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Behavioral Health Utilization Management Jobs in Virginia

Colonial Behavioral Health

$18.27 - $19/hr

Colonial Behavioral Health is growing. We are hiring for our new Center for Support and Wellness ... Duties will include mileiu management for the Crisis Stabilization Service units, supporting ...

Summit BHC

Utilization Specialist - Acute

Williamsburg, VA · On-site

$24 - $28/hr

Coordinates, performs, and monitors all utilization review/management activities of the hospital to ... behavioral or mental health, or other related health field required. • Two or more years of ...

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All JobsBehavioral Health Utilization Management JobsBehavioral Health Utilization Management Jobs in Virginia

Behavioral Health Utilization Management information

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$41

$68

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

As of Aug 8, 2026, the average hourly pay for behavioral health utilization management in Virginia is $41.92, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 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 Virginia? For Behavioral Health Utilization Management jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Behavioral Health Utilization Management jobs in Virginia look for? The top searched job categories for Behavioral Health Utilization Management jobs in Virginia are:
What cities in Virginia are hiring for Behavioral Health Utilization Management jobs? Cities in Virginia 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 Virginia as of August 2026, with employment types broken down into 64% Full Time, 33% Part Time, and 3% Contract. Highlights an 97% In-person, and 3% Remote job distribution, with an average salary of $87,192 per year, or $41.9 per hour.

Healthcare Administrator - Richmond (Operations & Compliance Focus)

Civitas Health Services

Sandston, VA • On-site

$51K - $66K/yr

Full-time

Medical, Dental, Vision, Life

Posted 10 days ago

Job description

About the Opportunity
Civitas Health Services is seeking an organized, analytical, and mission-driven Healthcare Administrator to oversee operations for our Richmond location. This position combines healthcare administration with a strong focus on operational compliance, utilization management, audit readiness, budgeting, and performance reporting.
Salary: $51,500 - $66,500 annually (DOE)
What You'll Do
  • Lead daily administrative operations.
  • Coordinate and respond to audits while maintaining continuous audit readiness.
  • Track utilization, productivity, KPIs, and operational performance.
  • Support budgeting, financial oversight, and operational reporting.
  • Monitor documentation compliance and implement quality improvements.
  • Partner with clinical and executive leadership to improve operational outcomes.
Qualifications
  • 3+ years of healthcare operations experience.
  • Experience with compliance, utilization management, or audit support.
  • Strong Excel and reporting skills.
  • Behavioral health experience preferred.
  • Experience with Medicaid/MCOs is a plus.
Benefits
  • Medical, Dental, Vision
  • Life Insurance
  • Short- and Long-Term Disability
  • CEU Reimbursement
  • Professional Development Support
  • Leadership Growth Pathway
Equal Employment Opportunity
Civitas Health Services, Inc. is proud to be an Equal Opportunity Employer. We welcome qualified applicants from all backgrounds.

Apply