff to ensure services are provided at the appropriate level of care in a timely manner consistent with the patient's condition and in compliance with governmental and accrediting agencies.
  • Concurrent Reviews
  • Utilization Review
  • Census Report
  • ASAM criteria Ability to be resourceful and proactive in dealing with issues that may arise.
  • Demonstrate the ability to organize, multitask, prioritize and work under pressure.
  • Effective time management

Advanced Recovery Systems, a national integrated behavior healthcare management company dedicated to the treatment of addiction, substance abuse, eating disorders and mental health issues. We invite you to learn more about us at our website!
The Company complies with state and federal nondiscrimination laws and policies that prohibit discrimination based on age, color, disability, national origin, race, religion, or sex. It is unlawful to retaliate against individuals or groups based on the basis of their participation in a complaint of discrimination or on the basis of their opposition to discriminatory practices/EEO
We are proud to be a drug-free workplace.
Benefits
What we offer:
  • Starting pay $50,000/yr, based on experience.
  • Paid Time Off: Up to 2 weeks of paid time off per year plus sick pay & holiday pay
  • Benefits begin on the 1st day of the month following date of hire.
  • Matching HSA - up to $1500/yr contribution from the company to your HSA
  • 401(k), medical, dental, vision, and free Telehealth access
  • Employee Referral Bonus - you can earn up to $4000

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