Utilization Review Nurse
Troy, MI · On-site
... review and other utilization management activities aimed at providing Molina Healthcare members ... members including Behavioral Health and Long Term Care. Qualifications Minimum Education ...
Utilization Review Nurse
Troy, MI · On-site
... review and other utilization management activities aimed at providing Molina Healthcare members ... members including Behavioral Health and Long Term Care. Qualifications Minimum Education ...
RN Utilization Review Nurse
$33 - $37/hr
Providing utilization review for the Medicaid and Medicare line of business ... Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare. * ...
RN Utilization Review Nurse
$33 - $37/hr
Providing utilization review for the Medicaid and Medicare line of business ... Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare. * ...
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients ... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ...
... including Behavioral Health and Long Term Care. Qualifications Must be an RN Utilization Review ... background in either Managed Care of Provider environment (at least one year) Interqual experience ...
... including Behavioral Health and Long Term Care. Qualifications Must be an RN Utilization Review ... background in either Managed Care of Provider environment (at least one year) Interqual experience ...
Maintains Utilization Review files and logs in a neat, accurate and orderly form. 12. Provides ... Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ...
Maintains Utilization Review files and logs in a neat, accurate and orderly form. 12. Provides ... Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ...
Provides clinical appropriateness data (verbal and written) to outside utilization review agencies ... Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ...
Provides clinical appropriateness data (verbal and written) to outside utilization review agencies ... Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ...
Maintains Utilization Review files and logs in a neat, accurate and orderly form. 12. Provides ... Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ...
Maintains Utilization Review files and logs in a neat, accurate and orderly form. 12. Provides ... Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ...
... Utilization Review Manager. Position Description: The Utilization Manager is responsible for ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
... Utilization Review Manager. Position Description: The Utilization Manager is responsible for ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
... Utilization Review Manager. Position Description: The Utilization Manager is responsible for ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
... Utilization Review Manager. Position Description: The Utilization Manager is responsible for ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
... Utilization Review Manager. Position Description: The Utilization Manager is responsible for ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
... Utilization Review Manager. Position Description: The Utilization Manager is responsible for ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
We specialize in providing comprehensive, compassionate behavioral health services to children ... Oversee utilization management including, but not limited to: utilization review, case ...
We specialize in providing comprehensive, compassionate behavioral health services to children ... Oversee utilization management including, but not limited to: utilization review, case ...
We specialize in providing comprehensive, compassionate behavioral health services to children ... Oversee utilization management including, but not limited to: utilization review, case ...
We specialize in providing comprehensive, compassionate behavioral health services to children ... Oversee utilization management including, but not limited to: utilization review, case ...
We specialize in providing comprehensive, compassionate behavioral health services to children ... Oversee utilization management including, but not limited to: utilization review, case ...
We specialize in providing comprehensive, compassionate behavioral health services to children ... Oversee utilization management including, but not limited to: utilization review, case ...
Concurrent Review Nurse
Troy, MI · On-site
... Behavioral Health and Long Term Care. Qualifications Minimum Education/Qualifications/Licensures: Utilization Review background in either Managed Care of Provider environment (at least one year ...
Concurrent Review Nurse
Troy, MI · On-site
... Behavioral Health and Long Term Care. Qualifications Minimum Education/Qualifications/Licensures: Utilization Review background in either Managed Care of Provider environment (at least one year ...
Utilization Review Rn Travel Position We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative.
New
Utilization Review Rn Travel Position We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative.
New
Utilization Review Rn Travel Position We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative.
New
Utilization Review Rn Travel Position We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative.
New
RN - Utilization Review
Lansing, MI · On-site
Utilization Review Rn Travel Position We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative.
New
RN - Utilization Review
Lansing, MI · On-site
Utilization Review Rn Travel Position We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative.
New
... utilization review for the Medicaid and Medicare line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare Qualifications Hours for this Position:
... utilization review for the Medicaid and Medicare line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare Qualifications Hours for this Position:
Behavioral Health Utilization Review information
See Michigan salary details
$18.65 - $22.42
2% of jobs
$22.42 - $26.19
9% of jobs
$28.77 is the 25th percentile. Wages below this are outliers.
$26.19 - $29.96
21% of jobs
The median wage is $33.01 / hr.
$29.96 - $33.73
23% of jobs
$33.73 - $37.50
13% of jobs
$40.44 is the 75th percentile. Wages above this are outliers.
$37.50 - $41.28
10% of jobs
$41.28 - $45.05
8% of jobs
$45.05 - $48.82
5% of jobs
$48.82 - $52.59
5% of jobs
$52.59 - $56.36
2% of jobs
$56.36 - $60.13
2% of jobs
$18
$36
$60
How much do behavioral health utilization review jobs pay per hour?
As of May 28, 2026, the average hourly pay for behavioral health utilization review in Michigan is $36.85, according to ZipRecruiter salary data. Most workers in this role earn between $29.13 and $42.31 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 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 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.
More about Behavioral Health Utilization Review jobs
- What are the key skills and qualifications needed to thrive in the Behavioral Health Utilization Review position and why are they important?
- What is a Behavioral Health Utilization Review job?
- What types of teams do Behavioral Health Utilization Review professionals typically work with and how do they collaborate across departments?
What are the most commonly searched types of Behavioral Health Utilization Review jobs in Michigan? The most popular types of Behavioral Health Utilization Review jobs in Michigan are:
What are popular job titles related to Behavioral Health Utilization Review jobs in Michigan? For Behavioral Health Utilization Review jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Behavioral Health Utilization Review jobs in Michigan look for? The top searched job categories for Behavioral Health Utilization Review jobs in Michigan are:
What cities in Michigan are hiring for Behavioral Health Utilization Review jobs? Cities in Michigan with the most Behavioral Health Utilization Review job openings:
Job description
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Company: Molina Healthcare
Location: 880 Long Lake Rd Suite 600 Troy, Michigan 48098
Shift: Daytime hours
Employment: Contract: 1-2 months (possibility of going longer depending on business needs)
Company Job Description/Day to Day Duties:
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Molina Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines
Provider appeals and Utilization reviews and assist with Denial Letters
Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.
Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.
Participates in interdepartmental integration and collaboration to enhance the continuity of care for Molina members including Behavioral Health and Long Term Care.
Qualifications
Minimum Education/Qualifications/Licensures:
Must be an RN
Utilization Review background in either Managed Care of Provider environment (at least one year)
Interqual experience
Other basic computer skills necessary: Microsoft Office, Data Entry, etc.
Minimum 2-4 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management.
Also has a background in patient, skilled nurses facilities, rehab, and home healthcare.
Additional Information
Apply now for immediate consideration. After applying, a recruiting consultant will contact you for pre-screening. Please provide your best phone number to contact.
Thanks and look forward to hearing from you!
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003