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Behavioral Health Utilization Review Jobs in Kentucky

Phenom People

RN Utilization Review PRN

Paris, KY · On-site

PRN, RN - Utilization Review Making Communities Healthier with Comprehensive Care... You can get to know who we are and what truly makes us different by our mission, 'Making Communities Healthier'

UHS

UR COORDINATOR (RN OR MSW)

Hopkinsville, KY · On-site

... health care team each year at Cumberland Hall Hospital. Website: The Utilization Review Coordinator ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...

UHS

UR COORDINATOR (RN OR MSW)

Hopkinsville, KY · On-site

... health care team each year at Cumberland Hall Hospital. Website: The Utilization Review Coordinator ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...

UHS

Utilization Coordinator PRN

Louisville, KY · On-site

$20/hr

... Review Coordinator to join our team. Hourly pay: $20 Since 1985 The Brook Hospital has been ... The Brook Hospital will strive to set the standard for excellence in the field of behavioral health ...

UHS

Utilization Coordinator PRN

Louisville, KY

$20/hr

... Review Coordinator to join our team. Hourly pay: $20 Since 1985 The Brook Hospital has been ... The Brook Hospital will strive to set the standard for excellence in the field of behavioral health ...

AbsoluteCARE Medical Center & Pharmacy

$150 - $210/hr

... behavioral health clinicians, UM nurses, and community health workers. - Foster a culture of ... Certification in Case Management (CCM), Utilization Review Accreditation Commission (URAC), or ...

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All JobsBehavioral Health Utilization Review JobsBehavioral Health Utilization Review Jobs in Kentucky

Behavioral Health Utilization Review information

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$18

$36

$59

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

As of Aug 25, 2026, the average hourly pay for behavioral health utilization review in Kentucky is $36.72, according to ZipRecruiter salary data. Most workers in this role earn between $29.04 and $42.16 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 Kentucky?

The most popular types of Behavioral Health Utilization Review jobs in Kentucky are:

What are popular job titles related to Behavioral Health Utilization Review jobs in Kentucky?

For Behavioral Health Utilization Review jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Behavioral Health Utilization Review jobs in Kentucky look for?

The top searched job categories for Behavioral Health Utilization Review jobs in Kentucky are:

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

Cities in Kentucky 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 Kentucky as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 12% Part Time, 7% Temporary, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $76,384 per year, or $36.7 per hour.

RN Utilization Review PRN

Phenom People

Paris, KY • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

Job description

PRN, RN - Utilization Review

Making Communities Healthier with Comprehensive Care...

You can get to know who we are and what truly makes us different by our mission, 'Making Communities Healthier'. As health care evolves, Bourbon Community Hospital is transforming patient safety and quality care - pushing the limits and paving the way to establish new practices and set new standards. We believe in putting the patient at the center of everything we do. We are developing the most innovative patient experiences with our constant investment in continuing education and leadership development programs.

We want you on our team...Bourbon Community Hospital located in Paris, a 20 minute drive from Lexington, KY is searching for a PRN, RN - Utilization Review, who monitors adherence to the hospital's utilization review plan to ensure appropriate use of hospital services, hospital admissions and extended hospital stays.

We are committed to serving the needs of our community and our region with exceptional quality and we are passionately focused on our patients. We consider quality more than just a set of criteria. It is a way of life for Bourbon Community, encompassing everything we do. This is an exciting time to join our team as we continue to grow and expand with new services.

At Bourbon Community, we believe in building careers. That is why we offer an excellent tuition reimbursement program, competitive pay, a generous paid time off program, flexible spending account plan, choice of health insurance plans, dental, vision, life, disability plans, discounts in our café and various discounts in our community, traditional and Roth 401 (k) plans with a match, and free parking on our beautiful campus.

Simply put, our employees are the heart and soul of our organization.

Essential functions of position include, but are not limited to:

  • Establishes and maintains efficient methods of ensuring the medical necessity and appropriateness of all hospital admissions.
  • Performs concurrent reviews for patients to ensure that extended stays are medically justified and are so documented in patient's medical records.
  • Calculates the lengths of stay and continued-stay days for patients.
  • Maintains a liaison with the Social Service Department to facilitate timely discharge planning.

Minimum Education

Associate's degree - Required

Bachelor's degree - Preferred

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Certifications:

Handle With Care

Licenses:

RN in the state of Kentucky

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

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