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Remote Bcba Utilization Review Jobs in Boca Raton, FL

NationsBenefits, LLC

Associate Account Manager

Plantation, FL · On-site +1

$122K - $127K/yr

Open to remote & onsite/hybrid in Plantation, FL Primary Responsibilities: 1. Client Account ... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ...

NationsBenefits

Associate Account Manager

Plantation, FL · On-site +1

$122K - $127K/yr

Open to remote & onsite/hybrid in Plantation, FL Primary Responsibilities: 1. Client Account ... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ...

NationsBenefits, LLC

Account Manager

Plantation, FL · On-site +1

Open to remote & onsite in Plantation, FL Primary Responsibilities: 1. Client Account Management ... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ...

NationsBenefits

Account Manager

Plantation, FL · On-site +1

Open to remote & onsite in Plantation, FL Primary Responsibilities: 1. Client Account Management ... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ...

JDA

Sr. Director, Finance -IT

Delray Beach, FL · On-site +1

US Remote Dallas and Scottsdale preferred Overview: The Senior Director, Finance IT is a senior ... Conduct regular license and entitlement reviews across all Finance platforms to ensure the ...

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All JobsBcba Utilization Review JobsRemote Bcba Utilization Review JobsRemote Bcba Utilization Review Jobs in Boca Raton, FL

Remote Bcba Utilization Review information

See Boca Raton, FL salary details

$45.1K

$84.5K

$141.4K

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

As of Sep 6, 2026, the average yearly pay for remote bcba utilization review in Boca Raton, FL is $84,529.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,200.00 and $85,900.00 per year, depending on experience, location, and employer.

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 popular job titles related to Remote Bcba Utilization Review jobs in Boca Raton, FL?

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

What job categories do people searching Remote Bcba Utilization Review jobs in Boca Raton, FL look for?

The top searched job categories for Remote Bcba Utilization Review jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Remote Bcba Utilization Review jobs?

Cities near Boca Raton, FL 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 Boca Raton, FL as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% Remote job distribution, with an average salary of $84,529 per year, or $40.6 per hour.

Remote Nurse Practitioner, Telehealth, Part Time, Weekends

ChenMed, LLC

Miami, FL • On-site, Remote

Part-time

This job post has expired 1 day ago. Applications are no longer accepted.

ChenMed rating

8.4

Company rating: 8.4 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

1st of 247 rated social care providers

Job description

We're unique. You should be, too.
We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.
The Advanced Practice Provider (APP) I, CareLine is responsible for diagnostic patient care primarily through virtual, remote consultation via video conference or telephone. The incumbent in this role serves as the dispositional authority for after-hours and weekend clinical calls. They are accountable for assessing, diagnosing, treating and precisely documenting patients' physical and psychosocial health status through the collection of health data.
This is a part time position. The weekly schedule for this position is as follows:
Friday meeting 1530-1630
Saturdays 1230-0000
Sundays 1230-0000
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
  • Through virtual video conference or telephone, assesses acute and non-acute clinical problems. Performs and documents physical evaluations and patient histories, analyzes trends in patient conditions and develops, documents and implements a patient management plan based on interpretation of findings. Aids in the development of a plan of care that may include health education, physician referrals, case management referrals and patient/family counseling.
  • Plans patient care based on knowledge of the patient population and/or protocol. Considers the patient's cultural background, level of understanding, personality and support systems to anticipate and identify physiological and/or psychological problems. Serves as patient advocate.
  • Collects comprehensive and focused data relating to the health needs of patients and families. Analyzes data to determine appropriate health maintenance and/or improvement methods.
  • Confers with the patient's PCP and other medical providers to report health data and ensure compliance with guidelines.
  • Ensures achievement of optimal patient outcomes through use of Telemedicine. Collaborates with on-call PCP, as needed, to support expected clinical outcomes. Implements the appropriate protocol to attain expected outcomes. Evaluate progress toward expected outcomes.
  • Works with key contributors to enhance the quality of telehealth practices and systems through the utilization of data demonstrating program effectiveness and success.
  • Communicates using a variety of formats, tools and technologies to build professional relationships and deliver care across the continuum.
  • Utilizes appropriate resources to plan and provide services that are safe, effective and financially responsible.
  • Provides extraordinary customer service and professionalism to all internal and external customers.
  • May also participate in clinical rounds and conferences, risk and quality management programs, clinical and other relevant meetings.
  • Adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, policies, and procedures. Practices in accordance with a written or electronic practice agreement.
  • Participates with the clinical team in the formulation of telehealth/telemedicine policies, procedures and protocols.
  • Initiates/participates in quality improvement activities that result in approved outcomes
  • Participates with committee(s) to support growth
  • Provides feedback regarding the practice of others to improve patient care
  • Coordination of services with other programs
  • Performs other duties as assigned and modified at manager's discretion.
KNOWLEDGE, SKILLS AND ABILITIES:
  • If supporting patients in Georgia, required to adhere to Georgia state law which requires travel to the State of Georgia on a quarterly basis (or as mandated by law) for onsite observation and medical record review by the respective delegating physician.
  • If supporting patients in Tennessee, required to adhere to Tennessee state law which requires travel to the State of Tennessee on a bi-annual (or as mandated by law) basis for onsite observation and medical record review by the respective delegating physician.
  • Required to adhere to any other state laws which may require travel for onsite observation by the respective delegating physician.
  • Expert-level business acuity
  • Expert knowledge and understanding of general/core job-related functions, practices, processes, procedures, techniques and methods
  • Knowledge and understanding of medical practices to function independently as a certified practitioner and in collaboration and consultation with licensed physicians, specialists and other medical providers
  • Demonstrated record of consistently achieving clinical performance metrics
  • Technical capability to conduct telemedicine visits in accordance with state and federal regulations
  • Ability to demonstrate excellent clinical judgement
  • Ability to problem solve
  • Ability to prioritize and work under pressure
  • Ability to provide constructive feedback
  • Ability to communicate and collaborate with physicians, patients and other team members in a professional manner
  • Ability to operate effectively with a multidisciplinary team
  • Proficient skill in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook; competent in keyboarding and other systems required for the position
  • Ability and willingness to travel to attend meetings and trainings up to 10% of the time. Depending on the assigned schedule required availability to work evenings/overnights and/or weekends.
  • Ability and willingness to travel to Georgia or any other state that requires a quarterly onsite observation and medical records review with the respective physician. Minimum requirement to work four holidays in the calendar year.
  • Spoken and written fluency in English; bilingual (Spanish/Creole) a plus
  • This job requires use and exercise of independent judgment
  • Ability and willingness to obtain independent/autonomous practice as an NP in applicable states
  • Acquires knowledge and skills to maintain expertise in area of practice.
EDUCATION AND EXPERIENCE CRITERIA:
  • Bachelor's degree in Nursing (BSN) and graduate of a school of nursing for Advanced Practice Nursing with certification in area of specialty required; Master's degree in Nursing required.
  • Board certification by AANP or ANCC required
  • Basic Life Support (BLS) certification from the American Heart Association or American Red Cross required upon hire.
  • Current DEA number from the DEA for schedule II-V controlled substances may be required based on State of practice
  • Multi state licensure to include FL, and at least 3 licenses in the following states: VA, GA, MI, MO, OH, PA, TN, TX, IL, LA.
  • A minimum of 4 years' acute/primary care clinical work experience as a Nurse Practitioner required
  • A minimum of 2 years' telehealth work experience highly preferred

PAY RANGE:
$111,140 - $158,771 Salary
The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.
EMPLOYEE BENEFITS
https://chenmed.makeityoursource.com/helpful-documents
We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.
Current employees, if you want to apply to our internal career site, please click HERE
Current Contingent Worker please see job aid HERE to apply
#LI-Remote

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About ChenMed

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We're expanding healthcare equity across America. We're already in 15 states with 100+ medical centers. As a rapidly growing, physician-led organization, we have one central focus: rescue any and every senior from a healthcare system that has failed them. Our family of brands include Chen Senior Medical Center, JenCare Senior Medical Center, and Dedicated Senior Medical Center. Recently named a 2021 Best Places To Work and one of the only healthcare companies recognized in Fortune's 2020 "Change The World" list, ChenMed prides itself on creating a culture that enables career growth and promotes inclusion for all.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Miami, FL, US

Year founded

1985

Social media

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