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Behavioral Health Utilization Review Jobs in Delaware

RN Admissions Part Time

New Castle, DE · On-site

$39.53 - $43.66/hr

MeadowWood Behavioral Health, a 120 bed treatment center providing services to adults and ... utilization review processes to assure continuity for the most appropriate level of care for ...

$85K - $137K/yr

UTILIZATION MANAGEMENT * Performs admission and concurrent review to identify medical necessity ... Reviews the admission assessment and collaborates with primary nurse and other health care ...

RN Admissions Part Time

New Castle, DE · On-site

$39.53 - $43.66/hr

MeadowWood Behavioral Health, a 120 bed treatment center providing services to adults and ... utilization review processes to assure continuity for the most appropriate level of care for ...

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Behavioral Health Utilization Review information

See Delaware salary details

$21

$42

$69

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

As of Jul 27, 2026, the average hourly pay for behavioral health utilization review in Delaware is $42.32, according to ZipRecruiter salary data. Most workers in this role earn between $33.46 and $48.61 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.

What are the most commonly searched types of Behavioral Health Utilization Review jobs in Delaware? The most popular types of Behavioral Health Utilization Review jobs in Delaware are:
What cities in Delaware are hiring for Behavioral Health Utilization Review jobs? Cities in Delaware with the most Behavioral Health Utilization Review job openings:
Infographic showing various Behavioral Health Utilization Review job openings in Delaware as of July 2026, with employment types broken down into 1% Internship, 1% As Needed, 75% Full Time, 22% Part Time, and 1% Temporary. Highlights an 98% In-person, 1% Hybrid, and 1% Remote job distribution, with an average salary of $88,022 per year, or $42.3 per hour.
Behavioral Health Case Manager II

Behavioral Health Case Manager II

State of Delaware

New Castle, DE • On-site

$48K/yr

Other

Posted 11 days ago


State Of Delaware rating

7.9

Company rating: 7.9 out of 10

Based on 80 frontline employees who took The Breakroom Quiz

13th of 50 rated states


Job description

Introduction
Make a Difference with DHSS
Our mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. We prioritize personal and family independence by assisting individuals and families in a variety of life areas.
We offer numerous career opportunities and are dedicated to attracting and retaining highly talented individuals who are ready to make a difference in their community today. DHSS is a great place to kick-start your profession.
For more information, please visit https://dhss.delaware.gov/dhss/ today!
Summary Statement
Coordinates behavioral health services for individuals with mental health and/or substance use disorders through assessment, care coordination, utilization review, case management, referral, and transition planning. Collaborates with hospitals, providers, community agencies, and internal staff to ensure timely access to appropriate services while maintaining accurate documentation and compliance with program requirements.
Essential Functions
Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, employees can complete job duties of a similar kind not specifically listed here.
This class is distinguished from a licensed Social Worker as employees do not perform the following duties: diagnose individuals for mental, emotional, behavioral, addictive, and/or developmental disorders and disabilities; perform related client assessment or evaluation; provide psychotherapeutic treatment; or develop and implement assessment-based treatment plans. An employee in this class may participate as a member of a multi-disciplinary team to implement behavioral health services or treatment plans in accordance with Delaware Code, Title 24.
  • Interviews clients, family members or any other persons deemed necessary to obtain the most complete case history possible.
  • Provides guidance and relevant information to the client's family to enable them to facilitate solutions and promote positive interactions among family members.
  • Evaluates information derived from client interviews, case history, and other pertinent sources and refers to proper channels for review.
  • Prepares narrative, statistical reports and court reports as necessary.
  • Provides input as a member of a multi-disciplinary team in the assessment of client human service needs and treatment planning, enabling the most beneficial placement in foster care, day care, nursing home, drug/alcohol rehabilitation or other special care facility.
  • Prepares necessary forms of application for services or benefits. Contacts appropriate social agencies and coordinates referrals.
  • Appears at court proceedings as required testifying to the social and environmental issues affecting the client.
  • Provides technical guidance to organizations and staff regarding findings related to client care or provides consultation to other caregiving agencies.
  • Provides consultative services to state and private agencies; may participate in community projects.
  • Advocates for clients and families in the protection of rights; obtains consent for treatment.
  • Uses automated information systems and computer software to research, review, evaluate, and report on health/human service data.
  • May lead paraprofessional, professional or administrative support staff by assigning, monitoring, and reviewing work and providing on-the-job training, guidance, and direction.
  • Communicates and interacts effectively with people across cultures, ranges of ability, genders, ethnicities, ages, and races.
  • Performs other related duties as required.

Job Requirements
JOB REQUIREMENTS for Behavioral Health Case Manager II
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:
  1. Possession of a Bachelor's degree or higher in Behavioral or Social Science or related field.
  2. Six months' experience in case management which includes assessing, planning, developing, implementing, monitoring, and evaluating options and services to meet an individual's human service needs.
  3. Six months' experience in providing clinical treatment, counseling or determining eligibility for services or benefits as part of a treatment team.
  4. Six months' experience in interpreting laws, rules, regulations, standards, policies, and procedures.
  5. Six months' experience in narrative report writing.

Conditions of Hire
All new hires are required to report to the Statewide New Employee Orientation (SNEO) on their first day of employment. Sessions are held at designated locations in Kent or New Castle County.
Applicants must be legally authorized to work in the United States. The State of Delaware participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our Job Seeker Resources.
DHSS does not provide employment-based sponsorship.
Benefits
To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/
Selection Process
The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties. For education and training, list name of educational provider, training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.
Once you have submitted your application on-line, all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the "My Applications" tab at StateJobs.Delaware.gov.
Accommodations
Accommodations are available for applicants with disabilities in all phases of the application and employment process.
Individuals who use TDD may request auxiliary aid or service by calling (800) 232-5470 or by visiting delawarerelay.com.
If you need assistance with an accommodation under the Americans with Disabilities Act (ADA) or general applicant support, you may call (302) 739-5458 or email jobs@delaware.gov.
The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.

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