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 ...
Utilization Reviewer
Lawrence, KS ยท On-site
$65K - $70K/yr
... behavioral health services responsive to evolving needs and changing environments. We accomplish ... Provide chart review results to program directors or managers with both aggregate program data and ...
Utilization Reviewer
Lawrence, KS ยท On-site
$65K - $70K/yr
... behavioral health services responsive to evolving needs and changing environments. We accomplish ... Provide chart review results to program directors or managers with both aggregate program data and ...
Utilization Review Registered Nurse (UR RN)
$70K - $80K/hr
UTILIZATION REVIEW REGISTERED NURSE (UR RN) Department ... Integrated Health Management Reports To: Integrated Health Management Supervisor/Manager Clinical ...
New
Quick apply
Utilization Review Registered Nurse (UR RN)
$70K - $80K/hr
UTILIZATION REVIEW REGISTERED NURSE (UR RN) Department ... Integrated Health Management Reports To: Integrated Health Management Supervisor/Manager Clinical ...
New
UTILIZATION REVIEW REGISTERED NURSE (UR RN) Department ... Integrated Health Management Reports To: Integrated Health Management Supervisor/Manager Clinical ...
UTILIZATION REVIEW REGISTERED NURSE (UR RN) Department ... Integrated Health Management Reports To: Integrated Health Management Supervisor/Manager Clinical ...
Travel Utilization Review - $2,150 per week
Lenexa, KS ยท On-site
$2.1K/wk
AMN Healthcare Revenue Cycle is seeking a travel Utilization Review for a travel job in Lenexa, Kansas. & Requirements * Specialty: Utilization Review * Discipline: Therapy * Start Date: ASAP
Travel Utilization Review - $2,150 per week
Lenexa, KS ยท On-site
$2.1K/wk
AMN Healthcare Revenue Cycle is seeking a travel Utilization Review for a travel job in Lenexa, Kansas. & Requirements * Specialty: Utilization Review * Discipline: Therapy * Start Date: ASAP
Therapist - Behavioral Health
Olathe, KS ยท On-site
$58K - $77K/yr
Works well with the interdisciplinary team including physicians, utilization review and nursing ... behavioral health hospitals, and more than 170 additional sites of care across the healthcare ...
Therapist - Behavioral Health
Olathe, KS ยท On-site
$58K - $77K/yr
Works well with the interdisciplinary team including physicians, utilization review and nursing ... behavioral health hospitals, and more than 170 additional sites of care across the healthcare ...
Therapist - Behavioral Health
Olathe, KS ยท On-site
$58K - $77K/yr
Works well with the interdisciplinary team including physicians, utilization review and nursing ... behavioral health hospitals, and more than 170 additional sites of care across the healthcare ...
Therapist - Behavioral Health
Olathe, KS ยท On-site
$58K - $77K/yr
Works well with the interdisciplinary team including physicians, utilization review and nursing ... behavioral health hospitals, and more than 170 additional sites of care across the healthcare ...
Completing Utilization Review This is a small and very cohesive program with a supportive group and ... senior behavioral healthcare. #ZR * Master's level social work or counselor license (or license ...
Completing Utilization Review This is a small and very cohesive program with a supportive group and ... senior behavioral healthcare. #ZR * Master's level social work or counselor license (or license ...
Completing Utilization Review This is a small and very cohesive program with a supportive group and ... senior behavioral healthcare. #ZR Responsibilities * Master's level social work or counselor ...
Quick apply
Completing Utilization Review This is a small and very cohesive program with a supportive group and ... senior behavioral healthcare. #ZR Responsibilities * Master's level social work or counselor ...
Completing Utilization Review This is a small and very cohesive program with a supportive group and ... senior behavioral healthcare. #ZR Responsibilities * Master's level social work or counselor ...
Quick apply
Completing Utilization Review This is a small and very cohesive program with a supportive group and ... senior behavioral healthcare. #ZR Responsibilities * Master's level social work or counselor ...
Completing Utilization Review This is a small and very cohesive program with a supportive group and ... senior behavioral healthcare. #ZR Requirements/Qualifications * Master's level social work or ...
Completing Utilization Review This is a small and very cohesive program with a supportive group and ... senior behavioral healthcare. #ZR Requirements/Qualifications * Master's level social work or ...
Completing Utilization Review This is a small and very cohesive program with a supportive group and ... senior behavioral healthcare. #ZR Requirements/Qualifications * Master's level social work or ...
Completing Utilization Review This is a small and very cohesive program with a supportive group and ... senior behavioral healthcare. #ZR Requirements/Qualifications * Master's level social work or ...
Position Title Behavioral Health Intake Coordinator (Nights) Marillac Campus Position Summary ... and utilization review. * In conjunction with nursing and youth care managers, performs bed ...
Position Title Behavioral Health Intake Coordinator (Nights) Marillac Campus Position Summary ... and utilization review. * In conjunction with nursing and youth care managers, performs bed ...
Position Title Behavioral Health Intake Coordinator (Nights) Marillac Campus Position Summary ... and utilization review. * In conjunction with nursing and youth care managers, performs bed ...
Position Title Behavioral Health Intake Coordinator (Nights) Marillac Campus Position Summary ... and utilization review. * In conjunction with nursing and youth care managers, performs bed ...
Position Title Behavioral Health Intake Coordinator (Nights) Marillac Campus Position Summary ... and utilization review. * In conjunction with nursing and youth care managers, performs bed ...
Position Title Behavioral Health Intake Coordinator (Nights) Marillac Campus Position Summary ... and utilization review. * In conjunction with nursing and youth care managers, performs bed ...
Proficient knowledge, utilization, and/or familiarity of the DSM-5/ICD-10, ability to assess mental ... For further information, please review the Know Your Rights notice from the Department of Labor.
Proficient knowledge, utilization, and/or familiarity of the DSM-5/ICD-10, ability to assess mental ... For further information, please review the Know Your Rights notice from the Department of Labor.
Therapist - Behavioral Health - PT
Hutchinson, KS ยท On-site
$52K - $69K/yr
Employee assistance program Here is a look at the full Therapist - Behavioral Health - PT ESSENTIAL ... Develop a rudimentary knowledge of utilization review to serve as back up in the LBSW's absence.
Therapist - Behavioral Health - PT
Hutchinson, KS ยท On-site
$52K - $69K/yr
Employee assistance program Here is a look at the full Therapist - Behavioral Health - PT ESSENTIAL ... Develop a rudimentary knowledge of utilization review to serve as back up in the LBSW's absence.
Therapist - Behavioral Health - PT
Hutchinson, KS ยท On-site
$52K - $69K/yr
Employee assistance program Here is a look at the full Therapist - Behavioral Health - PT ESSENTIAL ... Develop a rudimentary knowledge of utilization review to serve as back up in the LBSW's absence.
Therapist - Behavioral Health - PT
Hutchinson, KS ยท On-site
$52K - $69K/yr
Employee assistance program Here is a look at the full Therapist - Behavioral Health - PT ESSENTIAL ... Develop a rudimentary knowledge of utilization review to serve as back up in the LBSW's absence.
As a Behavioral Health Consultant for Swope Health Services Wyandotte Clinic , you will be apart of ... Proficient knowledge, utilization, and/or familiarity of the DSM-5/ICD-10, ability to assess mental ...
As a Behavioral Health Consultant for Swope Health Services Wyandotte Clinic , you will be apart of ... Proficient knowledge, utilization, and/or familiarity of the DSM-5/ICD-10, ability to assess mental ...
Be Seen First
Behavioral Health Technician
Leawood, KS ยท On-site
$22 - $30/hr
Behavioral Health Technician Location: Overland Park, KS Full-Time | Monday - Friday Competitive ... Conduct chart reviews and maintain accurate electronic medical records. Compliance & Clinic ...
Quick apply
Be Seen First
Behavioral Health Technician
Leawood, KS ยท On-site
$22 - $30/hr
Behavioral Health Technician Location: Overland Park, KS Full-Time | Monday - Friday Competitive ... Conduct chart reviews and maintain accurate electronic medical records. Compliance & Clinic ...
Behavioral Health Utilization Review information
See Kansas salary details
$19.08 - $22.94
2% of jobs
$22.94 - $26.80
9% of jobs
$29.44 is the 25th percentile. Wages below this are outliers.
$26.80 - $30.66
21% of jobs
The median wage is $33.78 / hr.
$30.66 - $34.52
23% of jobs
$34.52 - $38.38
13% of jobs
$41.38 is the 75th percentile. Wages above this are outliers.
$38.38 - $42.23
10% of jobs
$42.23 - $46.09
8% of jobs
$46.09 - $49.95
5% of jobs
$49.95 - $53.81
5% of jobs
$53.81 - $57.67
2% of jobs
$57.67 - $61.53
2% of jobs
$19
$37
$61
How much do behavioral health utilization review jobs pay per hour?
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 Kansas?
The most popular types of Behavioral Health Utilization Review jobs in Kansas are:
What are popular job titles related to Behavioral Health Utilization Review jobs in Kansas?
For Behavioral Health Utilization Review jobs in Kansas, the most frequently searched job titles are:
What job categories do people searching Behavioral Health Utilization Review jobs in Kansas look for?
The top searched job categories for Behavioral Health Utilization Review jobs in Kansas are:
What cities in Kansas are hiring for Behavioral Health Utilization Review jobs?
Cities in Kansas with the most Behavioral Health Utilization Review job openings:

RN Case Manager - Behavioral Health Utilization Review
Goddard, KS โข On-site
Other
This job post hasย expired today.ย Applications are no longer accepted.
Job description
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 healthcare providers and members to evaluate patient needs and benefit requirements, ensuring optimal resource use. You will manage patient cases within the behavioral health unit, reviewing medical necessity for admissions, continued stays, and services.
Essential Responsibilities:
- Assess patient situations and conduct reviews to ensure compliance with eligibility, benefits, policies, and contracts.
- Manage appeals and coordinate comprehensive reviews of medical records to verify accurate admission and diagnosis information.
- Promote improved quality of care and support reduced hospital stays when safe and appropriate.
- Advise pre-certification staff and maintain records and reports related to non-clinical activities.
- Coordinate with insurance companies to secure authorizations for behavioral health services, ensuring adherence to payer requirements and facility standards.
- Maintain thorough documentation of utilization review activities, including clinical justifications and authorization requests.
- Assist with triage screenings for incoming behavioral health patients to determine immediate care needs and facilitate timely care delivery.
- Provide psychosocial support to patients and families, addressing emotional, social, and financial barriers.
- Serve as a liaison between healthcare teams and patients/families to ensure smooth care transitions.
- Support discharge planning processes when needed, ensuring safe and appropriate discharge plans.
- Conduct safety assessments and make protective reports for adults and children as indicated.
- Participate in ongoing professional development and mandatory training, including de-escalation techniques.
- Adhere to privacy and security regulations regarding Protected Health Information (PHI).
- Maintain effective communication and professional relationships with patients, team members, physicians, and external agencies.
- Graduate of a nursing or Bachelor of Social Work (BSW) program.
- Experience in behavioral health settings, particularly crisis management and inpatient care.
- Current licensure as a Registered Nurse (RN) or BSW in the relevant state.
- Current Basic Life Support (BLS) certification from American Heart Association or American Red Cross within 30 days of hire.
- De-escalation training required within six months of start date.
- Experience in utilization review, insurance coordination, and interdisciplinary team collaboration.
- Advanced degrees such as BSN or MSW are a plus.
- Strong collaboration skills with interdisciplinary teams to ensure high-quality care.
- Familiarity with community resources, mental health services, and post-acute care.
- Basic computer proficiency and experience documenting in electronic health records.
- Ability to multitask, prioritize, and communicate effectively.
Physical Requirements: Medium work involving occasional exertion up to 50 lbs and frequent standing or walking (26-50% of the day).
This position offers a competitive salary and benefits package, providing a meaningful opportunity to impact behavioral health care in a supportive regional healthcare environment.
About McCall and Lee
Sourced by ZipRecruiter
McCall and Lee is a well-known and reputable company, headquartered in Austin, Texas, United States. Operating in the healthcare industry, their primary services center around professional recruiting and executive search. They cater to the needs of various levels of medical practitioners and executive positions for healthcare establishments. McCall and Lee is founded on the premise of filling healthcare vacancies with the most suitable and competent professionals to ensure top-quality medical service delivery. Their core value revolves around integrity, excellence, commitment, and customer satisfaction.
Industry
Recruiting and staffing services and human resources consulting services
Company size
11 - 50 Employees
Headquarters location
Austin, TX, US