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Remote Hca Utilization Review Jobs in Forney, TX

Senior Product Manager

Dallas, TX ยท On-site +1

$50 - $60/hr

... utilization review. ยท Proven experience with Amazon Connect migration projects, including ... US (Remote/Hybrid - Preferred locations: Brillio Offices or St. Louis, MO) Industry: Healthcare / ...

Workforce Allocation, Bench and Utilization Management โ€ข Own allocation decisions for AWS ... SOW, Solution and Delivery Readiness โ€ข Collaborate in SOW intake and review process, including ...

... including utilization of social media, internal and external databases, and building a vast ... Qualify prospective candidates via resume review, phone screens and in-person interviews to assess ...

Cloud Solution Architect

Dallas, TX ยท Remote

$62.75 - $86/hr

Support hands-on delivery as needed, including Salesforce configuration, data loads, and review of ... Proven leadership of Salesforce delivery teams, including onshore/offshore models, remote teams ...

Medical Case Manager

Richardson, TX ยท On-site +1

$62K - $96K/yr

... s) through utilization of established guidelines to determine appropriate medical treatment ... to review and research conducted utilizing nationally accepted practice parameters. This position ...

Managing Director

Dallas, TX ยท On-site +1

This is a full-time, remote role with occasional travel required for client meetings, industry ... utilization, and resource allocation * Own P and L performance and budget accountability * Review ...

This is a full-time, remote role with occasional travel required for client meetings, industry ... utilization, and resource allocation * Own P and L performance and budget accountability * Review ...

Showing results 21-40

Remote Hca Utilization Review information

See Forney, TX salary details

$19

$38

$62

How much do remote hca utilization review jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for remote hca utilization review in Forney, TX is $38.09, according to ZipRecruiter salary data. Most workers in this role earn between $30.10 and $43.75 per hour, depending on experience, location, and employer.

What is the difference between Remote Hca Utilization Review vs Remote Hca Case Manager?

AspectRemote Hca Utilization ReviewRemote Hca Case Manager
CredentialsTypically requires healthcare-related certifications, such as RN or licensed healthcare professionalOften requires RN, social work, or case management certifications
Work EnvironmentPrimarily reviewing medical necessity and insurance coverage remotelyManaging patient cases, coordinating care, and discharge planning remotely
Employer & Industry UsageUsed by health insurance companies, healthcare providers, and utilization review organizationsEmployed by hospitals, insurance companies, and healthcare organizations

Remote Hca Utilization Review focuses on assessing medical necessity and insurance coverage, while Remote Hca Case Managers handle patient care coordination and discharge planning. Both roles require healthcare credentials and are integral to healthcare management, but they differ in daily responsibilities and focus areas.

How do I get into a remote HCA utilization review?

To become a remote HCA utilization review specialist, candidates typically need a healthcare background such as nursing or medical coding, along with knowledge of insurance policies and medical terminology. Relevant certifications like Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) can improve job prospects. Employers often require prior experience in medical review or utilization management and proficiency with electronic health record (EHR) systems, with many roles offering flexible or remote schedules.

Is remote HCA utilization review work from home?

Remote HCA utilization review jobs are often performed from home, allowing reviewers to assess healthcare claims and authorizations remotely. These roles typically require familiarity with healthcare software, strong communication skills, and adherence to confidentiality standards. Many employers offer flexible or fully remote schedules for this position.

What are popular job titles related to Remote Hca Utilization Review jobs in Forney, TX?

For Remote Hca Utilization Review jobs in Forney, TX, the most frequently searched job titles are:

What job categories do people searching Remote Hca Utilization Review jobs in Forney, TX look for?

The top searched job categories for Remote Hca Utilization Review jobs in Forney, TX are:

What cities near Forney, TX are hiring for Remote Hca Utilization Review jobs?

Cities near Forney, TX with the most Remote Hca Utilization Review job openings:

Infographic showing various Remote Hca Utilization Review job openings in Forney, TX as of August 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $79,227 per year, or $38.1 per hour.

Board Certified Behavior Analyst (BCBA) - Remote

All Care Therapies

Dallas, TX โ€ข Remote

$43 - $56/hr

Part-time

Posted 15 days ago


Job description



All Care Therapies is a leading provider of Physical, Occupational, Speech, and ABA therapy services, delivering care through virtual, in-home, and clinic-based settings across California, Texas, and Nevada. We serve individuals of all ages, combining innovative technology with a collaborative, patient-centered approach. Our dedicated clinicians provide flexible, high-quality care that meets patients where they are, supporting recovery, enhancing communication, and driving meaningful, long-term outcomes.


Job Description


The Board Certified Behavior Analyst (BCBA) is a licensed clinical professional responsible for designing, implementing, supervising, and evaluating Applied Behavior Analysis (ABA) therapy programs for patients across the lifespan. The BCBA at ACT works in alignment with our mission to deliver individualized, compassionate care and maintains clinical excellence in accordance with the BACB's ethical and professional standards.

This role may be performed via tele health, in a clinic environment, in the patient's home, or on-site at a school or care facility — providing maximum flexibility to match the BCBA's preferred work style with ACT's patient population needs.


Qualifications


Clinical Practice

  • Conduct comprehensive functional behavior assessments (FBA) and skill assessments (e.g., VB-MAPP, ABLLS-R, PEAK) to identify treatment priorities.
  • Develop individualized ABA treatment plans with measurable goals based on assessment findings, patient needs, and family priorities.
  • Design, implement, and modify behavior intervention plans (BIPs) using evidence-based ABA methodologies.
  • Deliver direct ABA therapy services to patients as clinically indicated and within the scope of the BCBA's practice.
  • Monitor patient progress through consistent data collection and analysis; adjust treatment plans accordingly.
  • Collaborate with interdisciplinary team members including SLPs, OTs, PTs, physicians, and educators to coordinate holistic care.

Supervision & Team Leadership

  • Supervise and mentor Registered Behavior Technicians (RBTs) and BCaBA candidates in accordance with BACB supervision requirements.
  • Provide ongoing training, performance feedback, and professional development support to supervisees.
  • Conduct regular session observations and ensure fidelity to treatment plans across all service settings.

Documentation & Compliance

  • Complete all clinical documentation accurately and within required timeframes, including session notes, progress reports, treatment plans, and authorization requests.
  • Maintain compliance with all applicable federal, state, and payer-specific regulations, including HIPAA and Medicaid/insurance billing standards.
  • Participate in utilization review and authorization processes in coordination with ACT's billing and operations teams.

Family & Caregiver Collaboration

  • Provide caregiver training and coaching to support generalization of ABA strategies across home, school, and community settings.
  • Engage families as active partners in treatment planning and progress review.
  • Conduct regular parent/caregiver meetings to review goals, data trends, and next steps.

Requirements:

  • Active BCBA certification in good standing with the BACB
  • Active state licensure where required by the state of practice
  • Master's degree in Applied Behavior Analysis, Psychology, Education, or a related field
  • Minimum 2 years of ABA clinical experience, including direct therapy and supervision
  • Proficiency in ABA assessment tools (FBA, VB-MAPP, ABLLS-R, or equivalent)
  • Experience with electronic health records (EHR) and data collection platforms
  • Excellent written and verbal communication skills
  • Ability to obtain a background clearance per ACT and state requirements

Why Join Us

  • We are a therapist-owned and operated organization
  • Career Advancement - We believe in recognizing high-performing teams
  • Efficient web-based documentation system
  • Growing company in a new model of service delivery
  • Monthly team meetings
  • Supportive collaboration with the Clinical team and Supervisors
  • Training, assessments, and materials provided


Additional information


All your information will be kept confidential according to EEO guidelines.


All Care Therapies is an equal opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.