ZipRecruiter

Log In

2

Supervisor Utilization Review Remote Jobs in Washington

Avalere Health

Copy Supervisor

Washington, DC · On-site +1

$115K - $135K/yr

Review material produced by direct reports, as applicable, including review of final manuscripts ... Enjoy flexible working arrangements, including hybrid and remote work, along with the option to ...

Avalere Health

Copy Supervisor

Washington, DC · Remote

$115K - $135K/yr

Review material produced by direct reports, as applicable, including review of final manuscripts ... Enjoy flexible working arrangements, including hybrid and remote work, along with the option to ...

AvantGarde, LLC

Program Manager

Washington, DC · On-site +1

Remote work options are available after a brief acclimation period. Essential Duties and ... reviews, and governance audits to identify risks, trends, and opportunities for improvement. · ...

AvantGarde, LLC

Program Manager

Washington, DC · On-site +1

Remote work options are available after a brief acclimation period. Essential Duties and ... reviews, and governance audits to identify risks, trends, and opportunities for improvement. · ...

previous page

Showing results 41-60

All JobsSupervisor Utilization Review JobsSupervisor Utilization Review Remote JobsSupervisor Utilization Review Remote Jobs in Washington

Supervisor Utilization Review Remote information

What are the key skills and qualifications needed to thrive as a supervisor utilization review remote?

To thrive as a Supervisor Utilization Review Remote, you need a solid background in clinical healthcare (often as an RN or similar), experience with utilization management, and knowledge of regulatory guidelines. Familiarity with utilization review software, electronic medical records (EMR), and certifications like CCM or URAC accreditation are typically required. Strong leadership, critical thinking, and effective communication skills help in managing teams and collaborating across departments. These skills ensure efficient review processes, compliance with regulations, and high-quality patient care management in a remote setting.

What is the difference between Supervisor Utilization Review Remote vs Utilization Review Nurse?

AspectSupervisor Utilization Review RemoteUtilization Review Nurse
CredentialsRN license, possibly supervisor certificationRN license, certification in utilization review often preferred
Work EnvironmentRemote, supervisory role overseeing review teamsRemote or onsite, performing case assessments
Employer & IndustryHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare providers

The Supervisor Utilization Review Remote typically oversees review teams and manages processes, requiring leadership skills and certifications. In contrast, Utilization Review Nurses focus on case assessments and approvals, often with similar certifications but less managerial responsibility. Both roles are essential in healthcare utilization management, often working remotely within the same industry.

What are some common challenges faced by remote supervisor utilization review professionals, and how can they be effectively managed?

Remote Supervisor Utilization Review professionals often encounter challenges such as coordinating with distributed team members, ensuring consistent application of review criteria, and maintaining clear communication with both clinical staff and payers. To manage these, it's important to establish regular virtual meetings, utilize secure and efficient digital platforms for case tracking, and foster a culture of transparency and accountability. Additionally, investing time in ongoing training and encouraging peer collaboration can help supervisors stay updated on regulatory changes and best practices.

What does a supervisor utilization review remote do?

A Supervisor Utilization Review (Remote) oversees a team responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients—often for insurance or healthcare organizations. This role ensures that utilization review processes comply with regulatory requirements and organizational standards, while also guiding and supporting staff in their daily activities. Working remotely, the supervisor collaborates with clinicians, case managers, and other stakeholders to facilitate quality patient care and manage healthcare costs. The supervisor may also handle escalated cases and ensure timely completion of reviews.
What are popular job titles related to Supervisor Utilization Review Remote jobs in Washington? For Supervisor Utilization Review Remote jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Supervisor Utilization Review Remote jobs in Washington look for? The top searched job categories for Supervisor Utilization Review Remote jobs in Washington are:
What cities in Washington are hiring for Supervisor Utilization Review Remote jobs? Cities in Washington with the most Supervisor Utilization Review Remote job openings:
Supervisor Utilization Review Remote jobs near you

Hybrid Clinical Supervisor/BCBA - Lanham - $10,000 sign on bonus

Helping Hands Family

Lanham, MD • On-site, Remote

$18K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago

Helping Hands Family rating

5.5

Company rating: 5.5 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

165th of 239 rated social care providers

Job description

The Clinical Supervisor is a Board Certified Behavior Analyst (BCBA) who serves as a key clinical leader in the clinic, directly supporting clinical operations and providing clinical oversight for all clinicians.
What You'll Be Doing:
  • Clinical Supervision & Case Oversight:
  • Provide clinical oversight and case guidance for all clinicians within the assigned clinic.
  • Maintain a caseload of clients, conducting assessments, developing behavior intervention plans (BIPs), and updating treatment plans based on client progress and needs.
  • Review all client treatment plans to ensure effective therapy is delivered on a case by case basis
  • Monitor clinical documentation and data collection across teams to ensure clinical effectiveness, timeliness, and consistency.
  • Oversee the productivity/utilization and performance of all BCBAs within the clinic, including regular review of client records and clinical progress and providing strategic recommendations for case management.
  • Collaborate with Office Manager on all scheduling and productivity.
  • Provide direct leadership and support to BCBAs and Lead BCBAs, fostering a collaborative and accountable clinical culture.
  • Report operationally to the Operations Manager, with a dotted-line clinical reporting relationship to the Regional Director of Quality Assurance or Senior Clinic Director to ensure alignment with broader clinical standards and quality initiatives
  • Review all treatment recommendations, at admission and upon re-assessments, and lead discussions / reviews with all parents / caregivers.

  • Quality Assurance and Clinical Support:
  • Conduct regular treatment integrity checks and clinical observations.
  • Collaborate with the clinical leadership to align practices with HHF clinical protocols, and Federal and State regulatory standards,
  • Ensure compliance with ethical standards as defined by the BACB and relevant state licensure boards.

  • Team Development & Mentorship:
  • Provide mentorship, modeling, and competency assessments for Fellows, LBS, and BCBAs to support their growth and clinical development.
  • Participate in clinical team meetings, contribute to training initiatives, and lead collaborative case reviews

  • Family Collaboration:
  • Offer guidance and training to families on treatment progress and home programming strategies.
  • Respond to family inquiries with empathy and professionalism, ensuring a positive and supportive experience.

  • Clinical Documentation:
  • Maintain accurate, timely, and compliant clinical records, reports, and session documentation in alignment with funder and licensing requirements.

Why You'll Love Working with Us:
- Monthly Bonus: Based on performance, we reward hard work and dedication with potential to earn up to an additional $18,000 annually.
- Benefits Package: Comprehensive package includes medical, dental, and vision coverage, 401k match, and paid family leave.
- Career Ladder: Growth opportunities for advancement and a robust support network, including on-site Clinical Directors and a CEU stipend.
- Work-Life Balance: Hybrid work schedule (3 days/week onsite), manageable caseloads, Paid Family Leave, and a supportive team-oriented culture.
Qualifications:
  • Active BCBA in good standing with the Behavior Analyst Certification Board (BACB). Active state license where applicable. Master's degree in Applied Behavior Analysis, Psychology, Education, or related field.
  • Minimum 5 years of post-certification experience
  • Minimum 2 years Lead BCBA experience supervising RBTs, BCBAs, LBSs, or Fellows preferred.
  • Strong clinical decision-making, leadership, and organizational skills.
  • Excellent communication and mentorship capabilities.

Helping Hands Family Base Salary Range
$100,000-$120,000 USD
Ready to Make a Difference? Apply Now!
Helping Hands Family (HHF) is Great Place to Work Certified™ in 2021, 2022, 2023, 2024, and 2025. We are a top-rated ABA provider dedicated to a supportive and inclusive culture. We offer rewarding work experiences, including making a lasting impact on children's lives.
All offers of employment are contingent upon the successful completion of a comprehensive background check. This includes Social Security and identity verification, reference checks, criminal history check, fingerprint screening, and any other relevant checks to ensure the safety and well-being of the children we serve. All new hires must complete E-Verify as required by USCIS. HHF does not provide immigration sponsorship for any roles at this time.
Helping Hands Family is dedicated to a supportive, inclusive culture. From growing our team to the client treatment plans, we have committed to celebrating differences and helping everyone reach their highest potential. HHF is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status.

What Helping Hands Family employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply