Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review.
Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review.
Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review.
Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review.
Clinical Admissions Therapist (Louisiana)
Baton Rouge, LA · Remote
$60K - $70K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... li-remote Based on the nature of this role, you will need to complete several state background ...
Clinical Admissions Therapist (Louisiana)
Baton Rouge, LA · Remote
$60K - $70K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... li-remote Based on the nature of this role, you will need to complete several state background ...
RN Care Manager
New Roads, LA · 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 · 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 ...
Compliance Manager
Baton Rouge, LA · On-site +1
$77K - $124K/yr
This position is available for remote/WFH within Louisiana, candidates must reside in Louisiana ... NCQA), Utilization Review Accreditation Commission (URAC), federal regulations and state law.
Compliance Manager
Baton Rouge, LA · On-site +1
$77K - $124K/yr
This position is available for remote/WFH within Louisiana, candidates must reside in Louisiana ... NCQA), Utilization Review Accreditation Commission (URAC), federal regulations and state law.
Clinical Admissions Therapist (Louisiana)
Baton Rouge, LA · Remote
$60K - $70K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... li-remote Based on the nature of this role, you will need to complete several state background ...
Quick apply
Clinical Admissions Therapist (Louisiana)
Baton Rouge, LA · Remote
$60K - $70K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... li-remote Based on the nature of this role, you will need to complete several state background ...
... utilization of Goulds Pumps quoting software. While primarily focused on supporting our ... Remote candidates may also be considered. Essential Responsibilities May include: * Review customer ...
... utilization of Goulds Pumps quoting software. While primarily focused on supporting our ... Remote candidates may also be considered. Essential Responsibilities May include: * Review customer ...
Remote Bcba Utilization Review information
See Baton Rouge, LA salary details
$45.6K - $54.5K
1% of jobs
$54.5K - $63.3K
5% of jobs
$70.1K is the 25th percentile. Wages below this are outliers.
$63.3K - $72.2K
24% of jobs
The median wage is $77K / yr.
$72.2K - $81.1K
35% of jobs
$85.5K is the 75th percentile. Wages above this are outliers.
$81.1K - $89.9K
18% of jobs
$89.9K - $98.8K
5% of jobs
$98.8K - $107.6K
1% of jobs
$107.6K - $116.5K
1% of jobs
$116.5K - $125.4K
3% of jobs
$125.4K - $134.2K
3% of jobs
$134.2K - $143.1K
2% of jobs
$45.6K
$85.5K
$143.1K
How much do remote bcba utilization review jobs pay per year?
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?
- Remote Utilization Review Nurse
- Remote Chart Review Nurse
- No Experience Utilization Review Nurse
- Utilization Management
- Remote Utilization Review Rn
- Temporary Utilization Review Nurse
- Evening Optum Health Utilization Review
- Full Time Physician Advisor Utilization Review
- No Experience Utilization Management Nurse
- Per Diem Utilization Review Nurse
- Utilization Review
- Remote Lpn Utilization Review
- Remote Utilization Review Nurse Practitioner
- Lpn Utilization Review
- Cigna Utilization Review Remote
- Authorization Utilization Review Bcba
- Temporary Aetna Utilization Review Nurse
- Remote Occupational Therapy Utilization Review
- Full Time Cigna Utilization Review Nurse
- Overnight Remote Utilization Review

Care Coordinator RN remote work: Baton Rouge or New Orleans
Baton Rouge, LA • Remote
Full-time
Posted 18 days ago
Job description
- Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based on contract requirements).
- Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review.
- Completes prior authorizations as appropriate in a timely manner.
- Conducts an initial survey to recommend appropriate (home health assessment) for the recipient, unless this has already been done during the current fiscal year
- Conducts a home and/or PPEC visit as needed or if contract requirement
- Schedules and convenes initial face-to-face meeting in the recipient’s home and/or PPEC comprised of the recipient (if able) and the parent or legal guardian.
- Assesses, plans, implements, monitors and evaluates the options and services required to meet the recipient’s health care needs.
- Documents recipient’s assessment findings, actions, and outcomes.
- Documents all communication, interventions and follow up tasks in the Care Coordination System within one (1) business day of each intervention and/or encounter.
- Identifies patient care issues and makes recommendations on patient care issues.
- Collaborates with the parent or legal guardian and healthcare team to arrange for identified home care needs.
- Responsible for maintaining regular monthly contact (telephonically or face-to-face) with the recipient and the recipient’s parent or legal guardian.for purpose of updating Plan of Care (POC), resolving issues and identifying additional issues
- As part of the multidisciplinary team, regularly meets with the team and contributes to the development of a comprehensive plan of care based on the needs of the recipient and recipient’s parent or legal guardian.
- Evaluates and modifies recipient’s the plan of care as needed. Regularly communicates changes to the recipient’s parent or legal guardian, healthcare team, and other agencies involved in the recipient’s care.
- Monitors assigned caseload eligibility status on a monthly basis, based on their status in MMIS.
- Completes a Staffing Tool (Freedom of Choice) any time a parent or legal guardian expresses the desire to reconsider a recipient’s placement into a Skilled Nursing Facility
- Follow guidelines for additional required calls and visits for Skilled Nursing Facility (SNF) transitions to community settings for six (6) months.
- Functions as a resource to the community.
- Manages daily workload associated with quality review process, including facilitation of case assignments and follows up to ensure that all cases requiring additional assistance or care coordination are completed within timelines required by contract.
- Prioritizes and addresses requests and assignments in a professional manner to develop cooperative relationships to ensure that customer confidentiality is assured.
- Provides courteous and prompt service to all internal and external customers at all times.
- Attends staff meetings and continuing education sessions and will assist with learning opportunities as needed.
- Participates in special projects, as needed.
- Assists with the implementation of quality improvement initiatives.
- Performs other duties as assigned.