2

Remote Bcba Utilization Review Jobs (NOW HIRING)

The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...

next page

Showing results 1-20

Remote Bcba Utilization Review information

See salary details

$47.5K

$89.1K

$149K

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

As of May 30, 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 the key skills and qualifications needed to thrive as a Remote BCBA Utilization Review specialist, and why are they important?

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 are Remote BCBA Utilization Review jobs?

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 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.

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:
Infographic showing various Remote Bcba Utilization Review job openings in the United States as of May 2026, with employment types broken down into 67% Full Time, 22% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $89,075 per year, or $42.8 per hour.

Registered Nurse - Utilization Review - RNUR26-06086

NavitasPartners

Santa Rosa, CA โ€ข Remote

$40/hr

Other

Posted 6 days ago


Job description

Job Title: Registered Nurse - Utilization Reviewย 

Location: Santa Rosa, CAย 

Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM
Contract Duration: 13 Weeks
Orientation: 40 Hours (Non-Billable)


Required Qualifications
  • Active Registered Nurse (RN) License required
  • Minimum 1-2 years acute care experience preferred
  • Experience in Utilization Review, Case Management, or similar clinical coordination role preferred
  • Strong understanding of medical necessity criteria and payer guidelines
  • Knowledge of insurance authorization and review processes
  • Strong documentation, analytical, and communication skills
  • Ability to work independently in a remote setting
  • Experience with EMR systems preferred (Epic preferred)

Job Responsibilities
  • Perform utilization review for inpatient and outpatient services
  • Evaluate medical records for appropriate level of care and medical necessity
  • Process prior authorizations and continued stay reviews
  • Collaborate with physicians, case managers, and insurance payers
  • Document review decisions accurately in EMR systems
  • Identify cases requiring escalation to clinical reviewers or medical directors
  • Support discharge planning and care coordination when needed
  • Ensure compliance with regulatory, payer, and facility guidelines
  • Maintain productivity and quality standards in a remote environment

For more details contact atย sthakur@navitashealth.comย 

About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.