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Behavioral Health Utilization Management Jobs in Georgia

Acadia Healthcare

Utilization Specialist

Riverdale, GA · On-site

Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ... Previous experience in utilization management is preferred LICENSES/DESIGNATIONS/CERTIFICATIONS:

Acadia Healthcare

Utilization Specialist

Riverdale, GA · On-site

Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ... Previous experience in utilization management is preferred LICENSES/DESIGNATIONS/CERTIFICATIONS:

Acadia Healthcare

Utilization Specialist

Valdosta, GA · On-site

Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ... Previous experience in utilization management is preferred LICENSES/DESIGNATIONS/CERTIFICATIONS:

Perry Behavioral Health

Be Seen First

Behavioral Health Tech

Perry, GA · On-site

$17 - $20/hr

Chief Executive Officer and Program Manager Employment Type: Full-Time and Part-Time Available Pay Range: $17.00-$20.00 per hour Position Summary The Behavioral Health Technician (BHT) provides ...

Integrated Resources INC

Case Manager

Alpharetta, GA · Remote

$19.50 - $25.25/hr

Candidates need 2-3 years of Behavioral Health Experience, and 3-5 years of Utilization Management or Manager Care Experience. She is also looking for candidates with inpatient, outpatient, and ...

PRAESUM HEALTHCARE

Behavioral Health Technician

Duluth, GA · On-site

$15 - $18.50/hr

Excellent patient care includes preparation of charts for case management, assisting the medical ... Behavioral Health Technician Duties/Responsibilities: • Completion of intakes on new patient ...

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Behavioral Health Utilization Management information

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

As of Aug 14, 2026, the average hourly pay for behavioral health utilization management in Georgia is $35.70, according to ZipRecruiter salary data. Most workers in this role earn between $28.22 and $41.01 per hour, depending on experience, location, and employer.

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 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 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 popular job titles related to Behavioral Health Utilization Management jobs in Georgia?

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

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

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

What cities in Georgia are hiring for Behavioral Health Utilization Management jobs?

Cities in Georgia with the most Behavioral Health Utilization Management job openings:

Behavioral Health Utilization Management jobs near you
Infographic showing various Behavioral Health Utilization Management job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 17% Part Time, 1% Temporary, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $74,260 per year, or $35.7 per hour.

Utilization Specialist

Greenleaf Behavioral Health Hospital

Valdosta, GA • On-site

Full-time

Re-posted 28 days ago

Job description

Overview

PURPOSE STATEMENT: 

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.  

Responsibilities

ESSENTIAL FUNCTIONS: 

  • Act as liaison between managed care organizations and the facility professional clinical staff. 
  • Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. 
  • Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.  
  • Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. 
  • Conduct quality reviews for medical necessity and services provided.   
  • Facilitate peer review calls between facility and external organizations.  
  • Initiate and complete the formal appeal process for denied admissions or continued stay.  
  • Assist the admissions department with pre-certifications of care.  
  • Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates. 

OTHER FUNCTIONS:  

  • Perform other functions and tasks as assigned. 
Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

  • Required Education: High school diploma or equivalent. 
  • Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field. 
  • Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred 

LICENSES/DESIGNATIONS/CERTIFICATIONS:  

  • Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services. 
  • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.   
  • First aid may be required based on state or facility requirements. 

 

ADDITIONAL REGULATORY REQUIREMENTS: 

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances  (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate. 

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

Employment Type: FULL_TIME

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