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Behavioral Health Utilization Review Jobs in Alabama

Workplace Options

Care Coordinator

Birmingham, AL · On-site

$18 - $24.25/hr

Workplace Options is proud to support our sister organization, Behavioral Health Systems (BHS), in ... Participate in utilization review and quality assurance activities, as directed. Coordinate U.R ...

Workplace Options

Care Coordinator

Birmingham, AL · On-site

$18 - $24.25/hr

Workplace Options is proud to support our sister organization, Behavioral Health Systems (BHS), in ... Participate in utilization review and quality assurance activities, as directed. Coordinate U.R ...

Workplace Options

Care Coordinator

Birmingham, AL · On-site

$18 - $24.25/hr

Workplace Options is proud to support our sister organization, Behavioral Health Systems (BHS), in ... Participate in utilization review and quality assurance activities, as directed. Coordinate U.R ...

Bannerhealth

Behavioral Health Specialist

Webb, AL · On-site

As a Behavioral Health Specialist you will focus on safety checks, assisting in ADL's, Milieu ... Reviews and participates in implementation of the patient treatment plan. Makes rounds and monitors ...

Adoration Health

Behavioral Health Nurse

Moulton, AL · On-site

Our Company Adoration Health Overview The Behavioral Health Nurse is a licensed professional who ... Conducts comprehensive medication reviews and ensures patients and their caregivers, if any ...

Adoration Health

Behavioral Health Nurse

Decatur, AL · On-site

Our Company Adoration Health Overview The Behavioral Health Nurse is a licensed professional who ... Conducts comprehensive medication reviews and ensures patients and their caregivers, if any ...

Adoration Health

Behavioral Health Nurse

Moulton, AL · On-site

Our Company Adoration Health Overview The Behavioral Health Nurse is a licensed professional who ... Conducts comprehensive medication reviews and ensures patients and their caregivers, if any ...

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Behavioral Health Utilization Review information

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$62

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

As of Sep 3, 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:

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:

What cities in Alabama are hiring for Behavioral Health Utilization Review jobs?

Cities in Alabama with the most Behavioral Health Utilization Review job openings:

Behavioral Health Utilization Review jobs near you
Infographic showing various Behavioral Health Utilization Review job openings in Alabama as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $79,714 per year, or $38.3 per hour.

RN - Registered Nurse - Utilization Review - PRN Days

St. Vincent's Health System

Birmingham, AL • On-site

Other

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

Position Overview

Provide health care services regarding admissions, case management, discharge planning and utilization review.

Review admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provide case management and/or consultation for complex cases.

Assist departmental staff with issues related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals.

Assess and coordinate discharge planning needs with healthcare team members.

May prepare statistical analysis and utilization review reports as necessary.

Oversee and coordinate compliance to federally mandated and third party payer utilization management rules and regulations.

Licensure / Certification / Registration:

Licensed Associate Professional Registered Nurse credentialed from the Alabama Board of Nursing obtained prior to hire date or job transfer date required.

Education:

Diploma from an accredited school/college of nursing and required professional licensure at time of hire.

One Year of Experience is required.

About UAB St. Vincent's

UAB St. Vincent's, a proud part of UAB Medicine, is a trusted provider of health care, serving Alabama for more than 125 years. With five hospitals and numerous clinics, we're a health care community deeply rooted in compassion, service, and respect for all, guided by the rich legacy of the St. Vincent's name. We're committed to extending kindness and personalized care to patients, their families, and each other. We address the physical, psychological, social, and spiritual needs of our patients. We believe in the power of teamwork and unity, and foster a collaborative spirit among our more than 4,800 employees. As one of Alabama's best hospitals as recognized by U.S. News & World Report, improving the health and lives of those we serve is at the heart of our mission. Join us in continuing our legacy of service and healing in central Alabama, where we can make a lasting impact together.

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