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Utilization Management Bcba Remote Jobs in Florida

Liberty Dental Plan Careers

Senior Staff Dentist

Tampa, FL · Remote

$175K - $185K/yr

What You'll Do Clinical Review & Utilization Management * Perform clinical reviews of dental claims ... Remote role with collaboration across national teams * High-impact role shaping clinical standards ...

Pair ABA

Board Certified Behavior Analyst (BCBA)

FL · On-site +1

$48 - $55/hr

Provide overall case management across a multi-setting caseload * Work within a collaborative, BCBA ... Flexible scheduling; remote and hybrid opportunities available -- telehealth permitted for ...

Pair ABA

Board Certified Behavior Analyst (BCBA)

FL · On-site +1

$48 - $55/hr

Provide overall case management across a multi-setting caseload * Work within a collaborative, BCBA ... Flexible scheduling; remote and hybrid opportunities available -- telehealth permitted for ...

Pair ABA

Board Certified Behavior Analyst (BCBA)

FL · On-site +1

$48 - $55/hr

Provide overall case management across a multi-setting caseload * Work within a collaborative, BCBA ... Flexible scheduling; remote and hybrid opportunities available -- telehealth permitted for ...

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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.

What are the most commonly searched types of Utilization Management Bcba jobs in Florida? The most popular types of Utilization Management Bcba jobs in Florida are:
What are popular job titles related to Utilization Management Bcba Remote jobs in Florida? For Utilization Management Bcba Remote jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Utilization Management Bcba Remote jobs in Florida look for? The top searched job categories for Utilization Management Bcba Remote jobs in Florida are:
What cities in Florida are hiring for Utilization Management Bcba Remote jobs? Cities in Florida with the most Utilization Management Bcba Remote job openings:
Utilization Management Bcba Remote jobs near you
Infographic showing various Utilization Management Bcba Remote job openings in Florida as of July 2026, with employment types broken down into 83% Full Time, 11% Part Time, and 6% Contract. Highlights an 100% Remote job distribution.
Utilization Management Physician needed in Daytona Beach, FL (Remote)

Utilization Management Physician needed in Daytona Beach, FL (Remote)

HealthPlus Staffing

Daytona Beach, FL • Remote

Full-time

Medical, Retirement, PTO

Posted 10 days ago

Job description

Utilization Management Physician (UMP)

Remote | Full-Time | Florida

Compensation: $240,000 base + bonus
Schedule: 40 hours/week
Work Model: Remote (on-site meetings in Daytona Beach, FL)

Overview
Seeking an experienced Utilization Management Physician to perform medical necessity reviews, peer-to-peer discussions, and clinical determinations using evidence-based criteria.

Responsibilities

  • Review pre-auths, concurrent reviews, claims, and appeals

  • Make medical necessity determinations using MCG/InterQual/CMS criteria

  • Conduct peer-to-peer reviews and support UM staff

  • Participate in committees and provider education as needed

Requirements

  • MD or DO with active, unrestricted Florida license

  • 3+ years UM Physician experience

  • 3–7 years clinical experience

  • Managed care experience required

  • Available via phone, email, and Teams

Benefits

  • Bonus opportunity

  • 401(k)

  • Health benefits

  • Malpractice coverage

  • PTO + CME

  • Licenses, fees, travel, and relocation reimbursed

About Us:

HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates.

Our Promise:

  • We will put you in front of the decision makers.
  • We will provide feedback on your application.
  • We will work on your behalf to obtain as much info as you need to make a well-informed decision.

If interested in this position, please submit an application or call us at 561-291-7787 to speak with one of our highly experienced consultants. We look forward to finding your next position!

The HealthPlus Team.