Falls Church, VA · On-site
$40K - $45K/yr
... behavioral health organizations in the country. We are thrilled to expand our exceptionally ... Chart and communicate with our utilization review department regarding initial insurance ...
Falls Church, VA · On-site
$40K - $45K/yr
... behavioral health organizations in the country. We are thrilled to expand our exceptionally ... Chart and communicate with our utilization review department regarding initial insurance ...
... reviewers and hospital administration to help patients receive the proper hospital care that they ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
... reviewers and hospital administration to help patients receive the proper hospital care that they ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
... reviewers and hospital administration to help patients receive the proper hospital care that they ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
... reviewers and hospital administration to help patients receive the proper hospital care that they ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
... reviewers and hospital administration to help patients receive the proper hospital care that they ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
... reviewers and hospital administration to help patients receive the proper hospital care that they ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
... reviewers and hospital administration to help patients receive the proper hospital care that they ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
... reviewers and hospital administration to help patients receive the proper hospital care that they ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
The Utilization Review RN Case Manager applies knowledge of medical necessity criteria and ... Augusta Health Fitness Reimbursement Program * Onsite credit union * Employee discounts including ...
The Utilization Review RN Case Manager applies knowledge of medical necessity criteria and ... Augusta Health Fitness Reimbursement Program * Onsite credit union * Employee discounts including ...
Hot Springs, VA · On-site
$30 - $39.78/hr
Behavioral Health Position Summary The Licensed Clinical Social Worker (LCSW) or Licensed ... Participate in department meetings, case reviews, and required trainings * Support quality ...
Hot Springs, VA · On-site
$30 - $39.78/hr
Behavioral Health Position Summary The Licensed Clinical Social Worker (LCSW) or Licensed ... Participate in department meetings, case reviews, and required trainings * Support quality ...
Mclean, VA · On-site
$19 - $22/hr
When we review candidate information, we are looking for the best matches for the position based on ... Behavioral Health Tech (BHT) is responsible for assisting and supporting patients through the ...
Mclean, VA · On-site
$19 - $22/hr
When we review candidate information, we are looking for the best matches for the position based on ... Behavioral Health Tech (BHT) is responsible for assisting and supporting patients through the ...
Roanoke, VA · On-site
... Tandem Behavioral Health. This role ensures compliance with all federal, state, and local ... Provide oversight to Utilization Review Specialist Workflow * Input authorization approvals into ...
Roanoke, VA · On-site
... Tandem Behavioral Health. This role ensures compliance with all federal, state, and local ... Provide oversight to Utilization Review Specialist Workflow * Input authorization approvals into ...
... Tandem Behavioral Health. This role ensures compliance with all federal, state, and local ... Provide oversight to Utilization Review Specialist Workflow * Input authorization approvals into ...
... Tandem Behavioral Health. This role ensures compliance with all federal, state, and local ... Provide oversight to Utilization Review Specialist Workflow * Input authorization approvals into ...
Roanoke, VA · On-site
... Tandem Behavioral Health. This role ensures compliance with all federal, state, and local ... Provide oversight to Utilization Review Specialist Workflow * Input authorization approvals into ...
Quick apply
Roanoke, VA · On-site
... Tandem Behavioral Health. This role ensures compliance with all federal, state, and local ... Provide oversight to Utilization Review Specialist Workflow * Input authorization approvals into ...
Mclean, VA · On-site
$85K - $100K/yr
If you are interested in a challenging and rewarding career in the behavioral health field, the ... Participates in the utilization review process and communicates with the nursing team on related ...
Mclean, VA · On-site
$85K - $100K/yr
If you are interested in a challenging and rewarding career in the behavioral health field, the ... Participates in the utilization review process and communicates with the nursing team on related ...
Virginia Beach, VA · On-site
$65 - $68/hr
... behavioral health staff. * Strong auditing, analytical, and documentation review skills. * Excellent written and verbal communication skills. Preferred * Experience in quality assurance, utilization ...
Virginia Beach, VA · On-site
$65 - $68/hr
... behavioral health staff. * Strong auditing, analytical, and documentation review skills. * Excellent written and verbal communication skills. Preferred * Experience in quality assurance, utilization ...
Virginia Beach, VA · Hybrid
$65K - $68K/yr
... behavioral health staff. * Strong auditing, analytical, and documentation review skills. * Excellent written and verbal communication skills. Preferred * Experience in quality assurance, utilization ...
Virginia Beach, VA · Hybrid
$65K - $68K/yr
... behavioral health staff. * Strong auditing, analytical, and documentation review skills. * Excellent written and verbal communication skills. Preferred * Experience in quality assurance, utilization ...
Emporia, VA · Hybrid
$65K - $68K/yr
... behavioral health staff. * Strong auditing, analytical, and documentation review skills. * Excellent written and verbal communication skills. Preferred * Experience in quality assurance, utilization ...
Emporia, VA · Hybrid
$65K - $68K/yr
... behavioral health staff. * Strong auditing, analytical, and documentation review skills. * Excellent written and verbal communication skills. Preferred * Experience in quality assurance, utilization ...
$35.43 - $54.21/hr
The Utilization Review RN Case Manager applies knowledge of medical necessity criteria and ... Augusta Health Fitness Reimbursement Program * Onsite credit union * Employee discounts including ...
$35.43 - $54.21/hr
The Utilization Review RN Case Manager applies knowledge of medical necessity criteria and ... Augusta Health Fitness Reimbursement Program * Onsite credit union * Employee discounts including ...
Dumfries, VA · On-site
$79K - $107K/yr
Maintains awareness of evolving behavioral health regulations, payer requirements, and best ... Experience with Medicaid-funded services, utilization review, accreditation standards, and state ...
Dumfries, VA · On-site
$79K - $107K/yr
Maintains awareness of evolving behavioral health regulations, payer requirements, and best ... Experience with Medicaid-funded services, utilization review, accreditation standards, and state ...
Dumfries, VA · On-site
$125K - $135K/yr
About Mainspring Recovery Mainspring Recovery is a mission-driven behavioral health organization ... Collaborates with nursing, medical, operations, admissions, utilization review, and executive ...
Dumfries, VA · On-site
$125K - $135K/yr
About Mainspring Recovery Mainspring Recovery is a mission-driven behavioral health organization ... Collaborates with nursing, medical, operations, admissions, utilization review, and executive ...
Virginia State University, VA · On-site
$66 - $93/hr
Develop individualized treatment plans and treatment reviews based upon the individual's needs ... Maximize access to care and effective utilization of care by focusing on improving coping ...
Virginia State University, VA · On-site
$66 - $93/hr
Develop individualized treatment plans and treatment reviews based upon the individual's needs ... Maximize access to care and effective utilization of care by focusing on improving coping ...
Falls Church, VA · On-site
$99 - $149/hr
Behavioral Health Manager - Adult Inpatient Dominion Hospital | Falls Church, VA Position Type ... Annual performance reviews * Support for personal well-being (EAP programs, mental health resources)
Falls Church, VA · On-site
$99 - $149/hr
Behavioral Health Manager - Adult Inpatient Dominion Hospital | Falls Church, VA Position Type ... Annual performance reviews * Support for personal well-being (EAP programs, mental health resources)
$21.21 - $25.50
2% of jobs
$25.50 - $29.79
9% of jobs
$32.73 is the 25th percentile. Wages below this are outliers.
$29.79 - $34.08
21% of jobs
The median wage is $37.55 / hr.
$34.08 - $38.37
23% of jobs
$38.37 - $42.66
13% of jobs
$46 is the 75th percentile. Wages above this are outliers.
$42.66 - $46.95
10% of jobs
$46.95 - $51.24
8% of jobs
$51.24 - $55.53
5% of jobs
$55.53 - $59.82
5% of jobs
$59.82 - $64.11
2% of jobs
$64.11 - $68.40
2% of jobs
$21
$41
$68
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.
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.
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.
The most popular types of Behavioral Health Utilization Review jobs in Virginia are:
For Behavioral Health Utilization Review jobs in Virginia, the most frequently searched job titles are:
The top searched job categories for Behavioral Health Utilization Review jobs in Virginia are:
Cities in Virginia with the most Behavioral Health Utilization Review job openings:
$40K - $45K/yr
Full-time
Posted 16 days ago
As the largest provider of PHP/IOP programs and psychiatric services in Illinois, Compass Health Center is one of the fastest-growing behavioral health organizations in the country. We are thrilled to expand our exceptionally innovative and highly distinguished programs that redefine our industry and raise the standard for comprehensive care.
Launching in early 2027, our newest location in Falls Church, VA, will be home to top local talent in behavioral health care. This interdisciplinary team of trailblazers will build our adolescent and adult programs from the ground up alongside the leadership of well-established clinicians and doctors working in PHP/IOP behavioral health care for the past decade.
As we prepare to open our Falls Church facility, we are seeking an Intake Therapist to help guide our patients in taking their first steps towards healing. If you are passionate about supporting patients through a fundamental part of their personal journey here at Compass, while being an expert on compatible programs and resources, you would be a great addition to our team.
Please note that this role is set to start in early December and will consist of 10 weeks of training prior to launching for patients, and will be 100% onsite at our Falls Church location.
What You'll Do:
Who You Are:
Sourced by ZipRecruiter
Offices of mental health practitioners
201 - 500 Employees
Chicago, IL, US
2011
