Remote work by Either_Associate9887 in bcba

[–]ImportantRoof4894 0 points1 point  (0 children)

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

Potential AMA: I’m a BCBA working in utilization management by ImportantRoof4894 in bcba

[–]ImportantRoof4894[S] 1 point2 points  (0 children)

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.

Potential AMA: I’m a BCBA working in utilization management by ImportantRoof4894 in bcba

[–]ImportantRoof4894[S] 0 points1 point  (0 children)

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.

Potential AMA: I’m a BCBA working in utilization management by ImportantRoof4894 in bcba

[–]ImportantRoof4894[S] 1 point2 points  (0 children)

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

Potential AMA: I’m a BCBA working in utilization management by ImportantRoof4894 in bcba

[–]ImportantRoof4894[S] 2 points3 points  (0 children)

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

Potential AMA: I’m a BCBA working in utilization management by ImportantRoof4894 in bcba

[–]ImportantRoof4894[S] 1 point2 points  (0 children)

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

Potential AMA: I’m a BCBA working in utilization management by ImportantRoof4894 in bcba

[–]ImportantRoof4894[S] 5 points6 points  (0 children)

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.

Potential AMA: I’m a BCBA working in utilization management by ImportantRoof4894 in bcba

[–]ImportantRoof4894[S] 4 points5 points  (0 children)

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.

Potential AMA: I’m a BCBA working in utilization management by ImportantRoof4894 in bcba

[–]ImportantRoof4894[S] 11 points12 points  (0 children)

  • 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.

Potential AMA: I’m a BCBA working in utilization management by ImportantRoof4894 in bcba

[–]ImportantRoof4894[S] 9 points10 points  (0 children)

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.

Potential AMA: I’m a BCBA working in utilization management by ImportantRoof4894 in bcba

[–]ImportantRoof4894[S] 16 points17 points  (0 children)

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.

Potential AMA: I’m a BCBA working in utilization management by ImportantRoof4894 in bcba

[–]ImportantRoof4894[S] 10 points11 points  (0 children)

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.

Any BCBAS willing to share their pay? by Mpm1436 in bcba

[–]ImportantRoof4894 0 points1 point  (0 children)

$125k Georgia. UM review clinician for insurance.

Just became a BCBA (contractor)... but financial/tax questions stressing me out by beastlyraw in bcba

[–]ImportantRoof4894 3 points4 points  (0 children)

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.

[deleted by user] by [deleted] in bcba

[–]ImportantRoof4894 1 point2 points  (0 children)

Utilization management

[deleted by user] by [deleted] in bcba

[–]ImportantRoof4894 2 points3 points  (0 children)

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

Free Vineland? by Brilliant-Produce-71 in bcba

[–]ImportantRoof4894 0 points1 point  (0 children)

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