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

As of Jun 14, 2026, the average hourly pay for behavioral health utilization review 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 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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Behavioral Health Utilization Review jobs near you
Infographic showing various Behavioral Health Utilization Review job openings in the United States as of June 2026, with employment types broken down into 12% As Needed, 28% Full Time, 4% Part Time, 2% Temporary, and 54% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review (UR) Specialist

Thrive Behavioral Hospital

Las Vegas, NV

Per diem

Posted 27 days ago

Job description

Are you experienced in psychiatric care and passionate about ensuring patients receive the right level of care at the right time? 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 to determine medical necessity and appropriate levels of care for psychiatric and behavioral health patients.

  • Collaborate with physicians, nurses, and treatment teams to develop individualized care plans that align with payer requirements.

  • Communicate with insurance companies, providing clinical documentation and justifications to support ongoing care.

  • Monitor patient progress and identify opportunities for earlier discharge or transitions to alternative levels of care.

  • Maintain accurate and timely documentation in compliance with state, federal, and organizational standards.

  • Serve as a resource for clinical teams regarding payer guidelines, authorizations, and managed care processes.

What You’ll Bring

  • Required: Experience working in psychiatric, behavioral health, or mental health settings.

  • Strong knowledge of managed care, payer guidelines, and utilization management processes.

  • Excellent clinical assessment, critical thinking, and communication skills.

  • Ability to collaborate across interdisciplinary teams and interact with external stakeholders.

  • Nursing license (RN, LPN) preferred, but candidates with strong behavioral health utilization review experience will also be considered.

Why Join Us?

  • Be part of a mission-driven organization focused on patient-centered care.

  • Work alongside a supportive and collaborative clinical team.

  • Competitive pay and comprehensive benefits package.

  • Opportunities for growth in a growing behavioral health network.