In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking ...
The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking ...
Board Certified Behavior Analyst (Full Remote BCBA)
Detroit, MI · Remote
$73K - $89K/yr
Seeking a BCBA to join a great team! This position is fully remote. Our mission is to provide top ... Reports - Our Quality Control team partners with you to review reports, provide training, and ...
Board Certified Behavior Analyst (Full Remote BCBA)
Detroit, MI · Remote
$73K - $89K/yr
Seeking a BCBA to join a great team! This position is fully remote. Our mission is to provide top ... Reports - Our Quality Control team partners with you to review reports, provide training, and ...
Previous experience in quality assurance, utilization review, or clinical leadership * Experience ... Remote work opportunity * Health, dental, and vision insurance * Paid Time Off * Paid holidays ...
Quick apply
Previous experience in quality assurance, utilization review, or clinical leadership * Experience ... Remote work opportunity * Health, dental, and vision insurance * Paid Time Off * Paid holidays ...
Board Certified Behavior Analyst (BCBA)
Detroit, MI · On-site +1
$85K - $110K/yr
Client materials reimbursement * Utilization bonus potential per pay period (realistic ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Board Certified Behavior Analyst (BCBA)
Detroit, MI · On-site +1
$85K - $110K/yr
Client materials reimbursement * Utilization bonus potential per pay period (realistic ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Hybrid BCBA
Cadillac, MI · On-site +1
$76K - $94K/yr
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 ...
Hybrid BCBA
Cadillac, MI · On-site +1
$76K - $94K/yr
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 ...
Clinical Quality Assurance Manager
Farmington Hills, MI · Remote
$80K - $85K/yr
Remote Eligible- Must be located in Michigan within distance of Farmington Hills.Position Summary ... This role will be responsible for reviewing clinical documents to evaluate their adherence to ...
Clinical Quality Assurance Manager
Farmington Hills, MI · Remote
$80K - $85K/yr
Remote Eligible- Must be located in Michigan within distance of Farmington Hills.Position Summary ... This role will be responsible for reviewing clinical documents to evaluate their adherence to ...
Clinical Quality Assurance Manager
Farmington Hills, MI · Remote
$80K - $85K/yr
Remote Eligible- Must be located in Michigan within distance of Farmington Hills.Position Summary ... This role will be responsible for reviewing clinical documents to evaluate their adherence to ...
Quick apply
Clinical Quality Assurance Manager
Farmington Hills, MI · Remote
$80K - $85K/yr
Remote Eligible- Must be located in Michigan within distance of Farmington Hills.Position Summary ... This role will be responsible for reviewing clinical documents to evaluate their adherence to ...
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Health & Social Services RN - Remote in Michigan
Southfield, MI · Remote
$28.94 - $51.83/hr
Experience in utilization review, concurrent review or risk management * Background in managing populations with complex medical or behavioral needs * Acute care experience *All Telecommuters will be ...
Health & Social Services RN - Remote in Michigan
Southfield, MI · Remote
$28.94 - $51.83/hr
Experience in utilization review, concurrent review or risk management * Background in managing populations with complex medical or behavioral needs * Acute care experience *All Telecommuters will be ...
Health & Social Services RN - Remote in Michigan
Southfield, MI · On-site +1
$28.94 - $51.83/hr
Experience in utilization review, concurrent review or risk management * Background in managing populations with complex medical or behavioral needs * Acute care experience *All Telecommuters will be ...
Health & Social Services RN - Remote in Michigan
Southfield, MI · On-site +1
$28.94 - $51.83/hr
Experience in utilization review, concurrent review or risk management * Background in managing populations with complex medical or behavioral needs * Acute care experience *All Telecommuters will be ...
Independent Contractor - Customer Enablement Specialist - Michigan
Lansing, MI · On-site +1
$40 - $50/hr
... reviews, content creation, and product use cases. * Creation of program support documents ... Experience in providing remote supervision and training * BCBA certification Rate * $40-$50/hr ...
Independent Contractor - Customer Enablement Specialist - Michigan
Lansing, MI · On-site +1
$40 - $50/hr
... reviews, content creation, and product use cases. * Creation of program support documents ... Experience in providing remote supervision and training * BCBA certification Rate * $40-$50/hr ...
Independent Contractor - Customer Enablement Specialist - Michigan
Lansing, MI · On-site +1
$40 - $50/hr
... reviews, content creation, and product use cases. * Creation of program support documents ... Experience in providing remote supervision and training * BCBA certification Rate * $40-$50/hr ...
Independent Contractor - Customer Enablement Specialist - Michigan
Lansing, MI · On-site +1
$40 - $50/hr
... reviews, content creation, and product use cases. * Creation of program support documents ... Experience in providing remote supervision and training * BCBA certification Rate * $40-$50/hr ...
Remote Community Based Clinical Coordinator - Care Manager- Luce County, MI
Newberry, MI · On-site +1
$29.72/hr
... utilization, past and present treatment plan and services, prognosis, short and long-term goals ... reviewing statistical data Other Requirements: Valid Driver's License with proof of insurance ...
Remote Community Based Clinical Coordinator - Care Manager- Luce County, MI
Newberry, MI · On-site +1
$29.72/hr
... utilization, past and present treatment plan and services, prognosis, short and long-term goals ... reviewing statistical data Other Requirements: Valid Driver's License with proof of insurance ...
Remote Community Based Clinical Coordinator - Care Manager - Mackinac County, MI
Saint Ignace, MI · On-site +1
$29.72/hr
... utilization, past and present treatment plan and services, prognosis, short and long-term goals ... reviewing statistical data Other Requirements: Valid Driver's License with proof of insurance ...
Remote Community Based Clinical Coordinator - Care Manager - Mackinac County, MI
Saint Ignace, MI · On-site +1
$29.72/hr
... utilization, past and present treatment plan and services, prognosis, short and long-term goals ... reviewing statistical data Other Requirements: Valid Driver's License with proof of insurance ...
Remote Community Based Clinical Coordinator - Care Manager- Chippewa County, MI
Sault Sainte Marie, MI · On-site +1
$29.72/hr
... utilization, past and present treatment plan and services, prognosis, short and long-term goals ... reviewing statistical data Other Requirements: Valid Driver's License with proof of insurance ...
Remote Community Based Clinical Coordinator - Care Manager- Chippewa County, MI
Sault Sainte Marie, MI · On-site +1
$29.72/hr
... utilization, past and present treatment plan and services, prognosis, short and long-term goals ... reviewing statistical data Other Requirements: Valid Driver's License with proof of insurance ...
Director, Trade Client Relations
Three Rivers, MI · Remote
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Director, Trade Client Relations
Three Rivers, MI · Remote
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Senior Analyst, Indirect Procurement (Remote)
Kalamazoo, MI · On-site +1
$86K - $132K/yr
... utilization, and policy compliance, while supporting Coupa guided buying, analytics, catalog ... Collaborate with internal customers to understand their needs and review budget requirements
Senior Analyst, Indirect Procurement (Remote)
Kalamazoo, MI · On-site +1
$86K - $132K/yr
... utilization, and policy compliance, while supporting Coupa guided buying, analytics, catalog ... Collaborate with internal customers to understand their needs and review budget requirements
Remote Bcba Utilization Review information
Can you work fully remote as a BCBA?
What are some common challenges faced by a Remote BCBA Utilization Review professional, and how can they be managed?
How can I make 2000 a week working from home?
Is utilization review work from home?
How to make $1000 a week remotely?
What is the difference between Remote Bcba Utilization Review vs Remote Bcba Case Manager?
| Aspect | Remote Bcba Utilization Review | Remote Bcba Case Manager |
|---|---|---|
| Certifications | BCBA, possibly additional utilization review credentials | BCBA, case management certifications often preferred |
| Work Environment | Reviewing medical and treatment plans remotely, focusing on insurance and authorization | Coordinating care, managing cases, and supporting clients remotely |
| Employer & Industry | Healthcare, insurance companies, behavioral health providers | Behavioral 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.
What are Remote BCBA Utilization Review jobs?
What are the key skills and qualifications needed to thrive as a Remote BCBA Utilization Review specialist, and why are they important?
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Other
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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.
- Organization: Corporate Services
- Department: Central Utilization Mgt
- Shift: Day Job
- Union Code: Not Applicable