ZipRecruiter

Log In

2

Remote Bcba Utilization Review Jobs in Virginia (NOW HIRING)

Prestige

LPN Case Manager

Richmond, VA · Remote

$75K/yr

... utilization review * Facilitate timely and safe discharge planning * Serve as primary point of ... This is a Remote Position. * Competitive Salary * Medical, Dental, and Vision Insurance * 401K ...

For People

Software Engineer, Medicaid

Arlington, VA · On-site +1

$100K - $120K/yr

Our entire team is remote across the United States, from the West Coast to the East Coast. There ... Contribute to the next version of the program's drug utilization review tools * Help lead the team ...

Acorn Health

Hybrid BCBA

Ashburn, VA · On-site +1

$75K - $92K/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 ...

Acorn Health

Hybrid BCBA

Midlothian, VA · On-site +1

$83K - $102K/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 ...

UVA Health

Physician Advisor (Remote)

Manassas, VA · Remote

$250K - $350K/yr

... across Utilization Management (UM), Clinical Documentation Integrity (CDI), Coding, and Case ... Perform medical necessity reviews using MCG and/or InterQual * Support CMS compliance, including ...

McGuireWoods LLP

Director, Benefits

Richmond, VA · On-site +1

Along with excellent benefits, McGuireWoods offers most employees a hybrid remote option allowing ... Lead the annual benefits renewal process, including plan design evaluation, utilization review ...

McGuireWoods LLP

Director, Benefits

Richmond, VA · On-site +1

Along with excellent benefits, McGuireWoods offers most employees a hybrid remote option allowing ... Lead the annual benefits renewal process, including plan design evaluation, utilization review ...

Elevance Health

Med Mgmt Nurse (contract)

Richmond, VA · Remote

... utilization review, or managed care experience; or any combination of education and experience ... Prefer candidates who hold an active compact license and reside in a compact state * 100% Remote ...

Elevance Health

Med Mgmt Nurse (contract)

Richmond, VA · Remote

... utilization review, or managed care experience; or any combination of education and experience ... Prefer candidates who hold an active compact license and reside in a compact state * 100% Remote ...

previous pagenext page

Showing results 21-40

All JobsBcba Utilization Review JobsRemote Bcba Utilization Review JobsRemote Bcba Utilization Review Jobs in Virginia

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 Virginia?

The most popular types of Bcba Utilization Review jobs in Virginia are:

What are popular job titles related to Remote Bcba Utilization Review jobs in Virginia?

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

What job categories do people searching Remote Bcba Utilization Review jobs in Virginia look for?

The top searched job categories for Remote Bcba Utilization Review jobs in Virginia are:

What cities in Virginia are hiring for Remote Bcba Utilization Review jobs?

Cities in Virginia with the most Remote Bcba Utilization Review job openings:

Remote Bcba Utilization Review jobs near you
Infographic showing various Remote Bcba Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 82% Full Time, 11% Part Time, and 7% Contract. Highlights an 100% Remote job distribution.

LPN Case Manager

Prestige

Richmond, VA • Remote

$75K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 22 days ago

Job description

Case Manager

At Prestige Healthcare Services, we are committed to delivering exceptional care and support to our patients and their families. Our skilled facilities offer a range of short-term and long-term skilled rehabilitation services to meet the diverse needs of our patients. We are seeking a dedicated and compassionate Case Manager to join our team.

Responsibilities:

• Develop, implement, and monitor individualized care plans in collaboration with the interdisciplinary team (nursing, therapy, social services, dietary)

• Coordinate and communicate with insurance companies and managed care organizations to obtain authorizations and manage utilization review

• Facilitate timely and safe discharge planning

• Serve as primary point of contact for residents and families regarding care plans, insurance coverage, and discharge options

• Monitor length of stay and levels of care to ensure appropriate resource utilization

• Maintain accurate and timely documentation in the electronic health record (EHR) in compliance with state and federal regulations

• Ensure compliance with CMS, state survey, and facility policies related to case management and discharge planning

• Collaborate with admissions to review referrals and support smooth transitions into the facility

What We Offer:

This is a Remote Position.

  • Competitive Salary

  • Medical, Dental, and Vision Insurance

  • 401K Retirement Plan

  • Paid Time Off (PTO) and Sick Time in accordance with VA Law

  • Employee Wellness Program

  • Flexible Spending Account

  • Employee Assistance Program

  • Daily Pay

Requirements

  • LPN in the state of Virginia

  • Experience in managed care/HMOS and skilled nursing admission and/or admissions coordination.

If you are a motivated and compassionate healthcare professional looking for a new challenge, we encourage you to apply for this exciting opportunity.

To learn more about this role and how you can make a difference at Prestige Healthcare Services, please apply today!

Prestige Healthcare Services is an equal opportunity employer.