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Behavioral Health Utilization Review Jobs in Rhode Island

Bcbsri

Case Manager - Behavioral Health

Providence, RI · On-site +1

$73K - $110K/yr

Manage members through the behavioral healthcare delivery system; assess needs in order to identify ... Collaborate with the Utilization Review process including pre-authorization, concurrent review ...

Bcbsri

Case Manager - Behavioral Health

Providence, RI · On-site +1

$73K - $110K/yr

Behavioral Health Care Manager will direct and coordinate the beneficiary's care. Complete the ... Collaborate with the Utilization Review process including pre-authorization, concurrent review ...

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All JobsBehavioral Health Utilization Review JobsBehavioral Health Utilization Review Jobs in Rhode Island

Behavioral Health Utilization Review information

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$20

$41

$67

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

As of Aug 30, 2026, the average hourly pay for behavioral health utilization review in Rhode Island is $41.41, according to ZipRecruiter salary data. Most workers in this role earn between $32.74 and $47.55 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 Rhode Island?

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

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

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

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

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

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

Cities in Rhode Island 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 Rhode Island as of August 2026, with employment types broken down into 2% As Needed, 75% Full Time, 17% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $86,127 per year, or $41.4 per hour.

Behavioral Health Intake and Utilization Review Coordinator

CharterCARE of Rhode Island

Providence, RI

Full-time

Re-posted 12 days ago

Job description

Summary: The Behavioral Health Intake and Utilization Review Coordinator is responsible for bed management, reviewing intake assessments, verifying clinical appropriateness for services, coordinating admissions, and overseeing utilization review activities to ensure timely access to care and appropriate resource utilization. This role is actively involved with communicating with other community hospitals and Emergency Departments and will also facilitate outside admissions to our services to maximize hospital census. This role ensures adherence to regulatory and payer requirements while serving as a key liaison between patients, providers, and insurance carriers. 

Education: Bachelor’s degree Nursing required. Master’s degree preferred. 

Experience: Minimum 2–3 years of experience in behavioral health, preferably in intake or utilization review roles. 

License:  RI RN License required. 

Skills and Qualifications: 

  • Strong clinical assessment and diagnostic skills. 

  • Working knowledge of behavioral health levels of care and medical necessity criteria (e.g., MCG, InterQual). 

  • Familiarity with insurance authorization processes and managed care systems. 

  • Excellent organizational, communication, and interpersonal skills. 

  • Proficiency in EHR and Microsoft Office Suite. 

Working Conditions, Physical Environment and/or Safety Requirements: Lifting up to 30 lbs. and occasionally lifting and/or carrying such articles as files, books, etc. Involves sitting, walking, stooping, and reaching. However, as necessary, must be able to meet the physical requirements for staff level positions in the department(s).  

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