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Remote Bcba Utilization Review Jobs (NOW HIRING)

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site +1

$34.73 - $45.15/hr

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...

Umpqua Health

Utilization Review Nurse

$85K - $105K/yr

Utilization Review Nurse Remote Ability to travel on-site to 3031 NE Stephens St., Roseburg OR, 97457, as needed for business operations. Employment Type: Full-Time, Exempt About Umpqua Health At ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

Umpqua Health

Utilization Review Nurse

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

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All JobsBcba Utilization Review JobsRemote Bcba Utilization Review Jobs

Remote Bcba Utilization Review information

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$47.5K

$89.1K

$149K

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

As of Aug 12, 2026, the average yearly pay for remote bcba utilization review in the United States is $89,075.00, according to ZipRecruiter salary data. Most workers in this role earn between $74,000.00 and $90,500.00 per year, depending on experience, location, and employer.

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 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.
More about Remote Bcba Utilization Review jobs
What cities are hiring for Remote Bcba Utilization Review jobs? Cities with the most Remote Bcba Utilization Review job openings:
What are the most commonly searched types of Bcba Utilization Review jobs? The most popular types of Bcba Utilization Review jobs are:
What states have the most Remote Bcba Utilization Review jobs? States with the most job openings for Remote Bcba Utilization Review jobs include:
What job categories do people searching Remote Bcba Utilization Review jobs look for? The top searched job categories for Remote Bcba Utilization Review jobs are:
Remote Bcba Utilization Review jobs near you
Infographic showing various Remote Bcba Utilization Review job openings in the United States as of August 2026, with employment types broken down into 42% Full Time, 29% Part Time, and 29% Contract. Highlights an 100% Remote job distribution, with an average salary of $89,075 per year, or $42.8 per hour.

Manager, Utilization Review

Health Business Solutions LLC

Cooper City, FL • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

The Manager, Utilization Review is responsible for overseeing the daily operations of the Utilization Review for one of our clients and leading a team of Utilization Review Nurses. This role involves ensuring efficient care coordination, managing healthcare costs, and maintaining high-quality patient care standards. The Manager, Utilization Review will collaborate with various healthcare professionals to improve patient outcomes and streamline care processes.

Key Responsibilities:

1. Leadership and Team Management:

• Supervise and mentor a team of Utilization Review Nurses, providing guidance and support to ensure excellent performance.

• Foster a collaborative and cohesive work environment within the department.

• Conduct regular staff meetings, performance evaluations, and staff development activities.

2. Care Coordination and Oversight:

• Oversee the development and implementation of individualized care plans for patients.

• Collaborate with the healthcare team to ensure coordinated and efficient patient care across different healthcare settings.

• Monitor and assess the appropriateness of care plans and resource utilization.

3. Quality Improvement:

• Implement and monitor quality improvement initiatives to enhance patient outcomes and compliance with healthcare regulations.

• Analyze data and metrics to identify areas for improvement in care coordination processes.

4. Budget Management:

• Manage the department's budget and resource allocation efficiently while maintaining high-quality patient care.

• Collaborate with finance and administrative teams to optimize resource utilization.

5. Staff Development:

• Provide ongoing training and education to Utilization Review Nurses to keep them updated on best practices and regulatory changes.

• Encourage professional growth and development within the department.

6. Patient Advocacy:

• Serve as a patient advocate, ensuring that patients' needs and preferences are addressed throughout their healthcare journey.

• Participate in complex case reviews and offer guidance on challenging patient cases.

7. Documentation and Compliance:

• Ensure accurate and timely documentation of patient records, care plans, and progress notes in accordance with regulatory standards.

Qualifications:

• Current RN (Registered Nurse) license. Compact or Multi-State License strongly preferred.

• Bachelor's degree in Nursing (BSN) required Masters (MSN) preferred.

• Previous experience in case management or care coordination, with at least 2 years in a leadership role.

• Strong clinical assessment and critical thinking skills.

• Excellent communication and interpersonal skills.

• Knowledge of healthcare regulations, insurance processes, and quality improvement methodologies.

• Proficiency in electronic health records (EHR) and healthcare software.

• Dedication to patient-centered care and a commitment to ethical practice.

If you are an experienced and visionary nurse leader who is passionate about improving patient care and outcomes, we invite you to apply for the Utilization Review Nurse Manager position. Join our team and lead the way in optimizing patient care. Apply today!


Health Business Solutions (HBiz) is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.

HBiz complies with all applicable employment laws for remote and multi-state hiring and provides reasonable accommodations as required by law.


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