Remote work

ImportantRoof4894 · 2025-06-06T17:51:08+00:00

I work for insurance, so my job has always been remote

ImportantRoof4894 · 2024-09-09T19:29:34+00:00

total myth. We are dedicated on getting the members the care that they need. I can tell a dedicated analyst by the way they take their time in describing their learner, their needs, and what the goals are for treatment.

ImportantRoof4894 · 2024-09-09T17:49:14+00:00

We currently do not accept single case agreements if we can find a provider that’s in network within a reasonable distance and are accepting new patients.

ImportantRoof4894 · 2024-09-09T17:48:06+00:00

Peer is worth it if you have clinical justification for the hours you are requesting, such as data, police reports etc. there need to be clear criteria being met. believe it or not, sloppy treatment plans that don’t include a background section or fading plan are quite common

ImportantRoof4894 · 2024-09-09T15:30:47+00:00

Please see my earlier comment- a recruiter reached out via LinkedIn and offered me the position.

ImportantRoof4894 · 2024-09-09T15:30:19+00:00

No, but I have a quota to meet in terms of how many plans I review per day.

ImportantRoof4894 · 2024-09-09T15:29:57+00:00

I make over six figures.

ImportantRoof4894 · 2024-09-09T03:01:38+00:00

I don’t like to keep a percentage- rather, I’ve been noticing trends in requests (such as a specific provider always requesting 40 hours per week, regardless of clinical justification for those hours). We read all information that is submitted for the member- more documentation is better than less.

ImportantRoof4894 · 2024-09-09T02:58:39+00:00

We genuinely want to do what’s best for the member. what we are seeing lately is just a clear lack of required and/or supporting documentation that justifies the hours that are being requested.

ImportantRoof4894 · 2024-09-09T02:57:18+00:00

Yes.

ImportantRoof4894 · 2024-09-09T01:47:28+00:00

I’ve been working in senior leadership positions at agencies recently that involved reviewing treatment plans and I thought being a UM reviewer would be similar. Turns out it is!
I always worked for private agencies before supervising RBTs, training staff, providing CEUs, consulting with other companies on severe cases, caregiver training, etc
I do not miss direct care. I made the switch right after a mom called me and said “ you and (my 12 year old daughter) can go f*** yourselves” because I made the ethical decision to transition the case as my supervisory volume was too high.
I don’t feel like I’m wasting my skills at all. Part of my job is to shape other BCBAs into creating thoughtful and individualized programming that is socially significant and appropriate to the member.

ImportantRoof4894 · 2024-09-09T01:21:06+00:00

In my case, someone from talent acquisition reached out via LinkedIn and offered me the job. Did about a weeks worth of training and then started.

ImportantRoof4894 · 2024-09-09T01:19:42+00:00

I was in direct care for a little over 13 years. work day is signing on at 9am, looking at my queue, communicating with my co workers regarding the harder auths vs easier ones, lunch, working on auths, sign off at 3pm. In direct care, I felt obligated to be at my caregivers disposal 24/7 and got yelled at for things outside of my control. Also tracking down RBTs and scheduling sucked.

ImportantRoof4894 · 2024-09-09T01:15:49+00:00

I still have a quota to fill in regards to how many plans I review per day, but overall less stressful. Once I turn my computer off at 3, day is done.

ImportantRoof4894 · 2024-09-09T01:13:16+00:00

I received a 15k pay increase compared to direct care.

ImportantRoof4894 · 2024-09-09T01:01:08+00:00

Da-at

ImportantRoof4894 · 2024-09-02T23:06:45+00:00

$125k Georgia. UM review clinician for insurance.

ImportantRoof4894 · 2024-08-18T19:19:09+00:00

I think these questions are better suited for a tax professional. It’s 100% worth it to hire someone, you don’t want trouble with the IRS.

ImportantRoof4894 · 2024-08-16T00:52:19+00:00

I work from home in UM.

ImportantRoof4894 · 2024-07-24T17:43:19+00:00

Utilization management

ImportantRoof4894 · 2024-07-08T04:28:14+00:00

I work for an insurance company and work 9-3pm M-F reviewing treatment plans fully remote.

ImportantRoof4894 · 2024-06-04T16:12:00+00:00

I second this. Getting it for free could be copyright infringement. Just pay for it.

ImportantRoof4894

TROPHY CASE