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Behavioral Health Utilization Management Jobs in Michigan

OpTech LLC

RN Utilization Management

Detroit, MI · On-site

May establish care plans and coordinate care through the health care continuum including member ... Utilization Management experience/role * Technical - MS Office, Type 35+ WPM, Dual monitors ...

MyMichigan Health

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 ...

MyMichigan Health

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 ...

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All JobsBehavioral Health Utilization Management JobsBehavioral Health Utilization Management Jobs in Michigan

Behavioral Health Utilization Management information

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

As of Sep 3, 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 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 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:

Behavioral Health Utilization Management jobs near you
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, 17% Part Time, 5% Contract, and 1% Nights. 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.

Director of Utilization Review

StoneCrest Center

Detroit, MI • On-site

Full-time

Posted 21 days ago

Job description

Overview

Join StoneCrest Center, a 182-bed behavioral health hospital in Detroit, Michigan, dedicated to providing compassionate, evidence-based psychiatric care for adolescents, adults, and seniors. StoneCrest offers comprehensive inpatient treatment for a wide range of mental health and co-occurring substance use disorders, with specialized programming for adolescents, older adults, and individuals requiring acute crisis stabilization. The hospital's multidisciplinary approach includes psychiatry, nursing, case management, family therapy, recreational therapy, and other therapeutic services designed to help patients achieve lasting recovery and improved quality of life. 

As the Director of Utilization Review, you will play a critical leadership role in ensuring the delivery of high-quality, medically necessary behavioral healthcare while optimizing patient outcomes and reimbursement processes. This is an opportunity to join a mission-driven organization where clinical excellence, collaboration, and patient-centered care are at the heart of everything we do.

PURPOSE STATEMENT: 

Direct and manage the day-to-day operations of the Utilization Review department. 

Responsibilities

ESSENTIAL FUNCTIONS: 

  • Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs.   
  • Conducts and oversees concurrent and retrospective reviews for all patients.   
  • Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.   
  • Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs.   
  • Collaborates with ancillary services in order to prevent delays in services.   
  • Evaluates the UM program for compliance with regulations, policies and procedures. 
  • May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues.   
  • Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation. 

OTHER FUNCTIONS:  

  • Perform other functions and tasks as assigned. 
Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

  • Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred.  
  • Six or more year's clinical experience with the population of the facility preferred. 
  • Four or more years' experience in utilization management required. 
  • Three or more years of supervisoryexperience required. 

LICENSES/DESIGNATIONS/CERTIFICATIONS:  

  • If applicable, current licensure as an LPN or RN 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. 

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.

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Employment Type: FULL_TIME

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