Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * RHIT, RHIA, or related coding certification required. Additional Information
Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * RHIT, RHIA, or related coding certification required. Additional Information
Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * RHIT, RHIA, or related coding certification required.
Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * RHIT, RHIA, or related coding certification required.
Maintain a current knowledge of Utilization Management through interaction with staff and payor portal representatives. Identify process improvement strategies. Promotes individual professional ...
Maintain a current knowledge of Utilization Management through interaction with staff and payor portal representatives. Identify process improvement strategies. Promotes individual professional ...
BCBA Therapist - Fully Remote
Grand Rapids, MI · Remote
$71K - $86K/yr
... BCBA) Fully Remote Direct Hire $80k - $95K - DOE Full-time About this premier pediatric therapy ... Enjoy the backup of floor managers, practicum students, and a reception team that keeps the daily ...
BCBA Therapist - Fully Remote
Grand Rapids, MI · Remote
$71K - $86K/yr
... BCBA) Fully Remote Direct Hire $80k - $95K - DOE Full-time About this premier pediatric therapy ... Enjoy the backup of floor managers, practicum students, and a reception team that keeps the daily ...
BCBA Therapist - Fully Remote
Grand Rapids, MI · Remote
$71K - $86K/yr
... BCBA) Fully Remote Direct Hire $80k - $95K - DOE Full-time About this premier pediatric therapy ... Enjoy the backup of floor managers, practicum students, and a reception team that keeps the daily ...
BCBA Therapist - Fully Remote
Grand Rapids, MI · Remote
$71K - $86K/yr
... BCBA) Fully Remote Direct Hire $80k - $95K - DOE Full-time About this premier pediatric therapy ... Enjoy the backup of floor managers, practicum students, and a reception team that keeps the daily ...
... Utilization Management, disease management, and/or population health * 2 years experience of high functioning data spreadsheet manipulation Preferred: * Bachelor's Degree in healthcare or related ...
... Utilization Management, disease management, and/or population health * 2 years experience of high functioning data spreadsheet manipulation Preferred: * Bachelor's Degree in healthcare or related ...
Director, Trade Client Relations
Three Rivers, MI · Remote
$155K - $175K/yr
... and utilization management strategies * Client Relations - Serve as Trade's primary point of ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
New
Director, Trade Client Relations
Three Rivers, MI · Remote
$155K - $175K/yr
... and utilization management strategies * Client Relations - Serve as Trade's primary point of ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
New
Remote Community Based Clinical Coordinator - Care Manager- Luce County, MI
Newberry, MI · On-site +1
$29.72/hr
... Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and ... Remote Work Requirements: Initial on-site/in-person onboarding and training for a minimum of ten ...
Remote Community Based Clinical Coordinator - Care Manager- Luce County, MI
Newberry, MI · On-site +1
$29.72/hr
... Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and ... Remote Work Requirements: Initial on-site/in-person onboarding and training for a minimum of ten ...
Remote Community Based Clinical Coordinator - Care Manager - Mackinac County, MI
Saint Ignace, MI · On-site +1
$29.72/hr
... Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and ... Remote Work Requirements: Initial on-site/in-person onboarding and training for a minimum of ten ...
Remote Community Based Clinical Coordinator - Care Manager - Mackinac County, MI
Saint Ignace, MI · On-site +1
$29.72/hr
... Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and ... Remote Work Requirements: Initial on-site/in-person onboarding and training for a minimum of ten ...
Remote Community Based Clinical Coordinator - Care Manager- Chippewa County, MI
Sault Sainte Marie, MI · On-site +1
$29.72/hr
... Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and ... Remote Work Requirements: Initial on-site/in-person onboarding and training for a minimum of ten ...
Remote Community Based Clinical Coordinator - Care Manager- Chippewa County, MI
Sault Sainte Marie, MI · On-site +1
$29.72/hr
... Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and ... Remote Work Requirements: Initial on-site/in-person onboarding and training for a minimum of ten ...
Are you an experienced BCBA who is passionate about clinical quality, mentorship, and creating ... Remote work opportunity * Health, dental, and vision insurance * Paid Time Off * Paid holidays ...
Quick apply
Are you an experienced BCBA who is passionate about clinical quality, mentorship, and creating ... Remote work opportunity * Health, dental, and vision insurance * Paid Time Off * Paid holidays ...
Board Certified Behavior Analyst (Full Remote BCBA)
Detroit, MI · Remote
$73K - $89K/yr
Seeking a BCBA to join a great team! This position is fully remote. Our mission is to provide top ... Administrative Support - Work alongside practicum students, floor support managers, and a dedicated ...
Board Certified Behavior Analyst (Full Remote BCBA)
Detroit, MI · Remote
$73K - $89K/yr
Seeking a BCBA to join a great team! This position is fully remote. Our mission is to provide top ... Administrative Support - Work alongside practicum students, floor support managers, and a dedicated ...
Medical Coding Specialist
Troy, MI · On-site +1
$65K - $65K/yr
The Medical Coding Specialist provides coding expertise to support Utilization Management ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
Medical Coding Specialist
Troy, MI · On-site +1
$65K - $65K/yr
The Medical Coding Specialist provides coding expertise to support Utilization Management ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
Lead Software Asset Management Specialist
Detroit, MI · On-site +1
Analyze utilization and renewal readiness * Support AI license tracking and cost analysis ... Ability to travel 0-10%, on average, based on the work you do; this role is predominantly remote ...
Lead Software Asset Management Specialist
Detroit, MI · On-site +1
Analyze utilization and renewal readiness * Support AI license tracking and cost analysis ... Ability to travel 0-10%, on average, based on the work you do; this role is predominantly remote ...
Chief Psychiatrist (Education Debt Repayment and Sign on Bonus)
Battle Creek, MI · On-site +1
$285K - $336K/yr
... IS NOT A REMOTE POSITION. The Chief of Psychiatry will split time between administrative ... Provide Mental Health oversight to National Utilization Management Integration (NUMI) to complete ...
Chief Psychiatrist (Education Debt Repayment and Sign on Bonus)
Battle Creek, MI · On-site +1
$285K - $336K/yr
... IS NOT A REMOTE POSITION. The Chief of Psychiatry will split time between administrative ... Provide Mental Health oversight to National Utilization Management Integration (NUMI) to complete ...
... management review * Lead operational governance activities across assigned Clubs, including ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
... management review * Lead operational governance activities across assigned Clubs, including ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
... management review * Lead operational governance activities across assigned Clubs, including ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
... management review * Lead operational governance activities across assigned Clubs, including ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Clinical Quality Assurance Manager
Farmington Hills, MI · Remote
$80K - $85K/yr
Remote Eligible- Must be located in Michigan within distance of Farmington Hills.Position Summary ... BCBA or BCaBA certification Work Experience * Knowledge of ABA clinical and documentation best ...
Clinical Quality Assurance Manager
Farmington Hills, MI · Remote
$80K - $85K/yr
Remote Eligible- Must be located in Michigan within distance of Farmington Hills.Position Summary ... BCBA or BCaBA certification Work Experience * Knowledge of ABA clinical and documentation best ...
Clinical Quality Assurance Manager
Farmington Hills, MI · Remote
$80K - $85K/yr
Remote Eligible- Must be located in Michigan within distance of Farmington Hills.Position Summary ... BCBA or BCaBA certification Work Experience * Knowledge of ABA clinical and documentation best ...
Quick apply
Clinical Quality Assurance Manager
Farmington Hills, MI · Remote
$80K - $85K/yr
Remote Eligible- Must be located in Michigan within distance of Farmington Hills.Position Summary ... BCBA or BCaBA certification Work Experience * Knowledge of ABA clinical and documentation best ...
Senior Dealer Success Manager
Detroit, MI · On-site +1
$110K - $135K/yr
S. (Mobile and Remote Service). With Curbee., it's simple: dealerships send the right van to the ... This is not a passive account management role. You are responsible for performance, growth, and ...
Senior Dealer Success Manager
Detroit, MI · On-site +1
$110K - $135K/yr
S. (Mobile and Remote Service). With Curbee., it's simple: dealerships send the right van to the ... This is not a passive account management role. You are responsible for performance, growth, and ...
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 23 hours ago
Job description
In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be boarded as inpatient instead of outpatient. You will also review the CPTs that were boarded for meeting inpatient on the CMS inpatient list and the InterQual inpatient list based on payer criteria used.
Hours are Monday - Friday from 830am until 5pm with no weekends
EDUCATION AND EXPERIENCE:
- RHIT, RHIA, or related coding certification required.
- Minimum 3-5 years of clinical experience preferred.
- Previous utilization management or case management experience preferred.
CERTIFICATIONS/LICENSURES REQUIRED:
- RHIT, RHIA, or related coding certification required.
Additional Information
- Organization: Corporate Services
- Department: Central Utilization Mgt
- Shift: Day Job
- Union Code: Not Applicable