Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) The Medical Director role provides clinical expertise in assessing the medical necessity, appropriateness, and ...
Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) The Medical Director role provides clinical expertise in assessing the medical necessity, appropriateness, and ...
Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) The Medical Director role provides clinical expertise in assessing the medical necessity, appropriateness, and ...
Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) The Medical Director role provides clinical expertise in assessing the medical necessity, appropriateness, and ...
Medical Director - Utilization Management (Part-Time or Full-Time)
Monterey Park, CA · Remote
$275K - $325K/yr
Provide physician oversight and final determination for outpatient utilization management ... This is a remote position. The position will operate in Pacific Standard Time. * The national ...
Medical Director - Utilization Management (Part-Time or Full-Time)
Monterey Park, CA · Remote
$275K - $325K/yr
Provide physician oversight and final determination for outpatient utilization management ... This is a remote position. The position will operate in Pacific Standard Time. * The national ...
Utilization Management Medical Director Oncology Work Location ... REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role provides ...
Utilization Management Medical Director Oncology Work Location ... REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role provides ...
Utilization Management Medical Director Oncology Work Location ... REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role provides ...
Utilization Management Medical Director Oncology Work Location ... REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role provides ...
Medical Director Utilization Management Oncology
Cerritos, CA · Remote
$275K - $325K/yr
Utilization Management Medical Director Oncology Work Location ... REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role provides ...
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Medical Director Utilization Management Oncology
Cerritos, CA · Remote
$275K - $325K/yr
Utilization Management Medical Director Oncology Work Location ... REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role provides ...
Utilization Management Nurse I, RN
Huntington Beach, CA · Remote
$34.98 - $42.85/hr
Remote in California only Are you ready to make a lasting impact and transform the healthcare space ... utilization management or case management preferred. Skills · Knowledge of medical necessity ...
Utilization Management Nurse I, RN
Huntington Beach, CA · Remote
$34.98 - $42.85/hr
Remote in California only Are you ready to make a lasting impact and transform the healthcare space ... utilization management or case management preferred. Skills · Knowledge of medical necessity ...
Board Certified Behavior Analyst BCBA (Remote)
Los Angeles, CA · Remote
$70 - $90/hr
If you're a BCBA who wants to do more than just manage cases -- if you want to be part of a growing ... Fully remote role supporting clients in Colorado * No state licensure required -- only ...
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Board Certified Behavior Analyst BCBA (Remote)
Los Angeles, CA · Remote
$70 - $90/hr
If you're a BCBA who wants to do more than just manage cases -- if you want to be part of a growing ... Fully remote role supporting clients in Colorado * No state licensure required -- only ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
Pharmacist, Utilization Management/Prior Auth (Remote)
Long Beach, CA · On-site +1
$72K - $156K/yr
Molina Healthcare is hiring a Pharmacist in our Utilization Management/Prior Auth department. This position will be working Monday through Friday from 10:00am to 6:30pm CST with rotating weekends and ...
Pharmacist, Utilization Management/Prior Auth (Remote)
Long Beach, CA · On-site +1
$72K - $156K/yr
Molina Healthcare is hiring a Pharmacist in our Utilization Management/Prior Auth department. This position will be working Monday through Friday from 10:00am to 6:30pm CST with rotating weekends and ...
Molina Healthcare is hiring a Pharmacist in our Utilization Management/Prior Auth department. This position will be working Monday through Friday from 10:00am to 6:30pm CST with rotating weekends and ...
Molina Healthcare is hiring a Pharmacist in our Utilization Management/Prior Auth department. This position will be working Monday through Friday from 10:00am to 6:30pm CST with rotating weekends and ...
To be successful in this role, you will have a strong knowledge of Utilization Management, strong leadership skills, and a passion for high-quality patient care. As a remote employee, we will provide ...
To be successful in this role, you will have a strong knowledge of Utilization Management, strong leadership skills, and a passion for high-quality patient care. As a remote employee, we will provide ...
RN Supervisor UM Prior Auth
Rancho Cordova, CA · On-site +1
$53.46 - $79.52/hr
To be successful in this role, you will have a strong knowledge of Utilization Management, strong leadership skills, and a passion for high-quality patient care. As a remote employee, we will provide ...
RN Supervisor UM Prior Auth
Rancho Cordova, CA · On-site +1
$53.46 - $79.52/hr
To be successful in this role, you will have a strong knowledge of Utilization Management, strong leadership skills, and a passion for high-quality patient care. As a remote employee, we will provide ...
Remote BCBA Supervisor & Clinical Consultant
Los Angeles, CA · On-site +1
$80K - $90K/yr
Minimum 30 clinical hours per week; 90% utilization of recommended treatment hours is the ... Manage your time and documentation without being chased * Communicate directly and professionally ...
Remote BCBA Supervisor & Clinical Consultant
Los Angeles, CA · On-site +1
$80K - $90K/yr
Minimum 30 clinical hours per week; 90% utilization of recommended treatment hours is the ... Manage your time and documentation without being chased * Communicate directly and professionally ...
BCBA Applied Behavior Analyst
Alameda, CA · Remote
$61 - $70/hr
... Monitor utilization patterns and recommend improvements to enhance quality and service delivery ... in a remote environment with quality/productivity expectations Managed care, public agency, or ...
BCBA Applied Behavior Analyst
Alameda, CA · Remote
$61 - $70/hr
... Monitor utilization patterns and recommend improvements to enhance quality and service delivery ... in a remote environment with quality/productivity expectations Managed care, public agency, or ...
Director, Delegation Oversight (California Utilization Management) - REMOTE
Long Beach, CA · On-site +1
$79K - $172K/yr
... utilization management, pharmacy, and other operational functions across multiple states and lines of business. Collaborates closely with internal business owners to manage and administer the ...
Director, Delegation Oversight (California Utilization Management) - REMOTE
Long Beach, CA · On-site +1
$79K - $172K/yr
... utilization management, pharmacy, and other operational functions across multiple states and lines of business. Collaborates closely with internal business owners to manage and administer the ...
... utilization management, pharmacy, and other operational functions across multiple states and lines of business. Collaborates closely with internal business owners to manage and administer the ...
... utilization management, pharmacy, and other operational functions across multiple states and lines of business. Collaborates closely with internal business owners to manage and administer the ...
$74 - $82/hr
We are seeking an experienced Staff Dentist to join our clinical team and play a critical role in supporting our Utilization Management (UM) and Utilization Review (UR) programs. This fully remote ...
$74 - $82/hr
We are seeking an experienced Staff Dentist to join our clinical team and play a critical role in supporting our Utilization Management (UM) and Utilization Review (UR) programs. This fully remote ...
$74 - $82/hr
We are seeking an experienced Staff Dentist to join our clinical team and play a critical role in supporting our Utilization Management (UM) and Utilization Review (UR) programs. This fully remote ...
$74 - $82/hr
We are seeking an experienced Staff Dentist to join our clinical team and play a critical role in supporting our Utilization Management (UM) and Utilization Review (UR) programs. This fully remote ...
Utilization Management Bcba Remote information
What are the key skills and qualifications needed to thrive in the Utilization Management Bcba Remote position, and why are they important?
Success as a Utilization Management BCBA (Board Certified Behavior Analyst) Remote requires active BCBA certification, experience in behavior analysis, and strong knowledge of insurance and healthcare utilization review processes. Familiarity with electronic medical record (EMR) systems, claims management software, and telehealth platforms is typically necessary. Exceptional attention to detail, problem-solving abilities, and strong written communication skills help candidates excel in remote collaboration and case review. These skills are critical for accurately assessing treatment plans, ensuring compliance, and supporting quality care delivery across remote settings.
What is a Utilization Management BCBA Remote job?
A Utilization Management BCBA (Board Certified Behavior Analyst) Remote job involves reviewing treatment plans, ensuring the appropriate use of applied behavior analysis (ABA) services, and making recommendations based on medical necessity and insurance guidelines. This role typically requires assessing clinical documentation, collaborating with providers, and supporting authorization decisions. Since it is remote, communication is conducted via phone, email, or virtual meetings. The goal is to ensure quality care while managing costs effectively.
What does a typical workday look like for a Utilization Management BCBA working remotely?
A typical day for a remote Utilization Management BCBA involves reviewing and evaluating treatment plans, making medical necessity determinations, and documenting decisions in compliance with health plan guidelines. You will regularly communicate with healthcare providers, clinicians, and insurance representatives via email or video conferencing to clarify details or request additional information. Collaboration with a team of fellow BCBAs and utilization management staff is common, and you may participate in case discussions or staff meetings online. This role often includes working independently, managing multiple cases at once, and ensuring all documentation meets regulatory and quality standards.
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Other
Posted 28 days ago
Job description
Utilization Management Medical Director Oncology
Work Location: REMOTE (work from home)
The Medical Director role provides clinical expertise in assessing the medical necessity, appropriateness, and efficiency of oncology care with a focus on direct utilization management for case review and clinical decision making.
About Oncology Institute
Sourced by ZipRecruiter
Industry
Outpatient health care
Company size
501 - 1,000 Employees
Headquarters location
Cerritos, CA, US
Year founded
2007