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Behavioral Health Utilization Review Jobs in Ohio

Nationwide Children's Hospital

Reviews behavioral health cases to determine medical necessity and appropriateness of care ... Conducts utilization reviews of behavioral health cases to determine medical necessity ...

Sevita

Utilization Review Specialist

Akron, OH · On-site

$40K/yr

Sevita is a leading provider of home and community-based specialized health care. We believe that ... or behavioral challenges they face. We've made this our mission for more than 50 years. And today ...

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All JobsBehavioral Health Utilization Review JobsBehavioral Health Utilization Review Jobs in Ohio

Behavioral Health Utilization Review information

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$20

$40

$65

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

As of Aug 10, 2026, the average hourly pay for behavioral health utilization review in Ohio is $40.20, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.15 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 Ohio? The most popular types of Behavioral Health Utilization Review jobs in Ohio are:
What are popular job titles related to Behavioral Health Utilization Review jobs in Ohio? For Behavioral Health Utilization Review jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Behavioral Health Utilization Review jobs in Ohio look for? The top searched job categories for Behavioral Health Utilization Review jobs in Ohio are:
What cities in Ohio are hiring for Behavioral Health Utilization Review jobs? Cities in Ohio 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 Ohio as of August 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 100% In-person job distribution, with an average salary of $83,610 per year, or $40.2 per hour.

Utilization Review RN, Behavioral Health

Trinity Health System

Steubenville, OH • On-site

Part-time

Re-posted 10 days ago

Job description

JOB SUMMARY
  • Performs the four key functions of case management: Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating appropriate length of stay and reimbursement for all hospital admissions. Promotes quality care through collaboration with all team members.

QUALIFICATIONS
  • Education
    • Registered Nurse; Licensure: Ohio Nursing License.
  • Training and Experience
    • 3 years clinical nursing experience in an acute care setting preferred. Ability to assess medical necessity and progress by chart review.
    • Preferred: Certification in Case Management. Computer literacy including operation and software application. Experience in utilization review, discharge planning, case management, or quality improvement.
  • Health and Background Requirements
    • Employment contingent upon successful completion of:
      • Physical
      • Background Check
    • Must be physically able to perform all job duties as assigned.

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