Details: Under minimal supervision, provides medical and/or behavioral health utilization management for members of Medical Plan in accordance with the schedule of benefits and network criteria ...
Details: Under minimal supervision, provides medical and/or behavioral health utilization management for members of Medical Plan in accordance with the schedule of benefits and network criteria ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Yakima, WA · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Yakima, WA · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Lewiston, ID · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Lewiston, ID · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Bend, OR · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Bend, OR · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Boise, ID · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Boise, ID · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Fargo, ND · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Fargo, ND · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Pocatello, ID · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Pocatello, ID · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Coeur D Alene, ID · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Coeur D Alene, ID · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Salem, OR · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Salem, OR · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Portland, OR · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Portland, OR · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Behavioral Health Utilization Management Clinician 100% Remote | Nationwide | Shift Differential Eligible Are you a licensed Behavioral Health professional looking for a rewarding remote role that ...
Behavioral Health Utilization Management Clinician 100% Remote | Nationwide | Shift Differential Eligible Are you a licensed Behavioral Health professional looking for a rewarding remote role that ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Renton, WA · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Renton, WA · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Bellevue, WA · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Bellevue, WA · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Medford, OR · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Medford, OR · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Salt Lake City, UT · On-site
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Salt Lake City, UT · On-site
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Vancouver, WA · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Vancouver, WA · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Spokane, WA · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Spokane, WA · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Tacoma, WA · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Tacoma, WA · Remote
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE Work from home within Oregon, Washington, Idaho or Utah This is a part-time non-benefited position with a ...
Behavioral Health Utilization Manager The Behavioral Health Utilization Manager plays a critical role in ensuring the appropriate and effective delivery of mental health and substance use disorder ...
New
Behavioral Health Utilization Manager The Behavioral Health Utilization Manager plays a critical role in ensuring the appropriate and effective delivery of mental health and substance use disorder ...
New
Behavioral Health Utilization Management information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do behavioral health utilization management jobs pay per hour?
As of Aug 27, 2026, the average hourly pay for behavioral health utilization management in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 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?
| Aspect | Behavioral Health Utilization Management | Behavioral Health Case Manager |
|---|---|---|
| Credentials | Licenses (e.g., RN, LCSW), certifications in utilization review | Licenses (e.g., LCSW, LPC), case management certifications |
| Work Environment | Insurance companies, healthcare organizations, utilization review departments | Hospitals, community clinics, outpatient facilities |
| Employer & Industry Usage | Health insurance providers, managed care organizations | Behavioral 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.
More about Behavioral Health Utilization Management jobs
What cities are hiring for Behavioral Health Utilization Management jobs?
Cities with the most Behavioral Health Utilization Management job openings:
What states have the most Behavioral Health Utilization Management jobs?
States with the most job openings for Behavioral Health Utilization Management jobs include:
What job categories do people searching Behavioral Health Utilization Management jobs look for?
The top searched job categories for Behavioral Health Utilization Management jobs are:
Senior Utilization Management Nurse
Denver, CO • On-site
Integrated Resources INC •
Recruiting and Staffing Services • 51 - 200 employees51 - 200 employees
Full-time
Medical, Life
Re-posted 29 days ago
Job description
Company Description
Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.
Job Description
Details:
Under minimal supervision, provides medical and/or behavioral health utilization management for members of Medical Plan in accordance with the schedule of benefits and network criteria defined by the Plan's various lines of business and Center of Medicare & Medicaid Services ("CMS") regulatory requirements. Completes clinical review to determine whether a request can be approved using nationally recognized criteria such as InterQual or MCG, or requires additional review by the Plan's Medical Director.
MINIMUM QUALIFICATIONS:
Education:
Bachelor's degree in Nursing. A combination of education and experience may be substituted for the B.S.N. requirement.
Experience:
Typically, three years of medical utilization management experience working with a health insurance plan, hospital, skilled nursing facility, or surgical center. Managed Care experience is highly preferred.
Qualifications
Responsibilities:
Facility seeks 2 F/T RN Case Managers for excellent contract working in Managed Care department.
Must have BSN, 3 years' experience in medical utilization management, and experience working with a health insurance plan.
Managed Care experience is preferred however hospital experience is also considered.
Seeking highly skilled individual with experience with InterQual and MCG.
Provides medical and/or behavioral health utilization management for members of facility medical plan in accordance with the schedule of benefits and network criteria defined by the Plans various lines of business and Center of Medicare & Medicaid Services.
Additional Information
Regards,
Riya Khem
Life Science Recruiter
Integrated Resources, Inc.
IT Life Sciences Allied Healthcare CRO
(Direct) 732-844-8721 | (W) 732-549-2030 x 311 | (F) 732-549-5549
"INC 5000's FASTEST GROWING, PRIVATELY HELD COMPANIES" (8th Year in a Row)
About Integrated Resources
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
1996