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Utilization Management Bcba Remote Jobs (NOW HIRING)

Consociate Health

Utilization Management Coordinator

IL · On-site +1

$23/hr

The Utilization Management Coordinator reports to the Director of Claims. This position is ... This is a fully remote position. * If work is performed offsite, location must be HIPAA compliant.

CHPW

Utilization Management Clinician I

Seattle, WA · On-site +1

$35.92 - $55.67/hr

This position is available fully remote in Washington state. Who we are Community Health Plan of ... About the Role The Level I Utilization Management Clinician performs utilization review for medical ...

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

As of Jun 29, 2026, the average yearly pay for utilization management bcba remote in the United States is $89,075.00, according to ZipRecruiter salary data. Most workers in this role earn between $74,000.00 and $90,500.00 per year, depending on experience, location, and employer.

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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Utilization Management Bcba Remote jobs near you
Registered Nurse Utilization Management

Registered Nurse Utilization Management

Ascension

Wichita, KS • Remote

$40.41 - $57.05/hr

Other

Medical, PTO

Posted 12 days ago

Key responsibilities

  • Review admissions and service requests to ensure alignment with medical necessity and reimbursement standards.

  • Consult with departmental teams to address coding, documentation, precertification, claim denials, and appeals processes.

  • Oversee and coordinate adherence to federally mandated regulations and third-party payer rules.

Ascension Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 1,014 frontline employees who took The Breakroom Quiz

404th of 877 rated healthcare providers

Job description

We Are Hiring

Location: Remote - Preference to reside in Greater Wichita, KS Area 

Facility: Via Christi Hospitals 

Department: Utilization Management  

Schedule: Day  l  PRN  

Salary Range: $40.41 - $57.05/hour 

Via Christi associates are eligible for tuition discounts and priority placement in select healthcare programs through our academic partnership with Wichita State University.

What You Will Do
  • Lead the charge in reviewing admissions and service requests to ensure every patient's journey aligns with medical necessity and reimbursement standards.
  • Act as a go-to consultant for our departmental teams, navigating the complexities of coding, documentation, and precertification to resolve claim denials and manage the appeals process seamlessly.
  • Serve as a guardian of quality, overseeing and coordinating our adherence to federally mandated regulations and third-party payer rules.
  • Step in to prepare statistical analyses and utilization reports that help shape our future strategies.
What You Will Need

Licensure / Certification / Registration:

  • Licensed Registered Nurse credentialed from the Kansas Board of Nursing required.

Education:

  • Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.
Additional Preferences
  • Demonstrated experience in Utilization Management (UM) or Case Management.
Why Join Our Team

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal Employment Opportunity Employer

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.

Benefits

Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Employment Type: OTHER

What Ascension Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Ascension

Sourced by ZipRecruiter

Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Industry

Health care and social assistance and outpatient health care

Company size

10,000+ Employees

Headquarters location

St. Louis, MO, US

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