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Behavioral Health Reviewer Jobs (NOW HIRING)

Participates in case reviews in partnership with Center clinical staff. * Plans and conducts in‑service programs concerning behavioral health for Center staff as assigned by supervisor. * Attends ...

Behavioral Health Clinician

$63K - $87K/yr

Experience in Utilization Review (UR) and Utilization Management (UM) within behavioral health or ... medical settings. * Clinical quality review experience, including the evaluation of medical records.

Participates in interdisciplinary care teams, huddles, warm hand-offs, case reviews, and team meetings. * Supports primary care teams in addressing behavioral health conditions that impact physical ...

Conduct chart review for quality of care. * Organize a peer review process. * Ensures the behavioral health program complies with clinical and legal obligations. * Other duties as assigned.

All Behavioral Health (BH) staff will participate with the BH team, attending team meetings, client staffing's, case reviews, staff development and policy and procedure development. Therapists will ...

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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

Kenosha, WI • On-site

Rogers Behavioral Health
Health Care and Social Assistance • 1 - 5K employees

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago


Rogers Behavioral Health rating

6.0

Company rating: 6.0 out of 10

Based on 50 frontline employees who took The Breakroom Quiz


Job description

Schedule:
Full time
Monday - Friday (no weekends, no holidays)
The Behavior Specialist is responsible for supporting the delivery of high-quality Cognitive Behavioral Therapy (CBT) interventions within Rogers Behavioral Health treatment programs. The Behavior Specialist is trained to assess the function of behavior, develop & implement individualized plans to address maladaptive behaviors, provide training and education to patients and support persons, collaborate within an interdisciplinary team, and monitor progress of behavior interventions making necessary changes and modifications to produce the best outcomes for patients. Behavior Specialists train and work with an assigned clinical leader to design and implement CBT-specific treatment plans to address presenting symptoms.



Job Duties & Responsibilities:

  • Provide cognitive behavioral and other therapeutic services including groups, to patients, according to clinical standards of care and under the supervision of the Clinical leader to address patients’ specific needs and goals.  
  • Participate in supervision sessions with the Clinical leader, communicate regularly on specific patient progress, and adjustments needed to care plan based on observations and response to interventions delivered.
  • Regularly monitor the effectiveness of interventions and make necessary adjustments. This involves administering outcome measures, reviewing the results, and modifying interventions   as needed in consultation with Clinical leader. Behavior specialists will ensure that interventions are producing the desired outcomes.
  • Document mental health services according to applicable regulations and payer expectations. Assure acute and timely documentation of therapeutic treatment plans, outcome assessments, psychosocial information, and other patient care data is completed within the medical record. Additional documentation may be completed under close supervision of the Clinical leader within SUD programs. 
  • Participate in multidisciplinary treatment team meetings and assist in development of the treatment plan.
  • Communicate treatment interventions and support needs for assigned caseload to applicable interdisciplinary team members and to support systems as needed.
  • Offer training support to other direct care team members less familiar with cognitive behavioral treatment interventions (MHT, nurses, clinic assistants, etc.).
  • Providing parent or support person training and education on how to support CBT interventions and behavioral treatment plans effectively. This may involve teaching positive reinforcement techniques, modeling appropriate behaviors, and providing strategies for managing challenging situations. 
  • Provide for patient safety and the safety of the facility.
  • Support changes in staffing/scheduling assignment when program and patient care needs require.
  • Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols, and procedures, pursuing self-directed learning, and continuing education opportunities, and participating on committees, task forces, and work groups as determined by management.

Education & Experience:

  • Bachelor’s Degree required (human services, psychology, social work, or related field).
  • At minimum, must hold a valid Substance Abuse Counselor-in-Training credential (or state equivalent), if working in an Addiction Recovery program that requires this. 
  • Relevant Cognitive-Behavioral Treatment (CBT) experience (12 months preferred). Relevant experience may include clinical care, human services, or educational equivalent.
  • For Residential programs – Must hold a current and active driver's license and be in good standing (preferred for all levels of care).


Required on-the-job Training:

  • Compliance with Residential Care Center (RCC) and Community Based Residential Facility (CBRF) (Required for Residential Inpatient programs, preferred for all levels of care).
  • American Heart Association CPR certification within thirty (30) days of hire. Bi-annual re-certification is required.
  • Training in Nonviolent Crisis Intervention (NCI) within sixty (60) days of hire/transfer. Annual re-certification is required.
  • Community Based Residential Facility (CBRF) trainings within ninety (90) days of hire.
  • Additional trainings may be required per unit – these must be completed within timeline established by leadership during onboarding. 


The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers InHealth, an initiative that works to eliminate the stigma of mental health challenges.



https://rogersbhfoundation.org/



EOE/MFDV
Equal Employment Opportunity and Affirmative Action – Rogers Behavioral Health (rogersbh.org)


With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:

  • Health, dental, and vision insurance coverage for you and your family 
  • 401(k) retirement plan 
  • Employee share program 
  • Life/disability insurance 
  • Flex spending accounts  
  • Tuition reimbursement 
  • Health and wellness program
  • Employee assistance program (EAP)

Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)


Company Description

ABOUT ROGERS BEHAVIORAL HEALTH

Since its opening in 1907, Rogers offers evidence-based treatment for adults, children, and adolescents with depression and other mood disorders, eating disorders, addiction, obsessive-compulsive and anxiety disorders, and posttraumatic stress disorder.

Rogers Behavioral Health is a nationally recognized, not-for-profit provider of highly specialized psychiatric care. Backed by more than a century of experience, Rogers is leading the way on measurement-based care and use of clinical outcomes. Rogers provides residential care and has three inpatient facilities located in southeastern Wisconsin. Rogers also offers outpatient services in a growing network of communities across the U.S.

The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers InHealth, an initiative that works to eliminate the stigma of mental health challenges.

For more information, visit rogersbh.org.

EOE/MFDV

Equal Employment Opportunity and Affirmative Action – Rogers Behavioral Health (rogersbh.org)


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