ZipRecruiter

Log In

1

3Rd Shift Behavioral Health Utilization Review Jobs

Umpqua Health

Utilization Review Clinician

Evaluate behavioral health and substance use disorder services to determine medical necessity ... Collaborate with Third-Party Recovery and Customer Care teams regarding coverage, eligibility, and ...

Umpqua Health

Utilization Review Clinician

Roseburg, OR · On-site +1

$80K - $94K/yr

Evaluate behavioral health and substance use disorder services to determine medical necessity ... Collaborate with Third-Party Recovery and Customer Care teams regarding coverage, eligibility, and ...

next page

Showing results 1-20

All Jobs3rd shift JobsHealthcare JobsHealth Counseling Jobs3Rd Shift Behavioral Health Utilization Review Jobs

3Rd Shift Behavioral Health Utilization Review information

See salary details

$21

$42

$68

How much do 3rd shift behavioral health utilization review jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for 3rd shift behavioral health utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is the difference between 3Rd Shift Behavioral Health Utilization Review vs 3Rd Shift Mental Health Case Manager?

Aspect3Rd Shift Behavioral Health Utilization Review3Rd Shift Mental Health Case Manager
CredentialsLicenses in social work, counseling, or psychology; certifications in utilization reviewLicenses in social work, counseling, or psychology; case management certifications
Work EnvironmentHealthcare facilities, insurance companies, managed care organizationsHospitals, community clinics, mental health agencies
Job FocusReviewing treatment plans, authorizing services, ensuring complianceCoordinating care, supporting patient needs, connecting clients to resources

While both roles require mental health credentials and work in healthcare settings, the 3Rd Shift Behavioral Health Utilization Review primarily focuses on evaluating treatment plans and authorizing services, whereas the 3Rd Shift Mental Health Case Manager emphasizes direct patient support and resource coordination. Understanding these differences helps professionals choose the right career path in behavioral health.

More about 3Rd Shift Behavioral Health Utilization Review jobs

What cities are hiring for 3Rd Shift Behavioral Health Utilization Review jobs?

Cities with the most 3Rd Shift Behavioral Health Utilization Review job openings:

What are the most commonly searched types of Behavioral Health Utilization Review jobs?

The most popular types of Behavioral Health Utilization Review jobs are:

What states have the most 3Rd Shift Behavioral Health Utilization Review jobs?

States with the most job openings for 3Rd Shift Behavioral Health Utilization Review jobs include:

What job categories do people searching 3Rd Shift Behavioral Health Utilization Review jobs look for?

The top searched job categories for 3Rd Shift Behavioral Health Utilization Review jobs are:

3Rd Shift Behavioral Health Utilization Review jobs near you
Infographic showing various 3Rd Shift Behavioral Health Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Manager Utilization Management-Behavioral Health

Piedmont-Healthcare

Atlanta, GA • On-site

$120 - $160/hr

Other

Posted 28 days ago

Job description

Responsibilities

Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and multiple Behavioral Health programs, including inpatient, ED-based, and specialty BH services. Responsible for ensuring consistent, compliant, and effective UR operations that support appropriate level-of-care determination, medical necessity, denial prevention, and financial performance. Serves as a primary point of contact and collaborative partner with multiple system teams, including but not limited to Revenue Cycle, Case Management, Compliance, Finance, HIM, Epic, Physician Advisors, and Executive Leadership, to align utilization practices with regulatory, payer, and organizational expectations.


Qualifications
Education

  • Bachelor’s Degree in Nursing, Business Administration, Health Administration, Social Work, or a closely related field Required


Work Experience

  • 5 years of experience in Behavioral Health Utilization Management and Utilization Review processes using medical necessity criteria (InterQual and/or Milliman).

  • 2 years Experience requirement above, to include, 2 years of demonstrated leadership or management experience in a hospital, medical practice, or other healthcare setting Required

  • Experience working in a system-level or multi-site environment Preferred


Licenses and Certifications

  • RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required or

  • LPC-Licensed Professional Counselor Required or

  • LMSW - Licensed Medical Social Worker - State Licensure Required or

  • LCSW- License Clinical Social Worker Required or

  • Licensed Marriage and Family Therapist (LMFT) Required

  • IQCI Certification Required


Business Unit : Company Name

Piedmont Healthcare Corporate

#J-18808-Ljbffr

Apply