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Behavioral Health Utilization Review Jobs in Nevada

Acadia Healthcare

Director of Utilization

Henderson, NV · On-site

Overview Seven Hills is a behavioral health hospital serving juveniles, adolescents, adults and ... Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ...

Global Force

Utilization Review Nurse

Las Vegas, NV · On-site

About the job Utilization Review Nurse Sign on bonus may apply up to $15,000 Position Summary ... Joint Commission Accredited Health care Organizations standards, state statutes governing hospital ...

MNCP Staffing

Utilization Review Nurse

Las Vegas, NV · On-site

Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance ... Joint Commission Accredited Health care Organizations standards, state statutes governing hospital ...

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Behavioral Health Utilization Review information

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

As of Aug 19, 2026, the average hourly pay for behavioral health utilization review in Nevada is $43.06, according to ZipRecruiter salary data. Most workers in this role earn between $34.04 and $49.42 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 Nevada?

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

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

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

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

Behavioral Health Utilization Review jobs near you
Infographic showing various Behavioral Health Utilization Review job openings in Nevada as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $89,556 per year, or $43.1 per hour.

Utilization Review Specialist

Desert Parkway Behavioral Healthcare Hospital

Las Vegas, NV • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

We are looking for a detailed-oriented Utilization Review (UR) Specialist to help us maximize patient care quality and ensure seamless insurance operations.

The UR Specialist evaluates patient medical records to ensure treatments meet clinical necessity and regulatory standards. You will serve as the primary bridge between our medical staff and insurance providers, facilitating timely care approvals and minimizing claim denials.

Other responsibilities include retrieving discharge documents on a daily basis from charts, faxing when applicable, and retrieving authorizations.

KEY RESPONSIBILITIES:

  • Evaluate outpatient charts against established clinical criteria.
  • Submit and track insurance authorization requests.
  • Draft and submit clinical appeals for denied services.
  • Communicate directly with insurance medical directors and case managers.
  • Advise physicians and clinical staff on documentation requirements.
  • Monitor utilization trends, denial rates, and approval timelines.
  • Ensure adherence to Medicare, Medicaid, and private payer guidelines.
  • Hours are Monday - Friday from 8:00am - 4:30pm

Requirements

  • Current LPN, RN or other Clinical Licensure and/or master’s degree required.
  • Minimum two (2) years of clinical experience, with 1+ years in utilization review or case management required
  • Knowledge of Nevada Payors required
  • Previous experience working in behavioral healthcare strongly preferred
  • Strong Microsoft word and excel skills required
  • Maintains confidentiality of patients at all times

Benefits

Eligible for benefits 1st of the month following one month of employment.

Desert Parkway offers competitive benefits to include:

  • Health insurance
  • Vision insurance
  • Dental insurance
  • 401K Retirement Plan
  • Healthcare spending account
  • Dependent care spending account
  • PTO Plan with holiday premium pay
  • Discounted cafeteria meal plan
  • Life insurance (Supplemental Life, Term and Universal plans are also available)
  • Short- and long-term disability (with additional buy-in opportunities)