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Behavioral Health Utilization Management Jobs in Raleigh, NC

Behavioral Health Therapist

Durham, NC · On-site

$58K - $77K/yr

... manage mental health and/or substance use problems in patients. - May participate in on-call or ... Outpatient Behavioral Health Therapist Knowledge, Skills, and Abilities: - Adherence to the ...

Behavioral Health Therapist

Cary, NC · On-site

$55K - $74K/yr

... manage mental health and/or substance use problems in patients. - May participate in on-call or ... Outpatient Behavioral Health Therapist Knowledge, Skills, and Abilities: - Adherence to the ...

Behavioral Health Therapist

Durham, NC · On-site

$58K - $77K/yr

... manage mental health and/or substance use problems in patients. - May participate in on-call or ... Outpatient Behavioral Health Therapist Knowledge, Skills, and Abilities: - Adherence to the ...

Behavioral Health Therapist

Durham, NC

$58K - $77K/yr

Screen, identify, diagnose using DSM nomenclature, treat and manage mental health and/or substance ... Outpatient Behavioral Health Therapist Duke is an Equal Opportunity Employer committed to providing ...

Behavioral Health Therapist

Durham, NC · On-site

$58K - $77K/yr

Duke University Health System- Behavioral Health Therapist • Behavioral Health Therapist may work ... Epic experience preferred). • Ability to resolve/manage conflict. • Ability to help implement ...

Behavioral Health Therapist

Durham, NC · On-site

$57K - $77K/yr

... manage mental health and/or substance use problems in patients. - May participate in on-call or ... Outpatient Behavioral Health Therapist Knowledge, Skills, and Abilities: - Adherence to the ...

Behavioral Health Therapist

Cary, NC

$52K - $70K/yr

... manage mental health and/or substance use problems in patients. - May participate in on-call or ... Outpatient Behavioral Health Therapist Knowledge, Skills, and Abilities: - Adherence to the ...

Behavioral Health Therapist

Oxford, NC · On-site

$55K - $74K/yr

... manage mental health and/or substance use problems in patients. - May participate in on-call or ... Outpatient Behavioral Health Therapist Knowledge, Skills, and Abilities: - Adherence to the ...

Behavioral Health Therapist

Cary, NC · On-site

$52K - $70K/yr

... manage mental health and/or substance use problems in patients. - May participate in on-call or ... Outpatient Behavioral Health Therapist Knowledge, Skills, and Abilities: - Adherence to the ...

Behavioral Health Therapist

Oxford, NC

$55K - $74K/yr

... manage mental health and/or substance use problems in patients. - May participate in on-call or ... Outpatient Behavioral Health Therapist Knowledge, Skills, and Abilities: - Adherence to the ...

Behavioral Health Therapist

Durham, NC · On-site

$57K - $77K/yr

... manage mental health and/or substance use problems in patients. - May participate in on-call or ... Outpatient Behavioral Health Therapist Knowledge, Skills, and Abilities: - Adherence to the ...

Be Seen First

Collaborate with Utilization Management to ensure staff and sites are properly credentialed ... managing behavioral health disorders or addiction. Freedom House has provided hope and healing to ...

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Behavioral Health Utilization Management information

See Raleigh, NC salary details

$20

$41

$67

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

As of Jul 15, 2026, the average hourly pay for behavioral health utilization management in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 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 some common challenges faced by Behavioral Health Utilization Management professionals, and how are they typically 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 are the key skills and qualifications needed to thrive as a Behavioral Health Utilization Management professional, and why are they important?

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 Raleigh, NC? For Behavioral Health Utilization Management jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Behavioral Health Utilization Management jobs in Raleigh, NC look for? The top searched job categories for Behavioral Health Utilization Management jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Behavioral Health Utilization Management jobs? Cities near Raleigh, NC with the most Behavioral Health Utilization Management job openings:
Infographic showing various Behavioral Health Utilization Management job openings in Raleigh, NC as of July 2026, with employment types broken down into 2% As Needed, 72% Full Time, 20% Part Time, 1% Temporary, and 5% Contract. Highlights an 94% Physical, 3% Hybrid, and 3% Remote job distribution, with an average salary of $85,486 per year, or $41.1 per hour.
Behavioral Health Therapist

Behavioral Health Therapist

Duke Health

Durham, NC • On-site

$58K - $77K/yr

Full-time

Re-posted 17 days ago


Duke Health rating

7.3

Company rating: 7.3 out of 10

Based on 249 frontline employees who took The Breakroom Quiz

301st of 885 rated healthcare providers


Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
About Duke Primary Care
Pursue your passion for caring with Duke Primary Care, which offers family, adolescent, and internal medicine services as well as urgent, general pediatric, and virtual care at nearly 50 clinic locations across central North Carolina.
Onsite Location:Oxford, NC
DPC Oxford
$5000.00 Commitment Bonus paid over 1 year for external candidates
LCSW,LMFT, and/or LCMHC NC License required
General Description of the Job Class
Provide psychosocial assessments, diagnosis, and psychotherapy treatment. It is an expectation to maintain a patient panel as outlined by departmental or team leadership with at least 80% of time dedicated to direct patient care. Scope of role, working schedule, and location may adjust with business need.
Duties and Responsibilities of this Level
- Provide psychosocial assessments of patients and families to identify emotional, social, and environmental strengths and problems related to their diagnosis, illness, treatment, and/or life situation.
- Formulate, develop, and implement a comprehensive psychosocial treatment plan utilizing appropriate treatments and interventions.
- Interventions may include crisis intervention, individual, marital, family and/or group therapies.
- Screen, identify, diagnose using DSM nomenclature, treat and manage mental health and/or substance use problems in patients.
- May participate in on-call or after-hours coverage.
- Provide consultative services to health care team members within scope of care definitions as needed.
- Maintain a working knowledge of relevant medical/legal issues that impact patient care.
- Provide education to patients and loved ones around issues related to adaptation to the patient's diagnosis, illness, treatment and/or life situation.
- Participate in multi-disciplinary healthcare teams and provide leadership in representing clinical perspective.
- May provide teaching and training for staff and faculty.
- Contribute to the academic mission of the health system by participating in academic activities.
- Maintain working knowledge of and liaison with community agencies and resources.
- Knowledge of health system resources to access and provide for patient care needs.
- Document assessment, plan, interactions, and interventions according to departmental, hospital and/or health system guidelines and standards.
- Maintain records in accordance with department, hospital, medical center and/or health system policies.
- Attend and participate in staff, committee, department, and other administrative meetings.
- Participate in department and/or health system continuous quality improvement.
- Keep current with license requirements and seek to increase further enhancement of job-related knowledge.
- Adhere to onsite and/or hybrid availability for work policies as outlined by direct supervisor.
Required Qualifications at this Level
Education:

Master's degree in human services/sciences from an accredited school.
Doctorate degree in human services will be acknowledged.
Experience:
Two years of outpatient psychotherapy experience as a fully licensed, autonomous clinician. Experience working as a licensed therapist in a medical setting and/or in a team-based community program is preferred.
Degrees, Licensure, and/or Certification:
Current licensure as a licensed LCSW, LMFT, and/or LCMHC
LCAS is preferred as a secondary license.
Outpatient Behavioral Health Therapist
Knowledge, Skills, and Abilities:
- Adherence to the practice standards and ethical guidelines of licensing board.
- Excellent verbal and written communication skills.
- A solid knowledge of clinical practice.
- Excellent assessment, interviewing, and counseling skills with expertise in mental health and substance use areas.
- Excellent working knowledge of psychopathology.
- Familiarity with range of therapeutic interventions.
- Must recognize when to escalate care/refer for further medical assessment.
- Ability to work effectively and autonomously in a self-directed role.
- Flexibility in accepting diverse work assignments and managing stress related to change.
- Proficient in utilizing an Electronic Health Record (i.e. Epic experience preferred).
- Ability to resolve/manage conflict.
- Ability to help implement departmental, hospital and/or DUHS initiatives.
Distinguishing Characteristics of this Level
N/A
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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