This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Utilization Review Technician
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Utilization Review Technician
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Utilization Review Technician
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Utilization Review Technician
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Utilization Review Technician
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Utilization Review Technician
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
RN Utilization Review
Huntsville, AL · On-site
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
RN Utilization Review
Huntsville, AL · On-site
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
RN Utilization Review
Huntsville, AL · On-site
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
New
RN Utilization Review
Huntsville, AL · On-site
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
New
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
... members of the healthcare team. Establishes a caring relationship with patients and their ... Must adhere to the DCH Behavioral Standards including creating positive relationships with patients ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
Demonstrated Behavioral Health and/or substance use disorder (SUD) treatment experience required ... Experience managing concurrent review, medical necessity, payer authorizations, appeals, and ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
Demonstrated Behavioral Health and/or substance use disorder (SUD) treatment experience required ... Experience managing concurrent review, medical necessity, payer authorizations, appeals, and ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
Demonstrated Behavioral Health and/or substance use disorder (SUD) treatment experience required ... Experience managing concurrent review, medical necessity, payer authorizations, appeals, and ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
Demonstrated Behavioral Health and/or substance use disorder (SUD) treatment experience required ... Experience managing concurrent review, medical necessity, payer authorizations, appeals, and ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
New
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
New
Behavioral Health Utilization Review information
See Alabama salary details
$19.39 - $23.31
2% of jobs
$23.31 - $27.24
9% of jobs
$29.92 is the 25th percentile. Wages below this are outliers.
$27.24 - $31.16
21% of jobs
The median wage is $34.33 / hr.
$31.16 - $35.08
23% of jobs
$35.08 - $39
13% of jobs
$42.05 is the 75th percentile. Wages above this are outliers.
$39 - $42.92
10% of jobs
$42.92 - $46.84
8% of jobs
$46.84 - $50.77
5% of jobs
$50.77 - $54.69
5% of jobs
$54.69 - $58.61
2% of jobs
$58.61 - $62.53
2% of jobs
$19
$38
$62
How much do behavioral health utilization review jobs pay per hour?
As of Aug 23, 2026, the average hourly pay for behavioral health utilization review in Alabama is $38.32, according to ZipRecruiter salary data. Most workers in this role earn between $30.29 and $43.99 per hour, depending on experience, location, and employer.
What is a behavioral health utilization review?
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 behavioral health utilization review, 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.
What are the most commonly searched types of Behavioral Health Utilization Review jobs in Alabama?
The most popular types of Behavioral Health Utilization Review jobs in Alabama are:
What are popular job titles related to Behavioral Health Utilization Review jobs in Alabama?
For Behavioral Health Utilization Review jobs in Alabama, the most frequently searched job titles are:
- Utilization Review Physician
- Flex Schedule Remote Utilization Review Nurse
- Remote Utilization Review Nurse
- Night Utilization Review Nurse
- Therapist Utilization Review Remote
- Insurance Review Nurse
- Non Exempt No Experience Utilization Management Nurse
- Senior Behavioral Health Utilization Review
- Temporary Utilization Review Nurse
- Utilization Review Specialist
What job categories do people searching Behavioral Health Utilization Review jobs in Alabama look for?
The top searched job categories for Behavioral Health Utilization Review jobs in Alabama are:
- Flex Schedule Utilization Review
- Optum Utilization Review Nurse
- Remote Chiropractic Utilization Review
- Rn Utilization Review Nurse
- Cigna Utilization Review Nurse
- Cigna Utilization Review Remote
- Lpn Utilization Review
- Lpn Utilization Review Work From Home
- Temporary Aetna Utilization Review Nurse
- Weekend Utilization Review
What cities in Alabama are hiring for Behavioral Health Utilization Review jobs?
Cities in Alabama with the most Behavioral Health Utilization Review job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 11 days ago
Prime Healthcare rating
6.4
Based on 286 frontline employees who took The Breakroom Quiz
606th of 891 rated healthcare providers
Job description
Department: Social Work Services
Shifts Available: Days
Employment Type: Full Time
Hours: 8-hour shift – 7:30am to 3:30pm
Location: Riverview Regional Medical Center – Gadsden, AL
We are seeking an Utilization Review Technician II, sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator II. The Utilization Review Technician II supports the utilization review, appeals, and denial management process by coordinating communication and tracking payer-related activity. This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals, and denials. The position also assists with payer audits, Release of Information, discharge coordination, and other departmental needs.
- Coordinate phone calls, data entry, and tracking related to authorizations, expedited reviews, appeals, and denials
- Document and track all communication attempts with insurance providers and health plans
- Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams
- Maintain accurate tracking of government and payer audits, including RAC, MAC, CERT, ADR, QIO, Medicaid, and pre/post-payment reviews
- Provide support with Release of Information, discharge coordination, and other assigned departmental duties
- High School Diploma or equivalent
- Two years of relevant experience
- Accurate alphabetic, numeric, and/or terminal-digit filing skills
- Computer data entry with 10-key, with accurate typing speed of 35 wpm
- Associates Degree or higher, preferred
- Excel skills. highly preferred
- Knowledge of terminal digit filing and medical terminology, preferred
- Knowledge of State and Federal regulatory requirements for medical staff documentation, preferred
- Completion of a medical terminology course, preferred
- Background in business and office training, preferred
Here are some of the benefits of working at Prime Healthcare:
- Health, dental, and vision insurance options
- Paid vacation, sick time and holidays
- Bereavement leave, FMLA and other leave options
- Employer 401K options
- Tuition reimbursement options
- Life, disability, and other insurance options
- Many other amazing benefits
Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/
#LI-MP1
Full Time
Days
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
What Prime Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Prime Healthcare
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Ontario, CA, US