Behavioral Utilization Review Specialist Position Summary The Behavioral Utilization Review ... Monitor behavioral health records to assess treatment needs, and discharge planning. Preferred ...
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Behavioral Utilization Review Specialist Position Summary The Behavioral Utilization Review ... Monitor behavioral health records to assess treatment needs, and discharge planning. Preferred ...
Quick apply
Behavioral Utilization Review Specialist Position Summary The Behavioral Utilization Review ... Monitor behavioral health records to assess treatment needs, and discharge planning. Preferred ...
Our inpatient behavioral health hospital is seeking a PRN Utilization Review Coordinator. This position is responsible for working with insurance companies and managed care systems for the initial ...
Our inpatient behavioral health hospital is seeking a PRN Utilization Review Coordinator. This position is responsible for working with insurance companies and managed care systems for the initial ...
Our inpatient behavioral health hospital is seeking a PRN Utilization Review Coordinator. This position is responsible for working with insurance companies and managed care systems for the initial ...
Our inpatient behavioral health hospital is seeking a PRN Utilization Review Coordinator. This position is responsible for working with insurance companies and managed care systems for the initial ...
Our inpatient behavioral health hospital is seeking a PRN Utilization Review Coordinator. This position is responsible for working with insurance companies and managed care systems for the initial ...
Quick apply
Our inpatient behavioral health hospital is seeking a PRN Utilization Review Coordinator. This position is responsible for working with insurance companies and managed care systems for the initial ...
Hampton, VA · On-site
$62K/yr
ROLE SUMMARYThe Clinical Coordinator (Utilization Review) ensures individuals receive the most appropriate and effective behavioral health services by conducting clinical reviews of acute care and ...
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Hampton, VA · On-site
$62K/yr
ROLE SUMMARYThe Clinical Coordinator (Utilization Review) ensures individuals receive the most appropriate and effective behavioral health services by conducting clinical reviews of acute care and ...
Salt Lake City, UT · On-site
$44.99 - $69.44/hr
Lead, supervise, and mentor a team of RN or Behavioral Health Care Managers and RN or Behavioral Health Utilization Review clinicians, and related support positions ensuring clinical excellence and ...
New
Salt Lake City, UT · On-site
$44.99 - $69.44/hr
Lead, supervise, and mentor a team of RN or Behavioral Health Care Managers and RN or Behavioral Health Utilization Review clinicians, and related support positions ensuring clinical excellence and ...
New
Watkins, CO · Remote
$75K - $83K/yr
Join Our Team as a Utilization Review Manager (RN or Social Worker) Are you a compassionate nurse or social worker looking to make a real difference in behavioral health? AllHealth Network is seeking ...
New
Watkins, CO · Remote
$75K - $83K/yr
Join Our Team as a Utilization Review Manager (RN or Social Worker) Are you a compassionate nurse or social worker looking to make a real difference in behavioral health? AllHealth Network is seeking ...
New
Littleton, CO · Remote
$75K - $83K/yr
Join Our Team as a Utilization Review Manager (RN or Social Worker) Are you a compassionate nurse or social worker looking to make a real difference in behavioral health? AllHealth Network is seeking ...
New
Littleton, CO · Remote
$75K - $83K/yr
Join Our Team as a Utilization Review Manager (RN or Social Worker) Are you a compassionate nurse or social worker looking to make a real difference in behavioral health? AllHealth Network is seeking ...
New
$33 - $37/hr
Providing utilization review for the Medicaid and Medicare line of business ... Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare. * ...
$33 - $37/hr
Providing utilization review for the Medicaid and Medicare line of business ... Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare. * ...
Franklin, TN · On-site +1
Demonstrates a proficient knowledge of medical and behavioral health terminology, and techniques used to diagnose and treat various medical conditions; including practices, standards of care ...
Franklin, TN · On-site +1
Demonstrates a proficient knowledge of medical and behavioral health terminology, and techniques used to diagnose and treat various medical conditions; including practices, standards of care ...
Previous Utilization Review experience in a behavioral healthcare facility preferred. JOB ... behavioral health treatment. * Coordinate authorization information with third party payors in a ...
Previous Utilization Review experience in a behavioral healthcare facility preferred. JOB ... behavioral health treatment. * Coordinate authorization information with third party payors in a ...
Pompano Beach, FL · Remote
$45K - $65K/hr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Graduate degree in a health or behavioral health related field * Clinical licensure (LCSW, LMHC ...
Pompano Beach, FL · Remote
$45K - $65K/hr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Graduate degree in a health or behavioral health related field * Clinical licensure (LCSW, LMHC ...
Previous Utilization Review experience in a behavioral healthcare facility preferred. JOB ... behavioral health treatment. * Coordinate authorization information with third party payors in a ...
Previous Utilization Review experience in a behavioral healthcare facility preferred. JOB ... behavioral health treatment. * Coordinate authorization information with third party payors in a ...
Decatur, GA · On-site
Strong communication, attention to detail, and knowledge of behavioral health services are ... utilization reviews, determinations, and communications in the electronic medical record (EMR ...
Decatur, GA · On-site
Strong communication, attention to detail, and knowledge of behavioral health services are ... utilization reviews, determinations, and communications in the electronic medical record (EMR ...
Pompano Beach, FL · Remote
$50K - $65K/yr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Graduate degree in a health or behavioral health related field * Clinical licensure (LCSW, LMHC ...
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Pompano Beach, FL · Remote
$50K - $65K/yr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Graduate degree in a health or behavioral health related field * Clinical licensure (LCSW, LMHC ...
San Diego, CA · On-site
$114K - $140K/yr
Behavioral Health Services Opening Date: 07/21/2026 Closing Date: 8/3/2026 11:59 PM Pacific Job ... The Utilization Review Quality Improvement Specialist position has three options where focus is on ...
San Diego, CA · On-site
$114K - $140K/yr
Behavioral Health Services Opening Date: 07/21/2026 Closing Date: 8/3/2026 11:59 PM Pacific Job ... The Utilization Review Quality Improvement Specialist position has three options where focus is on ...
FLBHC provides innovative behavioral health treatment and academic services to children ... The Director of Utilization Management is also responsible for ensuring that the utilization review ...
FLBHC provides innovative behavioral health treatment and academic services to children ... The Director of Utilization Management is also responsible for ensuring that the utilization review ...
Pompano Beach, FL · On-site
$50K - $65K/yr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Graduate degree in a health or behavioral health related field * Clinical licensure (LCSW, LMHC ...
Pompano Beach, FL · On-site
$50K - $65K/yr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Graduate degree in a health or behavioral health related field * Clinical licensure (LCSW, LMHC ...
Magnolia, MS · On-site
... our behavioral health team. This position plays a vital role in ensuring patients receive ... other third-party payers. * Submit clinical documentation supporting medical necessity.
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Magnolia, MS · On-site
... our behavioral health team. This position plays a vital role in ensuring patients receive ... other third-party payers. * Submit clinical documentation supporting medical necessity.
Decatur, GA · On-site
The Utilization Review Specialist coordinates insurance authorizations for individual therapy and ... Strong communication, attention to detail, and knowledge of behavioral health services are ...
Decatur, GA · On-site
The Utilization Review Specialist coordinates insurance authorizations for individual therapy and ... Strong communication, attention to detail, and knowledge of behavioral health services are ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
| Aspect | 3Rd Shift Behavioral Health Utilization Review | 3Rd Shift Mental Health Case Manager |
|---|---|---|
| Credentials | Licenses in social work, counseling, or psychology; certifications in utilization review | Licenses in social work, counseling, or psychology; case management certifications |
| Work Environment | Healthcare facilities, insurance companies, managed care organizations | Hospitals, community clinics, mental health agencies |
| Job Focus | Reviewing treatment plans, authorizing services, ensuring compliance | Coordinating 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.

Full-time
Posted 18 days ago
The Behavioral Utilization Review Specialist is responsible for coordinating new client referrals, supporting the prior authorization process, maintaining referral records, and completing routine Medicaid eligibility screenings. This position works closely with discharge planners, Program Administrators, Clinical Directors, and other members of the referral and billing teams.
The ideal candidate will be highly organized, detail-oriented, comfortable reviewing behavioral health documentation, and able to manage multiple deadlines across all Gardens of Arkansas locations.
Essential Duties and Responsibilities- Assist the Chief Revenue Officer with the following:Clinical Review & Assessment: Evaluate care related to mental health before, and during services to determine medical appropriateness
Prior Authorization Reviews: Assess and submit requests for behavioral health services to ensure they meet regulatory and clinical criteria
Concurrent Review: Monitor behavioral health records to assess treatment needs, and discharge planning.
Education: Bachelor’s degree in nursing, social work, counseling, or related field; Master’s degree preferred for behavioral health clinicians
Licensure: LMHC, LPC, LMHP, or LPN ,RN licensure.
Experience: 2–4 years in utilization review, case management, or related behavioral health roles preferred
Strong understanding of medical and behavioral health terminology
Proficiency in data analysis and regulatory compliance.
Excellent verbal and written communication and collaboration skills with healthcare teams and providers.
Excellent organizational skills and ability to prioritize a workload
Some Billing knowledge
· Participate in meetings, training, and process-improvement activities as required.
· Provide administrative support to the referral, clinical, billing, and leadership teams as needed.
· Perform other duties as assigned.
Physical and Work Requirements· Prolonged periods of sitting and working at a computer.
· Ability to communicate by telephone, email, video conferencing, and in person.
· Ability to organize, review, scan, upload, and maintain electronic and paper records.
· Ability to work in a fast-paced environment with frequent deadlines and interruptions.
Equal Employment OpportunityThe Gardens of Arkansas is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other characteristic protected by applicable law.