Saint Luke's Crittenton Children's Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team. This role facilitates and directs the Utilization ...
Saint Luke's Crittenton Children's Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team. This role facilitates and directs the Utilization ...
Saint Luke's Crittenton Children's Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team. This role facilitates and directs the Utilization ...
Saint Luke's Crittenton Children's Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team. This role facilitates and directs the Utilization ...
Saint Luke's Crittenton Children's Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team. This role facilitates and directs the Utilization ...
Saint Luke's Crittenton Children's Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team. This role facilitates and directs the Utilization ...
We are seeking a dedicated Utilization Review (UR) Specialist to join our team and support our mission of delivering quality behavioral health services. What You'll Do * Conduct utilization reviews ...
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We are seeking a dedicated Utilization Review (UR) Specialist to join our team and support our mission of delivering quality behavioral health services. What You'll Do * Conduct utilization reviews ...
We are seeking a dedicated Utilization Review (UR) Specialist to join our team and support our mission of delivering quality behavioral health services. What You'll Do * Conduct utilization reviews ...
Quick apply
We are seeking a dedicated Utilization Review (UR) Specialist to join our team and support our mission of delivering quality behavioral health services. What You'll Do * Conduct utilization reviews ...
What You'll Do Utilization Review & Authorizations ... Conduct admission, concurrent, and continued stay reviews for inpatient behavioral health patients
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What You'll Do Utilization Review & Authorizations ... Conduct admission, concurrent, and continued stay reviews for inpatient behavioral health patients
UTILIZATION REV SPEC I
Orlando, FL · On-site
UTILIZATION REV SPEC I Behavioral Health Utilization Review Specialist I Aspire Health Partners, Inc. Make a Difference in Behavioral Health Care At Aspire Health Partners, we are dedicated to ...
UTILIZATION REV SPEC I
Orlando, FL · On-site
UTILIZATION REV SPEC I Behavioral Health Utilization Review Specialist I Aspire Health Partners, Inc. Make a Difference in Behavioral Health Care At Aspire Health Partners, we are dedicated to ...
Utilization Review Specialist
Fort Lauderdale, FL · On-site +1
$30K - $40K/yr
The ideal candidate has prior experience in behavioral health utilization review, understands managed care guidelines, and is comfortable advocating for patients with insurance providers. Essential ...
Utilization Review Specialist
Fort Lauderdale, FL · On-site +1
$30K - $40K/yr
The ideal candidate has prior experience in behavioral health utilization review, understands managed care guidelines, and is comfortable advocating for patients with insurance providers. Essential ...
Description Edit Posting We are seeking a Behavioral Health Utilization Review / Authorization Specialist to support clinical authorization and utilization management for substance use disorder and ...
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Description Edit Posting We are seeking a Behavioral Health Utilization Review / Authorization Specialist to support clinical authorization and utilization management for substance use disorder and ...
Behavioral Health Utilization Management Specialist
Hastings, MI · On-site
$58K/yr
This role is responsible for reviewing behavioral health services to ensure medical necessity ... Conduct utilization reviews for behavioral health services, including initial, concurrent, and ...
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Behavioral Health Utilization Management Specialist
Hastings, MI · On-site
$58K/yr
This role is responsible for reviewing behavioral health services to ensure medical necessity ... Conduct utilization reviews for behavioral health services, including initial, concurrent, and ...
Utilization Management ... Review behavioral health services for medical necessity using nationally recognized clinical ...
Utilization Management ... Review behavioral health services for medical necessity using nationally recognized clinical ...
Utilization Management ... Review behavioral health services for medical necessity using nationally recognized clinical ...
Utilization Management ... Review behavioral health services for medical necessity using nationally recognized clinical ...
Behavioral Health Utilization Review Registered Nurse
Rockford, IL · On-site +1
$57K - $62K/yr
... level reviews. Accepted licensure includes but is not limited to RN, LMSW, LMHC. * Must have Mental Health or Substance Abuse experience. * Successful completion of UR nurse orientation program.
Behavioral Health Utilization Review Registered Nurse
Rockford, IL · On-site +1
$57K - $62K/yr
... level reviews. Accepted licensure includes but is not limited to RN, LMSW, LMHC. * Must have Mental Health or Substance Abuse experience. * Successful completion of UR nurse orientation program.
Behavioral Health Utilization Coordinator
Clarkston, GA · On-site
$15 - $25/hr
Behavioral Health Utilization Coordinator (Bachelor's Level - Non-Licensed) Location: Clarkston, GA ... Review client records to ensure completeness (signatures, dates, required forms) * Identify ...
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Behavioral Health Utilization Coordinator
Clarkston, GA · On-site
$15 - $25/hr
Behavioral Health Utilization Coordinator (Bachelor's Level - Non-Licensed) Location: Clarkston, GA ... Review client records to ensure completeness (signatures, dates, required forms) * Identify ...
Utilization Review Clinician - Behavioral Health
Oklahoma City, OK · On-site
$27.02 - $48.55/hr
... review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning * Analyzes BH member data to improve quality and appropriate utilization of ...
Utilization Review Clinician - Behavioral Health
Oklahoma City, OK · On-site
$27.02 - $48.55/hr
... review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning * Analyzes BH member data to improve quality and appropriate utilization of ...
Coord-Behavioral Health Ult Mg
Bronx, NY · On-site
The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients admitted into psychiatry or substance abuse for appropriateness of admission according to ...
Coord-Behavioral Health Ult Mg
Bronx, NY · On-site
The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients admitted into psychiatry or substance abuse for appropriateness of admission according to ...
Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville ... Qualifications PRN - Utilization Review Coordinator Needed! Qualifications: * Graduate from ...
Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville ... Qualifications PRN - Utilization Review Coordinator Needed! Qualifications: * Graduate from ...
Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville ... Qualifications PRN - Utilization Review Coordinator Needed! Qualifications: * Graduate from ...
Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville ... Qualifications PRN - Utilization Review Coordinator Needed! Qualifications: * Graduate from ...
Join a dedicated healthcare team in the Midwest region as a Registered Nurse Case Manager specializing in behavioral health utilization review. In this role, you will collaborate closely with health ...
Join a dedicated healthcare team in the Midwest region as a Registered Nurse Case Manager specializing in behavioral health utilization review. In this role, you will collaborate closely with health ...
Behavioral Health Clinician
Little Rock, AR · On-site
$49K - $67K/yr
Experience in managed care or behavioral health utilization review.
Behavioral Health Clinician
Little Rock, AR · On-site
$49K - $67K/yr
Experience in managed care or behavioral health utilization review.
Behavioral Health Utilization Review 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 review jobs pay per hour?
What is a Behavioral Health Utilization Review job?
A Behavioral Health Utilization Review (UR) job involves assessing the medical necessity, appropriateness, and efficiency of mental health and substance use disorder treatments. UR professionals review clinical documentation, apply insurance guidelines, and collaborate with providers to ensure patients receive appropriate care while ensuring compliance with policies and regulations. They help manage healthcare costs by preventing unnecessary services while advocating for necessary treatments. This role is common in insurance companies, hospitals, and managed care organizations. Strong knowledge of behavioral health guidelines and communication skills are essential for success.
What types of teams do Behavioral Health Utilization Review professionals typically work with, and how do they collaborate across departments?
Behavioral Health Utilization Review professionals frequently work within multidisciplinary teams that may include clinicians, case managers, claims specialists, and provider relations staff. Collaboration involves regularly reviewing patient records, discussing complex cases, and communicating with both internal and external healthcare providers to ensure appropriate levels of care are authorized. This role often requires coordination across departments to resolve authorization issues, clarify clinical information, and meet regulatory requirements. Effective teamwork is key to maintaining efficient workflows, supporting patient outcomes, and ensuring compliance with payer policies.
What are the key skills and qualifications needed to thrive in the Behavioral Health Utilization Review position, and why are they important?
To thrive in Behavioral Health Utilization Review, you typically need a clinical background in mental health or nursing, strong analytical abilities, and knowledge of insurance guidelines. Familiarity with medical coding, utilization management software (such as InterQual or MCG), and current behavioral health regulations is highly valued, and licensure (RN, LCSW, LPC, or similar) is often required. Attention to detail, critical thinking, effective communication, and strong organizational skills set top candidates apart. These competencies ensure accurate evaluation of medical necessity, efficient authorization processes, and collaboration with providers for optimal patient care.
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Full-time
Posted 25 days ago
Saint Luke's Health System (Kansas City) rating
7.1
Based on 109 frontline employees who took The Breakroom Quiz
376th of 882 rated healthcare providers
Job description
Saint Luke's Crittenton Children's Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team.
This role facilitates and directs the Utilization Review Department, Case Management and Reception teams of a 24/7 inpatient residential and hospital program. Additionally, ensures compliance with all pertinent regulations, analyzes trends related to denials & authorizations, builds strong relationships with third party payers. Positive relationships with physicians, nursing supervisors and senior administration are required to ensure empathic and timely response to individual patient and community needs.
Job Details:
- Monday - Friday, dayshift, 9am -5pm. Remote work not preferred, but occasional opportunity, must be primarily onsite. No weekend or holiday rotations.
- Supervises and completes daily operations as assigned by Manager of Intake and Utilizations Review.
- Oversees resources and functions related to utilization review and regulatory compliance adherence.
- Responsible for training of staff, discipline and evaluations.
- Monitors and maintains data to achieve quality outcomes and progression with the departmental strategic plan.
- Collaborates and communicates with the multidisciplinary team to ensure communication of patient's treatment to the managed care provider.
- Review clinical charts in order to file appeals on denied accounts.
- Oversees scheduling and supervision needs for the Reception team.
- Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW)
- 1-3 years in a leadership or team lead role preferred
Job Requirements
Applicable Experience:
2 years
Licensed Professional Counselor - Various
Master's Degree
Job Details
Full Time
Day (United States of America)
The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
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About Saint Luke's
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Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Kansas City, MO, US
Year founded
1882