... utilization management activities required from each insurance company. Qualifications What's Required * Master's degree from a social work, psychology, and/or counseling accredited program.
... utilization management activities required from each insurance company. Qualifications What's Required * Master's degree from a social work, psychology, and/or counseling accredited program.
Concurrent Review Nurse
Troy, MI · On-site
... Behavioral Health and Long Term Care. Qualifications Minimum Education/Qualifications/Licensures: Utilization Review background in either Managed Care of Provider environment (at least one year ...
Concurrent Review Nurse
Troy, MI · On-site
... Behavioral Health and Long Term Care. Qualifications Minimum Education/Qualifications/Licensures: Utilization Review background in either Managed Care of Provider environment (at least one year ...
Utilization Review Supervisor (PCN 1547)
Troy, MI · On-site
$70K - $87K/yr
... Health Plan (PIHP), Managed Care Organization (MCO), hospital, or behavioral health setting ... Managed Care and Utilization ManagementPrinciples Job Specific Competencies/Skills
Quick apply
Utilization Review Supervisor (PCN 1547)
Troy, MI · On-site
$70K - $87K/yr
... Health Plan (PIHP), Managed Care Organization (MCO), hospital, or behavioral health setting ... Managed Care and Utilization ManagementPrinciples Job Specific Competencies/Skills
Behavioral Health Assessor
Muskegon, MI · On-site
The Behavioral Health Assessor makes determinations to assure appropriate utilization of services ... Considerable knowledge and understanding of Behavioral Health Managed Care concepts; * Considerable ...
Behavioral Health Assessor
Muskegon, MI · On-site
The Behavioral Health Assessor makes determinations to assure appropriate utilization of services ... Considerable knowledge and understanding of Behavioral Health Managed Care concepts; * Considerable ...
Behavioral Health Assessor
Muskegon, MI · On-site
The Behavioral Health Assessor makes determinations to assure appropriate utilization of services ... Considerable knowledge and understanding of Behavioral Health Managed Care concepts; * Considerable ...
Behavioral Health Assessor
Muskegon, MI · On-site
The Behavioral Health Assessor makes determinations to assure appropriate utilization of services ... Considerable knowledge and understanding of Behavioral Health Managed Care concepts; * Considerable ...
... the Utilization Management (UM) Department oversees the daily operations of the UM team. This ... of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation.
... the Utilization Management (UM) Department oversees the daily operations of the UM team. This ... of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation.
Behavioral Health Therapist
Bay City, MI · On-site
$49K - $67K/yr
Assists the care team in developing care management processes such as the use of guidelines ... and utilization and follows GLBHC policies, procedures, and expectations. * Integrated (5%) * ...
Behavioral Health Therapist
Bay City, MI · On-site
$49K - $67K/yr
Assists the care team in developing care management processes such as the use of guidelines ... and utilization and follows GLBHC policies, procedures, and expectations. * Integrated (5%) * ...
Behavioral Health Therapist
Saginaw, MI · On-site
$56K - $75K/yr
Assists the care team in developing care management processes such as the use of guidelines ... and utilization and follows GLBHC policies, procedures, and expectations. * Integrated (5%) * ...
Behavioral Health Therapist
Saginaw, MI · On-site
$56K - $75K/yr
Assists the care team in developing care management processes such as the use of guidelines ... and utilization and follows GLBHC policies, procedures, and expectations. * Integrated (5%) * ...
Behavioral Health Therapist
Midland, MI · On-site
$51K - $69K/yr
Works with psychiatric care team to treat and manage patients with chronic emotional and/or ... utilization of resources. Facilitate referrals for clinically indicated services outside of the ...
Behavioral Health Therapist
Midland, MI · On-site
$51K - $69K/yr
Works with psychiatric care team to treat and manage patients with chronic emotional and/or ... utilization of resources. Facilitate referrals for clinically indicated services outside of the ...
Care Review Clinician - UR RN
Troy, MI · On-site
... part of the Utilization Management team - Identifies appropriate benefits, eligibility, and ... Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare ...
Care Review Clinician - UR RN
Troy, MI · On-site
... part of the Utilization Management team - Identifies appropriate benefits, eligibility, and ... Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare ...
Behavioral Health Therapist
Owosso, MI · On-site
$53K - $72K/yr
Assists the care team in developing care management processes such as the use of guidelines ... and utilization and follows GLBHC policies, procedures, and expectations. * Integrated (5%) * ...
Behavioral Health Therapist
Owosso, MI · On-site
$53K - $72K/yr
Assists the care team in developing care management processes such as the use of guidelines ... and utilization and follows GLBHC policies, procedures, and expectations. * Integrated (5%) * ...
Behavioral Health Therapist
Midland, MI · On-site
$51K - $69K/yr
Works with psychiatric care team to treat and manage patients with chronic emotional and/or ... utilization of resources. Facilitate referrals for clinically indicated services outside of the ...
Behavioral Health Therapist
Midland, MI · On-site
$51K - $69K/yr
Works with psychiatric care team to treat and manage patients with chronic emotional and/or ... utilization of resources. Facilitate referrals for clinically indicated services outside of the ...
Senior Utilization Management Compliance and Accreditation Specialist Number of Positions: 1 ... At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans ...
Senior Utilization Management Compliance and Accreditation Specialist Number of Positions: 1 ... At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans ...
ABA Care Management Specialist - BCBA
Saginaw, MI · On-site
$72K - $89K/yr
... Utilization Management and Care Authorizations, monitors appropriate uses of Saginaw County Community Mental Health Authority (SCCMHA) resources for applied behavioral health (ABA) treatment and ...
ABA Care Management Specialist - BCBA
Saginaw, MI · On-site
$72K - $89K/yr
... Utilization Management and Care Authorizations, monitors appropriate uses of Saginaw County Community Mental Health Authority (SCCMHA) resources for applied behavioral health (ABA) treatment and ...
$72K - $89K/yr
... Utilization Management and Care Authorizations, monitors appropriate uses of Saginaw County Community Mental Health Authority (SCCMHA) resources for applied behavioral health (ABA) treatment and ...
$72K - $89K/yr
... Utilization Management and Care Authorizations, monitors appropriate uses of Saginaw County Community Mental Health Authority (SCCMHA) resources for applied behavioral health (ABA) treatment and ...
Behavioral Health Technician
West Bloomfield, MI · On-site
$15 - $18.50/hr
Notifies manager of any significant patient care issues. Qualifications - External EDUCATION ... D. equivalent. * Minimum of one-year college experience in Behavioral Health, Allied Health ...
Behavioral Health Technician
West Bloomfield, MI · On-site
$15 - $18.50/hr
Notifies manager of any significant patient care issues. Qualifications - External EDUCATION ... D. equivalent. * Minimum of one-year college experience in Behavioral Health, Allied Health ...
Behavioral Health Associate
West Bloomfield, MI · On-site
$18/hr
Overview Join Our Team as a Behavioral Health Associate Henry Ford Behavioral Health Hospital ... While this is intended to be an accurate reflection of the requirements of the job, management ...
Behavioral Health Associate
West Bloomfield, MI · On-site
$18/hr
Overview Join Our Team as a Behavioral Health Associate Henry Ford Behavioral Health Hospital ... While this is intended to be an accurate reflection of the requirements of the job, management ...
Senior Utilization Management Compliance and Accreditation Specialist Number of Positions: 1 ... At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans ...
Senior Utilization Management Compliance and Accreditation Specialist Number of Positions: 1 ... At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans ...
Essential Job Duties Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with ...
Essential Job Duties Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with ...
Auditor, Healthcare Services (Remote in MI)
Detroit, MI · On-site +1
$26.41 - $51.49/hr
Essential Job Duties • Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with ...
Auditor, Healthcare Services (Remote in MI)
Detroit, MI · On-site +1
$26.41 - $51.49/hr
Essential Job Duties • Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with ...
Behavioral Health Utilization Management information
See Michigan salary details
$18.65 - $22.42
2% of jobs
$22.42 - $26.19
9% of jobs
$28.77 is the 25th percentile. Wages below this are outliers.
$26.19 - $29.96
21% of jobs
The median wage is $33.01 / hr.
$29.96 - $33.73
23% of jobs
$33.73 - $37.50
13% of jobs
$40.44 is the 75th percentile. Wages above this are outliers.
$37.50 - $41.28
10% of jobs
$41.28 - $45.05
8% of jobs
$45.05 - $48.82
5% of jobs
$48.82 - $52.59
5% of jobs
$52.59 - $56.36
2% of jobs
$56.36 - $60.13
2% of jobs
$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?
| Aspect | Behavioral Health Utilization Management | Behavioral Health Case Manager |
|---|---|---|
| Credentials | Licenses (e.g., RN, LCSW), certifications in utilization review | Licenses (e.g., LCSW, LPC), case management certifications |
| Work Environment | Insurance companies, healthcare organizations, utilization review departments | Hospitals, community clinics, outpatient facilities |
| Employer & Industry Usage | Health insurance providers, managed care organizations | Behavioral 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:
Full-time
Retirement, PTO
Re-posted 11 days ago
Munson Healthcare rating
6.9
Based on 122 frontline employees who took The Breakroom Quiz
453rd of 887 rated healthcare providers
Job description
Company Description
$7,500 Sign on Bonus* Variable Schedule, Day/Rotate Shifts
More Than Just Care, It's Community
Imagine doing meaningful work in a place where people vacation. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties.
If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country.
Invested in You
Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance.
Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling.
Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges.
Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings
Job Description
A Day in the Life
Provides direct clinical services to patients within Munson Medical Center Inpatient Behavioral Health services. Clinical services include assessment, diagnosis, person-centered treatment planning, therapy, counseling, education, coordination of community resources and the documentation, knowledge of insurance benefits and authorization/utilization management activities required from each insurance company.
Qualifications
What's Required
- Master's degree from a social work, psychology, and/or counseling accredited program.
Michigan License to provide behavioral health counseling , may be a LMSW, LPC, or LLP.
-With manager approval, Limited Licensed individuals may be considered.
Additional Information
$7,500 Sign on Bonus* Terms and Conditions Apply
Are you Munson Material? Apply today!
Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.
What Munson Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Munson Healthcare
Sourced by ZipRecruiter
Munson Healthcare is Northern Michigan's largest regional healthcare provider. We serve 30 Michigan counties with 8 community-based hospitals each with a system of outlying primary care and specialty clinics. We are committed to improving lives in those communities and invite you to become part of that mission by choosing Munson for your career in healthcare.
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Traverse City, MI, US
Year founded
1925