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

As of Sep 5, 2026, the average hourly pay for behavioral health utilization management in Wisconsin is $42.68, according to ZipRecruiter salary data. Most workers in this role earn between $33.75 and $48.99 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 Wisconsin?

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

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

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

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

Cities in Wisconsin 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 Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, and 4% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $88,769 per year, or $42.7 per hour.

Behavioral Health Professional

VitalCore Health Strategies

Appleton, WI • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

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

Job Description
Job Description
VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care has an opening for a Full-Time Master's Level Behavioral Health Professional (LCSW, LCPC, LMSW, LPC, or equivalent) at Outagamie County Jail in Appleton, Wisconsin! PRN Shifts Available!!

Looking for a rewarding career in healthcare with competitive wages, an annual incentive bonus, and an excellent benefits package?


You will be given the opportunity to utilize your training, skills and experience in a face-to-face setting with people from a variety of socioeconomic and educational backgrounds. Being able to see the impact you are making with these individuals, when they are at their lowest, least hopeful points. You will be working as part of a Multi-Disciplinary Team comprised of Medical, Psychiatry, Ancillary, Security, Legal, community providers and psychiatric hospitals. The best part of this – It is done in real-time with real people!


BEHAVIORAL HEALTH PROFESSIONAL PACKAGE TO INCLUDE BUT NOT LIMITED TO:

  • 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 Insurance
  • Life Insurance
  • Short Term/Long Term Disability
  • Identity Theft Protection
  • Animal/Pet Insurance
  • Employee Assistance Program and Discount Center
  • 401K
  • PTO
  • Annual Incentive Bonus

BEHAVIORAL HEALTH PROFESSIONAPOSITION SUMMARY
The Behavioral Health Professional will work as part of a multidisciplinary team with all other disciplines on the Behavioral Health Unit to provide a proactive and collaborative approach in serving the patient population.
BEHAVIORAL HEALTH PROFESSIONAL MINIMUM REQUIREMENTS
Must be a Licensed, Master’s Level Behavioral Health Clinician who can administer assessments, make clinical decisions, provide Mental Health treatment, and hold any of the following licenses: LSW, LPC or equivalent. The Behavioral Health Professional co-leads group therapy, one on one therapy, and crisis therapy.



BEHAVIORAL HEALTH PROFESSIONAL ESSENTIAL FUNCTIONS

  • Professionals will provide crisis stabilization, complete intakes and on-going evaluations, and provide consultation to in-house and community services.
  • Participate in monthly behavioral health calls, work collaborative with the medical team to best determine overall treatment for each individual.
  • The Behavioral Health Professional performs risk assessment of inmates; coordination of care with interdisciplinary team including medical staff, community providers, psychiatric hospitals and corrections; and discharge planning.
  • The Behavioral Health Professional assists in planning and implementing the goals and objectives of programs and projects.
  • The Behavioral Health Professional provides the necessary preparation of documentation, necessary records and reports.
  • The Behavioral Health Professional utilizes clinical skills such as prioritizing treatment needs; crisis management; brief clinical interventions including CBT and Motivational Interviewing.
  • Excellent and timely documentation skills required.
  • The ideal candidate is able to make independent clinical decisions, while utilizing assistance and supervisory intervention, as needed.

BEHAVIORAL HEALTH PROFESSIONAL REQUIRED EDUCATION, CERTIFICATIONS, EXPERIENCE

  • Graduation from a Master’s level program.
  • Minimum of one year employment in a social work capacity in a public or private agency or equivalent.
  • Must receive a satisfactory background investigation report.

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.

We’re people who are fueled by passion, not by profit.

Keywords: LPC, LSW, Correctional Facility, Behavioral Health, Licensed Professional Counselor, Licensed Social Worker, LCSW, LCPC, LMSW, LPC

EEO

#INDWI




Full Time
PRN

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