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Behavioral Health Reviewer Jobs (NOW HIRING)

Lifehealth LLC

Behavioral Health Specialist

Augusta, GA · On-site

$55/hr

The Behavioral Health Specialist will provide high quality medical exams, with daily delivery to ... Review of the Veteran's medical history which includes an abstract that highlights portions of the ...

LifeHealth

Behavioral Health Specialist

San Antonio, TX · On-site

The Behavioral Health Specialist will provide high quality medical exams, with daily delivery to ... Review of the Veteran's medical history which includes an abstract that highlights portions of the ...

Empower Healthcare Solutions, LLC.

$60 - $80/hr

Reviews for outpatient Home and Community Based Services * Communicate effectively with providers to gather additional clinical information and ensure smooth coordination of care. * Identify ...

Centene

Utilization Review Clinician - Behavioral Health

$27.02 - $48.55/hr

Centene is seeking a remote Utilization Review Clinician - Behavioral Health to support our inpatient and outpatient Behavioral Health Medicare Plan. In this role, you will perform medical necessity ...

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Behavioral Health Reviewer information

What is a behavioral health reviewer?

Behavioral Health Reviewers are professionals who assess mental health and substance use treatment plans to ensure they meet clinical guidelines and coverage policies. Often working for insurance companies or managed care organizations, they review cases to determine the medical necessity of services and help coordinate patient care. Their work helps ensure that individuals receive appropriate and effective behavioral health services while managing healthcare costs.

How does a behavioral health reviewer typically collaborate with clinical teams and providers?

Behavioral Health Reviewers work closely with clinical teams, care managers, and external providers to evaluate the medical necessity and appropriateness of mental health and substance abuse treatments. They often participate in interdisciplinary case discussions, provide feedback on treatment plans, and facilitate communication between insurance providers and clinical staff. This collaborative approach ensures continuity of care and helps resolve any discrepancies or delays in treatment authorization, making strong communication and negotiation skills essential for success in the role.

What are the key skills and qualifications needed to thrive as a behavioral health reviewer, and why are they important?

To thrive as a Behavioral Health Reviewer, you typically need a valid clinical license (such as LCSW, LPC, LMFT, or RN), experience in behavioral health, and strong knowledge of utilization management and clinical guidelines. Familiarity with medical review systems, health insurance platforms, and industry-standard criteria like DSM-5 and ICD-10 is essential. Excellent analytical skills, attention to detail, and effective communication are important soft skills for reviewing cases and collaborating with providers. These skills ensure accurate, compliant assessments and contribute to appropriate care decisions and efficient service delivery.

What is the difference between Behavioral Health Reviewer vs Behavioral Health Case Manager?

AspectBehavioral Health ReviewerBehavioral Health Case Manager
Required CredentialsLicenses or certifications in mental health or social work often preferredLicenses or certifications in social work, counseling, or psychology typically required
Work EnvironmentReviewing cases in healthcare or insurance settings, often office-basedDirect client interaction, coordinating care in community or healthcare settings
Employer & Industry UsageInsurance companies, healthcare providers, government agenciesHospitals, clinics, community health organizations
Common Search & ComparisonBehavioral Health Reviewer vs Behavioral Health Case Manager

The main difference is that Behavioral Health Reviewers primarily evaluate and assess cases, often for insurance or healthcare purposes, while Behavioral Health Case Managers actively coordinate and manage patient care. Both roles require relevant certifications and work within healthcare or insurance industries, but their daily responsibilities and interactions with clients differ significantly.

What states have the most Behavioral Health Reviewer jobs?

States with the most job openings for Behavioral Health Reviewer jobs include:

What are popular job titles related to Behavioral Health Reviewer jobs?

For Behavioral Health Reviewer jobs, the most frequently searched job titles are:

Infographic showing various Behavioral Health Reviewer 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.

Behavioral Health Specialist

San Antonio, TX • On-site

Lifehealth LLC
See more jobs at Lifehealth LLCexternal

$55/hr

Part-time

Medical, Retirement

Re-posted 7 hours ago

Job description

Description
POSITION SUMMARY:
The Behavioral Health Specialist will provide high quality medical exams, with daily delivery to employees, Veterans, Service members, responders and beneficiaries to U.S. Department of Veterans Affairs in providing quality compensation and pension examinations to Veterans seeking benefits for service-connected health issues. Clinical findings from the examinations are delivered to the Government to facilitate timely disability award determinations.
Location:
4440 S Piedras Drive
Suite 132
San Antonio, TX 78228
Exempt Full-Time, Monday-Friday 08:00 am - 05:00 pm
ESSENTIAL DUTIES AND RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO:
  • Conduct one-time, non-treatment exams related to a Veteran's disability claim for Behavioral Health.
  • Review of the Veteran's medical history which includes an abstract that highlights portions of the history applicable to the Veteran's claim. This material, paired with the Veteran's responses during the exam, will guide you through the web-based Disability Questionnaire's (DBQ's).
  • Perform other duties as assigned

QUALIFICATIONS:
Required Qualifications:
  • Board Certified Psychiatrist (Or) Ph.D or Psy.D in Psychology field and must have graduated from Masters, Doctorate, or Post-Doctorate APA Accredited Program
  • Active, unrestricted license in the State of New York.
  • 2+ years of experience in any clinical setting
  • Highly organized, self-directed worker with an ability to function in a high-volume environment.
  • Strong verbal and written communication skills
  • Proficient level of experience with Microsoft Office applications and strong technical aptitude
  • Computer Proficient, EMR experience a plus but not required
  • Previous VA or compensation exam experience is a plus, but not required.

KNOWLDEGE SKILLS & ABILITIES
  • Strong leadership skills with the ability to prioritize and delegate effectively
  • Possess and demonstrate skills necessary to analyze information, problems, procedures and situations
  • Demonstrated ability to work independently, take initiative and be self-motivated
  • Excellent verbal and written communication skills
  • The ability to effectively manage competing priorities, organize plan and coordinate multiple tasks with a high sense of urgency and follow-through
  • Must be able to problem solve
  • Strong knowledge and understanding of medical terminology and body systems
  • Knowledge of EMR and MS Office Suite software applications
  • Experienced in data entry with accurate and efficient typing skills
  • High level of detail and ability to identify mistakes or inconsistencies in medical reports and clinical diagnostic tests
  • Ability to work both independently as well as in a team environment
  • Ability to demonstrate an understanding of applicable policies and procedures.
    Physical Demands:
    Position is mostly sedentary but may require occasional standing or walking. Ability to access files, supplies and equipment. May need to move light equipment or supplies from one place to another.
    Work Environment:
    Work environment is generally favorable. Lighting and temperature are adequate, and there are no hazardous or unpleasant conditions caused by noise, dust, chemicals etc. Subject to frequent interruptions.

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