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Behavioral Health Utilization Management Jobs in Connecticut

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$65

How much do behavioral health utilization management jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for behavioral health utilization management in Connecticut is $40.22, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 per hour, depending on experience, location, and employer.

What is behavioral health utilization management?

Behavioral Health Utilization Management is a process used by insurance companies and healthcare organizations to evaluate the necessity, appropriateness, and efficiency of behavioral health services such as mental health and substance use treatments. This process helps ensure that patients receive the right level of care based on clinical guidelines while managing healthcare costs. Utilization managers review treatment plans, authorize services, and coordinate with providers to promote quality outcomes and avoid unnecessary services. Their work is essential in balancing patient needs with resource allocation in the healthcare system.

What skills and qualifications are needed for behavioral health utilization management?

To thrive as a Behavioral Health Utilization Management professional, you need a background in behavioral health or clinical care, often with an RN, LCSW, LPC, or similar licensure and experience in mental health care settings. Familiarity with utilization review software, insurance guidelines, and electronic health record (EHR) systems is crucial. Strong analytical thinking, communication, and negotiation skills are essential soft skills to effectively evaluate treatment plans and coordinate with providers. These competencies are vital to ensuring appropriate, cost-effective care while maintaining compliance with regulatory and payer requirements.

What are common challenges in behavioral health utilization management and how are they addressed?

Behavioral Health Utilization Management professionals often encounter challenges such as managing high caseloads, keeping up with evolving clinical guidelines, and ensuring timely communication with providers and insurance companies. Balancing the need for cost containment with advocating for appropriate patient care can also be demanding. These challenges are typically addressed through ongoing training, strong teamwork, and the use of evidence-based criteria and decision-support tools to guide determinations and streamline workflows.

What is the difference between Behavioral Health Utilization Management vs Behavioral Health Case Manager?

AspectBehavioral Health Utilization ManagementBehavioral Health Case Manager
CredentialsLicenses (e.g., RN, LCSW), certifications in utilization reviewLicenses (e.g., LCSW, LPC), case management certifications
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, community clinics, outpatient facilities
Employer & Industry UsageHealth insurance providers, managed care organizationsBehavioral health agencies, hospitals, outpatient clinics

Behavioral Health Utilization Management focuses on reviewing and authorizing mental health services to ensure appropriate care and cost management. In contrast, Behavioral Health Case Managers coordinate ongoing patient care, providing support and resources to improve treatment outcomes. Both roles require relevant licenses and certifications but differ in their primary responsibilities and work settings.

What are popular job titles related to Behavioral Health Utilization Management jobs in Connecticut?

For Behavioral Health Utilization Management jobs in Connecticut, the most frequently searched job titles are:

What job categories do people searching Behavioral Health Utilization Management jobs in Connecticut look for?

The top searched job categories for Behavioral Health Utilization Management jobs in Connecticut are:

Behavioral Health Utilization Management jobs near you
Infographic showing various Behavioral Health Utilization Management job openings in Connecticut as of August 2026, with employment types broken down into 76% Full Time, 22% Part Time, and 2% Temporary. Highlights an 95% In-person, 2% Hybrid, and 3% Remote job distribution, with an average salary of $83,662 per year, or $40.2 per hour.

Utilization Management Representative I - Backoffice Support

Elevance Health

Wallingford, CT • On-site

$17 - $21.75/hr

Other

Posted 4 days ago

Elevance Health rating

7.6

Company rating: 7.6 out of 10

Based on 352 frontline employees who took The Breakroom Quiz

213th of 311 rated insurance

Job description

Utilization Management Representative I – Backoffice Support

Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

Hours: Monday through Friday. Candidates must be available to work an assigned shift between 8:00 a.m. and 8:00 p.m. Eastern Time, based on business needs.

The Behavioral Health Utilization Management Representative I – Backoffice Support is responsible for processing precertification, prior authorization, and post-service requests for governmental and commercial lines of business. This is primarily a back of office role with no inbound call responsibilities. Limited outbound calls may be required to obtain information or support case resolution.

How you will make an impact:

  • Reviews and processes utilization management requests received through fax, electronic queues, and other approved channels.
  • Accurately enters referral and authorization information into utilization management systems.
  • Prepares and sends clear, complete, and accurate fax correspondence to providers, facilities, members, and internal partners.
  • Meets departmental productivity, quality, accuracy, and turnaround-time standards while maintaining a low error rate.
  • Reviews documentation for completeness and refers cases requiring clinical review to the appropriate clinical reviewer.
  • Verifies benefits and administrative requirements within the scope of the role.
  • Documents all actions and correspondence accurately and completely.
  • Demonstrates accountability and ownership of assigned workload by monitoring queues, prioritizing tasks, following work through completion, and escalating barriers promptly.
  • Protects confidential information and complies with HIPAA, privacy and security requirements, company policies, accreditation standards, contractual obligations, and applicable federal and state regulations.
  • Identifies and reports potential quality, privacy, compliance, or regulatory concerns through established escalation processes.
  • Performs other duties as assigned.

Minimum Qualifications:

  • Requires HS diploma or GED and a minimum of 1 year of customer service or call-center experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • Administrative support, healthcare operations, data entry, document processing, or back-office experience strongly preferred
  • Medical terminology training and experience in medical or insurance field preferred
  • For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
  • Ability to meet established productivity, quality, accuracy, compliance, and turnaround-time expectations preferred
  • Ability to manage assigned work independently, maintain confidentiality, and follow detailed policies and procedures preferred
  • Proficiency with computers, electronic work queues, email, and document-management systems preferred
  • Experience processing faxes, referrals, authorizations, claims, medical records, or healthcare correspondence preferred
  • Knowledge of HIPAA and healthcare privacy requirements preferred
  • Experience working in a high-volume, production-based, compliance-focused environment preferred

Job Level: Non-Management Non-Exempt

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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

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