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Utilization Management Bcba Remote Jobs in Portland, OR

Magicforce

Facets consultant with Pre-Auth

Portland, OR · Remote

$60 - $65/hr

Portland, OR (Remote) Duration: 12+ Months As a Facets with Pre-Auth you will be a part of an Agile ... Experience working with clinical/utilization management stakeholders. * Deep understanding of US ...

Posted today

Directive

PPC Manager (Remote US)

Portland, OR · Remote

$70K - $95K/yr

Confirm lead routing is accurate within a CRM * Understand the value of Programmatic campaigns ... Responsible for personal productivity and utilization * Work directly with Associate Director to ...

Liberty Mutual

Associate Staff Attorney

Portland, OR · On-site +1

$100K - $171K/yr

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

Liberty Mutual

Associate Staff Attorney

Vancouver, WA · On-site +1

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

Liberty Mutual

Associate Staff Attorney

Portland, OR · On-site +1

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

Liberty Mutual

Associate Staff Attorney

Oregon City, OR · On-site +1

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

Liberty Mutual

Associate Staff Attorney

Vancouver, WA · On-site +1

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

Liberty Mutual

Associate Staff Attorney

Portland, OR · On-site +1

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

Liberty Mutual

Associate Staff Attorney

Oregon City, OR · On-site +1

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

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Utilization Management Bcba Remote information

See Portland, OR salary details

$50.4K

$94.5K

$158K

How much do utilization management bcba remote jobs pay per year?

As of Sep 2, 2026, the average yearly pay for utilization management bcba remote in Portland, OR is $94,465.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,500.00 and $96,000.00 per year, depending on experience, location, and employer.

What is a utilization management BCBA remote?

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 utilization management BCBA remote do?

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 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.

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For Utilization Management Bcba Remote jobs in Portland, OR, 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 Portland, OR as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $94,465 per year, or $45.4 per hour.

RN Utilization Management Reviewer - Remote (OR, WA, AK)

PeaceHealth Career Site

Vancouver, WA • Remote

$48.52 - $72.78/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

PeaceHealth rating

7.7

Company rating: 7.7 out of 10

Based on 175 frontline employees who took The Breakroom Quiz

166th of 898 rated healthcare providers

Job description

Description

Join PeaceHealth in advancing compassionate, mission-driven care from wherever you are.

PeaceHealth is looking for a skilled and motivated Registered Nurse Utilization Management (UM) Reviewer to join our dedicated team in a Full Time, Day Shift (1.0 FTE) role. If you enjoy analytical work and are energized by helping ensure patients receive the right care at the right time, this remote opportunity may be the perfect next step in your nursing career.

Why You'll Love This Role

As a Utilization Management Reviewer at PeaceHealth, you will play a key part in supporting safe, high-quality, and efficient patient care across our healthcare system. This position centers on concurrent and retrospective UM reviews, leveraging clinical expertise, payer policy knowledge, and technology tools to guide patient status determinations and promote appropriate utilization of hospital resources.

You'll work fully remote*, with PeaceHealth-provided computer equipment-empowered by a collaborative team, supportive leadership, and a strong organizational commitment to diversity, cultural humility, and caregiver well-being.

*Must reside in Washington, Oregon, or Alaska. PeaceHealth will provide the caregiver with necessary computer equipment. It is the responsibility of the caregiver to provide Internet access.

PeaceHealth's Total Rewards package supports your physical, emotional, financial, social, and spiritual wellbeing. Benefits include:

  • Pay Range: 48.52 - 72.78/hour
  • Full medical, dental, and vision coverage
  • 403(b) retirement plan with employer base and matching contributions
  • Paid time off and paid disability & life insurance (with buy-up options)
  • Tuition reimbursement and continuing education support
  • Robust wellness benefits, EAP, and expanded mental health programs
  • A culture grounded in Inclusivity, Respect for Diversity, and Cultural Humility

What You'll Do

  • Coordinate accurate patient status identification and documentation
  • Ensure correct admission status and reimbursement through certification and clinical review
  • Gather additional clinical documentation to validate treatment plans and level of care
  • Collaborate closely with physicians, clinicians, and multidisciplinary teams
  • Apply UM criteria using the Xsolis Dragonfly platform and PeaceHealth Care Level Score tools
  • Conduct pre-admission status reviews in the ED, patient access areas, and elective settings
  • Communicate with third-party payers regarding medical necessity and discharge progress
  • Support denial and appeal processes; refer cases for physician advisor review when appropriate
  • Participate in UM Committee work, quality initiatives, and performance improvement
  • Identify DRGs with complications/comorbidities and recommend documentation improvements
  • Promote responsible hospital resource utilization, length-of-stay optimization, and care efficiency
  • Perform other duties as needed to support UM and organizational goals

What You Bring

Education

  • Required: Bachelor of Science in Nursing (BSN)
  • Preferred: Master of Science in Nursing (MSN)

Experience

  • 3+ years of acute care hospital experience with strong clinical knowledge
  • In-depth understanding of Medicare/Medicaid UM regulations, RAC, QIO, MAC, and denial/appeals processes
  • Preferred: Prior experience in utilization management or case management

Credentials

  • Active RN license in your state of residence (WA, OR, or AK)

Ready to Make a Meaningful Impact?

Bring your clinical expertise, attention to detail, and passion for patient advocacy to a mission-driven healthcare system that believes in caring for caregivers as much as patients.

For full consideration, please attach a current resume with your application.

PeaceHealth is an EEO Affirmative Action Employer/Veterans/Disabled following all applicable state, local, and federal laws.

Employment Type:

What PeaceHealth employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About PeaceHealth

Sourced by ZipRecruiter

PeaceHealth, based in Vancouver, WA, is a not-for-profit Catholic health system employing approximately 16,000 caregivers, a multi-specialty medical group practice with more than 1,200 providers and 10 medical centers serving both urban and rural communities in Washington, Oregon, Alaska. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, the legacy of its founding Sisters continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission. Get a feeling for the Spirit of PeaceHealth through this three-minute video, and visit us on Facebook or LinkedIn! We offer competitive compensation, a robust benefitspackage and a collaborative, Mission-driven work environment! To learn more please visit: jobs.peacehealth.org. Questions? Review our Employment FAQor email Recruitment@peacehealth.org. Please note this email does not accept resumes or applications.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Vancouver, WA, US

Year founded

1890

Social media

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