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Remote Bcba Utilization Review Jobs in Minnesota

Ourhrconnect

$309K - $413K/yr

This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.

New

Ourhrconnect

$309K - $413K/yr

This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.

New

Allianz

Counsel | Remote

Minneapolis, MN · On-site +1

Responsibilities includes preparation, review and negotiation of prospective reinsurance term ... Utilization of artificial intelligence tools and resources (e.g. generative Al). What you bring:

Optomec Inc

Support Manager

Saint Paul, MN · Remote

... utilization, CSAT). * Lead post-incident reviews for P1/P2 incidents and implement corrective ... Excellent remote customer-facing communication skills; experience managing escalations virtually.

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Remote Bcba Utilization Review information

What is a Remote BCBA Utilization Review?

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 are the key skills and qualifications needed to thrive as a Remote BCBA Utilization Review?

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 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.

What are the most commonly searched types of Bcba Utilization Review jobs in Minnesota?

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For Remote Bcba Utilization Review jobs in Minnesota, the most frequently searched job titles are:

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Remote Bcba Utilization Review jobs near you

Behavioral Health Utilization Management Clinician

Adecco

Minneapolis, MN • Remote

$39 - $41.40/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description

Adecco Healthcare & Life Sciences is currently hiring a Behavioral Health Utilization Management Clinician for a remote telecommute opportunity in Nevada.

This is a remote opportunity with a Monday–Friday schedule.

Please review the details below and apply with an updated resume for consideration.

Position Details:

·       Pay: $39 to $41.40/hour

·       Contract: Four to Six-Contract, possibility of extension or becoming permanent

·       Location: Remote / Telecommute

·       Schedule: Monday–Friday, 8:00 AM–5:00 PM PST

Primary Responsibilities:

·       Review outpatient ABA requests for medical necessity using established clinical criteria, including MCG, InterQual, ASAM, and plan-specific guidelines.

·       Evaluate treatment plans, progress reports, assessments, and supporting documentation submitted by providers.

·       Collaborate with providers to clarify documentation and ensure the appropriate level of care.

·       Make determinations or recommendations for approval, modification, or denial of services.

·       Document clinical decisions and rationale accurately in the utilization management system.

·       Review clinical information and apply established guidelines to support appropriate behavioral health services.

·       Manage multiple cases in a high-volume, deadline-driven environment.

·       Collaborate with internal clinical and administrative teams to support quality patient care.

Qualifications:

·       BCBA, LBA, RN, Master's degree in Social Work, or related behavioral health field.

·       LCSW, LPC, LMFT, or equivalent behavioral health credentials accepted.

·       Active, unrestricted behavioral health license in the State of Nevada preferred.

·       Minimum of 2 years of behavioral health clinical experience, including ABA experience.

·       Familiarity with Medicaid and commercial benefit structures and utilization management protocols.

·       Experience reviewing clinical documentation and determining medical necessity.

·       Ability to work independently and effectively within a remote team environment.

·       Proficiency with clinical systems, Microsoft Office applications, and electronic documentation platforms.

·       Strong ability to multitask and meet deadlines in a high-volume environment.

·       Experience in behavioral health utilization management or prior authorization.

Why Work for Adecco?

·       Excellent Weekly Pay

·       401(k) Plan

·       Skills Training

·       Medical, Dental, and Vision Benefits


Pay Details: $39.00 to $41.40 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.