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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 Ohio? The most popular types of Utilization Management Bcba jobs in Ohio are:
What are popular job titles related to Utilization Management Bcba Remote jobs in Ohio? For Utilization Management Bcba Remote jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Utilization Management Bcba Remote jobs in Ohio look for? The top searched job categories for Utilization Management Bcba Remote jobs in Ohio are:
What cities in Ohio are hiring for Utilization Management Bcba Remote jobs? Cities in Ohio 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 Ohio as of July 2026, with employment types broken down into 94% Full Time, 3% Part Time, and 3% Contract. Highlights an 100% Remote job distribution.
RN Field Behavioral Health Case Manager

RN Field Behavioral Health Case Manager

Healthcare Support Staffing

Maumee, OH • Remote

Full-time

Posted 6 days ago

Job description

Company Description

Are you an experienced Administrative Assistant looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!

Job Description

RN Field Behavioral Health Case Manager will work 70% in the field and 30% remote. The patient members that they will be assessing are dual eligible Medicare/ Medicaid. There duties include; day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life. RN Field Behavioral Health Case Manager assess members' current functional level and, in collaboration with the member, develop and monitor the Case Management Treatment Plan, monitor quality of care; assisting with discharge planning, participating in special clinical projects and communicate with departmental and plan administrative staff to facilitate daily operations of the High Risk Case Management functions. Collaborate with both medical and behavioral providers to ensure optimal care for members. 

Daily Responsibilities: 

RN Field Behavioral Health Case Manager will be responsible for the Lucas County patient members'

Work telephonically with patients identified as high risk to identify needs, set goals and implement action steps towards achieving goals. 

Empower patients to help them improve their quality of life. 

Comply with established referral, pre-certification and authorization policies, procedures and processes by related Medical Management staff.

RN Field Behavioral Health Case Manager participate in on-going communication between case management staff, utilization management staff, health plan partners and contracted providers.

RN Field Behavioral Health Case Manager will assist with the implementation of policies and procedures regarding case management and utilization management functions.

Working with these members to identify needs and goals to achieve improved quality of life.

Maintain HIPAA compliance.


Qualifications

Requirements: 

MUST have a valid RN License in the State of OH

3 years of Behavioral Health experience 

3-5 years of case and/or utilization management experience.

CCM (Certified Case Manager) or other clinical certification preferred

Hours for this Position: 

Monday - Friday 8 am - 5 pm.   


Advantages of this Opportunity:

Competitive salary

Growing Company

Medical benefits go into effect 30 days after start date



Additional Information


If you are interested in applying to this position, please contact Shanna Ramirez, (407) 636-7030 ext. 170 and click the Green "I'm Interested" Button to email your resume.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!


The greatest compliment to our business is a referral.If you know of someone looking for a new opportunity, please pass along my contact information!


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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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