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Behavioral Health Utilization Management Jobs in Milwaukee, WI

Quad

Behavioral Health Counselor

Milwaukee, WI

QuadMed is seeking a dedicated Behavioral Health Counselor to join our team in Milwaukee, WI! This ... Works as a consultant for Managers that are calling about difficult employee situations * Presents ...

Quad

Behavioral Health Counselor

Milwaukee, WI · On-site

QuadMed is seeking a dedicated Behavioral Health Counselor to join our team in Milwaukee, WI! This ... Works as a consultant for Managers that are calling about difficult employee situations * Presents ...

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Behavioral Health Utilization Management information

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

As of Sep 2, 2026, the average hourly pay for behavioral health utilization management in Milwaukee, WI is $41.66, according to ZipRecruiter salary data. Most workers in this role earn between $32.93 and $47.84 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 Milwaukee, WI?

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

What job categories do people searching Behavioral Health Utilization Management jobs in Milwaukee, WI look for?

The top searched job categories for Behavioral Health Utilization Management jobs in Milwaukee, WI are:

Behavioral Health Utilization Management jobs near you
Infographic showing various Behavioral Health Utilization Management job openings in Milwaukee, WI as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $86,649 per year, or $41.7 per hour.

Behavioral Health Consultant

Outreach Community Health Centers, Inc

Milwaukee, WI • On-site

Full-time

Re-posted 26 days ago

Job description

Position Summary
Under the direct supervision of the Director of Behavioral Health Services, the Behavioral Health Consultant is responsible for patient care and a variety of clinical tasks. As part of the primary care treatment team, the Behavioral Health Consultant identifies, triages, and assists in the management of patients with medical and behavioral health problems within the primary care setting. In addition, the Behavioral Health Consultant provides skill training through psycho-education and patient education strategies, and develops specific behavioral change plans for patients. The Behavioral Health Consultant provides behavioral health protocols for target populations, developed in collaboration with primary care providers and other clinic staff, and partners with senior Behavioral Health Consultants.
Essential Duties and Responsibilities
The essential functions include, but are not limited to the following:
  • Adhere to the population-based, consultative role of the primary care behavioral health model.
  • Assess the clinical (i.e., behavioral and mental health) status of patients referred by primary care providers through brief consultative contacts.
  • Assist primary health care providers in assessing mental health concerns and psychosocial problems.
  • Work with the primary care team to monitor and manage patients with chronic emotional and/or health problems efficiently and effectively.
  • Work with the primary care provider to refer cases to specialty mental health providers as appropriate.
  • Assist in the detection of "at risk" patients and the development of plans to prevent further psychological or physical deterioration.
  • Assist in preventing relapse or morbidity in conditions that tend to recur over time.
  • Evaluate patient care plans with the primary care team.
  • Teach patients, families, and care staff prevention and treatment enhancement techniques through psychoeducation and other strategies.
  • Work in collaboration with patients, families, and providers to develop effective behavioral change strategies to address current behavioral health issues and maximize health.
  • Complete documentation as part of patient care in an efficient and timely manner.
  • Coordinate care with outside facilities and agencies as needed.
  • Complete care management phone calls per protocol.
  • Attend and participate in meetings and Quality Improvement activities as required. Respond to patient or co-worker complaints and work toward a positive resolution of any dispute.
  • Work effectively on a team and communicate respectfully with patients and all staff based on shared goals and mutual respect. This includes demonstrating adaptability to continuous efforts to improve patient care and willingness to be an active care team member engaged in ongoing process and quality improvement projects within the framework of the Patient-Centered Medical Home.
  • Honor patients' right to privacy and confidentiality. Adhere to strict patient, customer, and business confidentiality standards.

Additional Duties:
  • Monitor the site's Behavioral Health consultation program, identifying problems related to patient services and making recommendations for improvement.
  • Develop an area of leadership within the Behavioral Health Consultation team in conjunction with the Primary Care/Family Services team.
  • Serve as supervisor for Behavioral Health students, providing on-site supervision and evaluations as needed.
  • Serve as a member of site committees as requested.
  • Participate in evaluation of peers and support staff.
  • Perform other duties as assigned.

Minimum Qualifications (Knowledge, Skills, and Abilities)
  • Licensure, Registration, and/or Certification: Social Worker, Clinical license issued by the State of Wisconsin, OR Marriage and Family Therapist license issued by the State of Wisconsin, OR Professional Counselor license issued by the State of Wisconsin.
  • Education: Master's Degree in Social Work, Clinical Mental Health Counseling, Marriage & Family Counseling, or related field from an accredited program, plus 3,000 hours post-Master's experience.

Experience:
  • Requires 2 years post-licensure experience; OR licensed providers with 2 years of supervised experience working with children and families while obtaining 3,000 hours may be considered in lieu of the 2 years post-licensure requirement.
  • Clinical experience working with children, adolescents, and families of diverse ethnic, cultural, and socioeconomic backgrounds.

Outreach Community Health Centers, Inc. is an Equal Opportunity Employer

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