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Utilization Management Bcba Remote Jobs in Kansas

Electric Power Research Institute, Inc.

$98K - $113K/yr

Charlotte, NC, Dallas, TX, EI - Canada Home Office, Knoxville, TN, Palo Alto, CA, Remote/Home Based ... Consulting-type experience (designing studies, managing client deliverables) is a plus Education ...

Archera

This is a fully remote role based in the United States Key Responsibilities * Own the post-sales ... Monitor Azure commitment coverage and utilization, delivering proactive optimization ...

Archera

... management in the future. This is a fully remote role based in the United States, with East Coast ... Monitor commitment coverage and utilization, delivering proactive optimization recommendations that ...

Finite State

$99K - $100K/yr

... management, capacity planning, skills development, and utilization optimization across a multi ... in a fully remote operating environment Customer Engagement and Account Management * Serves as ...

Harris

Work with colleagues and managers to implement and proactively manage superior utility CIS ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

Cayenta

Work with colleagues and managers to implement and proactively manage superior utility CIS ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

Harris

Work with colleagues and managers to implement and proactively manage superior utility CIS ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

Aggreko

Project Manager AES

Kansas City, KS · Remote

$115K - $140K/yr

Proficiency with CRM (i.e., Salesforce). * Adept at optimizing resource utilization, forecasting ... Remote opportunity located in any city with a major airport located in the United States * Work ...

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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 popular job titles related to Utilization Management Bcba Remote jobs in Kansas? For Utilization Management Bcba Remote jobs in Kansas, the most frequently searched job titles are:
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Utilization Management Bcba Remote jobs near you
Infographic showing various Utilization Management Bcba Remote job openings in Kansas as of July 2026, with employment types broken down into 71% Full Time, and 29% Part Time. Highlights an 100% Remote job distribution.

Remote Registered Nurse (RN) Case Manager

Valeris

Kansas City, KS • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 25 days ago

Job description

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. To learn more about Valeris, please visit www.valeris.com.
Key Responsibilities:
The responsibilities include, but are not limited to the following:
  • Serve as a consistent resource throughout the continuum of program services, which includes identifying barriers to therapy and helping the patient understand and navigate such barriers.
  • Serve as an educator who possesses knowledge and practical experience about clinical treatments and the strong emotions and financial implications associated with a new diagnosis, living with a chronic medical condition or life-threatening condition.
Have primary goals that include:
  • Enable patients by providing them with information and education about:
    • their prescribed therapy and course of treatment, fairly balanced with benefits and known side effects per manufacturer product information
    • proper administration and dosing of prescribed therapy
    • calling and working with the patient’s insurance payer to determine coverage benefits, anticipated out-of-pocket costs associated with their therapy and resources for financial assistance, where applicable based upon needs communicated by the patient
    • support to help better manage the stress involved in their diagnosis.
    • Empower the patient to participate in their personal care process by triaging the patient to support for other non-program needs such as social or other intervention programs.
  • Reporting of Adverse Events/ Product Complaint received in accordance with SOP and good manufacturer practices
  • Other duties as assigned by management
  • Utilize Valeris’ values as the driving force behind the team’s success
  • On time adherence to training deadlines for all corporate policies and procedures
  • Ensure all SOPs are followed with consistency
  • Perform additional tasks or projects as assigned
Qualifications:
Successful candidates possess the following personal attributes:
  • Clinical nursing experience with demonstrated competence in educating and managing patients with a new diagnosis or chronic medical condition
  • Knowledge about clinical aspects of the relevant disease state, including protocol therapy and common prescribing algorithms
  • General computer skills
  • Able to adapt to changing work assignments
  • Be service oriented and anticipate, recognize and meet the needs of others
  • Excellent interpersonal skills required, with specific ability to communicate effectively with patients, family members, and physicians
  • Ability to multitask effectively
  • Ability to recognize emotions and their effects
  • Sureness about self-worth and capabilities
  • Manage disruptive impulses
  • Maintain standards of honesty and integrity
  • Take responsibility for performance
  • Be adaptable and handle change with flexibility
  • Be innovative and open to new ideas
  • Achievement driven; constantly striving to improve or to meet a standard of excellence
  • Align with the goals of the group or organization and communicate effectively within the group
  • Ready to take initiative and act on opportunities
  • Be optimistic and pursue goals persistently despite obstacles and setbacks
  • Must have active RN licensure in current state of practice.
  • 2-3 years of nursing experience with relevant disease state experience preferred.
  • Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus.
  • Case management or Clinical Trial Nurse experience, a plus.
  • Bachelor's degree preferred.
  • Remote work eligibility is subject to all work from home criteria met and based on business need.
Physical Demands amp; Work Environment:
  • While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
  • Although very minimal, flexibility to travel as needed is preferred.
  • This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.
Why Work for Valeris?
We’re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:
  • Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
  • Additional health support, including telehealth and Employee Assistance Program (EAP) services
  • Company match on Health Savings Account contributions
  • Free Basic Life and AD amp;D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
  • Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
  • 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
  • Paid Time Off (PTO) and Sick Leave to support work-life balance
  • Team members receive nine paid holidays plus two floating holidays
  • Opportunities for advancement in a company that supports personal and professional growth
  • A challenging, stimulating work environment that encourages new ideas
  • Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
  • A mission-driven, inclusive culture where your work makes a meaningful impact
Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.
Our Commitment to Equal Opportunity
At Valeris, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.
Important Notice

Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @valeris.com and/or @echo.newtonsoftware.com email address regarding next steps in our interview process.

Please Note:
  • PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @valeris.com or @echo.newtonsoftware.com email address, or through our scheduling platform, Calendly.
  • We will never request your bank account information at any stage of the hiring process.
  • We will never send a check (electronic or physical) to purchase home office equipment.

If you receive any suspicious communication regarding employment with PharmaCord, please report it to our Talent Acquisition team immediately at careers@valeris.com

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