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 ...
Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and multiple ...
New
Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and multiple ...
New
Responsibilities Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
New
Responsibilities Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
New
ResponsibilitiesProvide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
ResponsibilitiesProvide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
Behavioral Health Utilization Management Specialist
Draper, UT · On-site +1
$60K - $70K/yr
Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options ... Conduct clinical reviews for inpatient, outpatient, and residential behavioral health services.
Quick apply
Behavioral Health Utilization Management Specialist
Draper, UT · On-site +1
$60K - $70K/yr
Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options ... Conduct clinical reviews for inpatient, outpatient, and residential behavioral health services.
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 transforming lives through ...
Quick apply
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 transforming lives through ...
Behavioral Health Utilization Management Specialist
Draper, UT · On-site
$60K - $70K/yr
Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options ... Conduct clinical reviews for inpatient, outpatient, and residential behavioral health services.
Behavioral Health Utilization Management Specialist
Draper, UT · On-site
$60K - $70K/yr
Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options ... Conduct clinical reviews for inpatient, outpatient, and residential behavioral health services.
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 ...
Uniti Med is seeking a travel Home Health Utilization Review for a travel job in Webster, New York. & Requirements * Specialty: Utilization Review * Discipline: Therapy * Start Date: ASAP * Duration ...
Uniti Med is seeking a travel Home Health Utilization Review for a travel job in Webster, New York. & Requirements * Specialty: Utilization Review * Discipline: Therapy * Start Date: ASAP * Duration ...
Behavioral Healthcare Utilization Review Spec
Lynchburg, VA · On-site
$46K - $74K/yr
Lynchburg VA, 24501 Compensation dependent on experience Position Summary The Behavioral Healthcare Utilization Review Specialist works on-site, and will proactively monitor utilization of services ...
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Behavioral Healthcare Utilization Review Spec
Lynchburg, VA · On-site
$46K - $74K/yr
Lynchburg VA, 24501 Compensation dependent on experience Position Summary The Behavioral Healthcare Utilization Review Specialist works on-site, and will proactively monitor utilization of services ...
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 ...
Coord-Behavioral Health Ult Mg
Bronx, NY · On-site
Overview 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 ...
Coord-Behavioral Health Ult Mg
Bronx, NY · On-site
Overview 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 ...
Minimum 1 year of experience in behavioral health, healthcare, or treatment setting preferred * Experience with utilization review, insurance authorization, or medical billing strongly preferred Core ...
Minimum 1 year of experience in behavioral health, healthcare, or treatment setting preferred * Experience with utilization review, insurance authorization, or medical billing strongly preferred Core ...
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 ...
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 ...
Minimum 1 year of experience in behavioral health, healthcare, or treatment setting preferred * Experience with utilization review, insurance authorization, or medical billing strongly preferred Core ...
New
Minimum 1 year of experience in behavioral health, healthcare, or treatment setting preferred * Experience with utilization review, insurance authorization, or medical billing strongly preferred Core ...
New
Minimum 1 year of experience in behavioral health, healthcare, or treatment setting preferred * Experience with utilization review, insurance authorization, or medical billing strongly preferred Core ...
New
Minimum 1 year of experience in behavioral health, healthcare, or treatment setting preferred * Experience with utilization review, insurance authorization, or medical billing strongly preferred Core ...
New
Minimum 1 year of experience in behavioral health, healthcare, or treatment setting preferred * Experience with utilization review, insurance authorization, or medical billing strongly preferred Core ...
Minimum 1 year of experience in behavioral health, healthcare, or treatment setting preferred * Experience with utilization review, insurance authorization, or medical billing strongly preferred Core ...
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
Re-posted 15 days ago
Saint Luke's Health System (Kansas City) rating
7.1
Based on 109 frontline employees who took The Breakroom Quiz
376th of 887 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
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Kansas City, MO, US
Year founded
1882