1

Behavioral Health Utilization Management Jobs in Michigan

Two years of healthcare experience * Competency and comprehension of basic medical terminology ... Name Utilization Management - Diversified East WB Mkt Employment Type Part time Shift Day (United ...

Two years of healthcare experience * Competency and comprehension of basic medical terminology ... Name Utilization Management - Diversified East WB Mkt Employment Type Part time Shift Day (United ...

Two years of healthcare experience * Competency and comprehension of basic medical terminology ... Name Utilization Management - Diversified East WB Mkt Employment Type Part time Shift Day (United ...

New

Two years of healthcare experience * Competency and comprehension of basic medical terminology ... Name Utilization Management - Diversified East WB Mkt Employment Type Part time Shift Day (United ...

New

Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ... A minimum of three years' experience in Utilization Management Required. License: State of Michigan ...

Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ... A minimum of three years' experience in Utilization Management Required. License: State of Michigan ...

This includes the implementation of case management scenarios, consulting with all services to ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...

Director of Utilization Management

Troy, MI · On-site +1

$160K - $160K/yr

Integra's Utilization Management (UM) division is looking for an experienced individual to direct ... This individual will play a key role in delivering UM to our health plan clients, growing our UM ...

Clinical Manager - Behavioral Health

Detroit, MI · On-site

$59K - $81K/yr

Is fluent in CPT/HCPCS coding and utilization management, and comfortable in an EHR and Microsoft 365 Responsibilities: * Provide clinical and administrative oversight of behavioral health services ...

New

MI · On-site

$26.01 - $68.55/hr

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ...

Showing results 21-40

Behavioral Health Utilization Management information

See Michigan salary details

$18

$36

$60

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

As of Aug 10, 2026, the average hourly pay for behavioral health utilization management in Michigan is $36.85, according to ZipRecruiter salary data. Most workers in this role earn between $29.13 and $42.31 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 Michigan? For Behavioral Health Utilization Management jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Behavioral Health Utilization Management jobs in Michigan look for? The top searched job categories for Behavioral Health Utilization Management jobs in Michigan are:
What cities in Michigan are hiring for Behavioral Health Utilization Management jobs? Cities in Michigan with the most Behavioral Health Utilization Management job openings:
Infographic showing various Behavioral Health Utilization Management job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $76,654 per year, or $36.9 per hour.

Utilization Management Clerk

VitalCore Health Strategies

Lansing, MI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 10 days ago


VitalCore Health Strategies rating

5.6

Company rating: 5.6 out of 10

Based on 13 frontline employees who took The Breakroom Quiz


Job description

Join the VitalCore Team in Michigan! We're people who are fueled by passion, not profit.


VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care has an opening for full-time Utilization Management Clerk at Michigan Regional Office in Lansing, MI!

At VitalCore we pride ourselves on retaining and acquiring compassionate and dedicated individuals who are committed to providing quality services. Join our team and experience first-hand how VitalCore Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff.


UTILIZATION MANAGEMENT CLERK BENEFITS PACKAGE:

Holiday Pay: New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day, and Christmas Day

  • Medical
  • Dental
  • Vision
  • Health Savings Account
  • Life Insurance
  • Short Term/Long Term Disability
  • Identity Theft Protection
  • Pet Insurance
  • Employee Assistance Program and Discount Center
  • 401K & Plan Matching
  • Annual Incentive Bonus


UTILIZATION MANAGEMENT CLERK POSITION SUMMARY

The UTILIZATION MANAGEMENT CLERK is responsible and accountable for the maintenance of health records. The UTILIZATION MANAGEMENT CLERK organizes and maintains a system of files and records concerning diagnoses, treatments, admissions, and discharges. This position is an ONSITE position Monday-Friday.

UTILIZATION MANAGEMENT CLERK MINIMUM REQUIREMENTS

  • Ensuring compliance with health policies and confidentiality standards.
  • One (1) year experience in emergency or correctional service.
  • Good understanding of medical and pharmacological terminology.
  • Must receive a satisfactory background report.
  • CMA or CMAA certificate required

UTILIZATION MANAGEMENT CLERK ESSENTIAL FUNCTIONS

  • Retrieve medical charts for all healthcare staff and clinics as requested.
  • File all currently used medical records. Secure all active and inactive medical records.
  • Ensure that charts are counter-signed by Physician and check charts for completeness.
  • Release information at the direction of the Medical Records Supervisor, Medical Director, or Health Services Administrator.
  • Answer telephone, take messages, and makes telephone calls. Type letters, reports, and memorandums.
  • Maintain a roster or appointment book based on scheduled appointments for both on and off-site appointments.
  • Order, receive and maintain office supplies.
  • Other duties as assigned.

VitalCore Health Strategies is an equal opportunity employer and committed to creating and maintaining an inclusive workplace in which all employees have an opportunity to participate and contribute to the success of the business and are valued for their skills, experience, and unique perspectives.

Keywords: Medical Records Clerk, Clerical, Correctional Facility #INDMS



Full-Time
Monday-Friday
8:00 am - 4:30 pm

What VitalCore Health Strategies employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom