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Behavioral Health Utilization Review Jobs in Baton Rouge, LA

Humana

Compliance UM Nurse (Wed - Sun)

Baton Rouge, LA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Become a part of our caring community The Compliance Nurse 2 reviews utilization management ... Health Plan experience?? Additional Information ? ? * This position is within a department ...

Integrated Resources INC

Case Manager 3

Baton Rouge, LA

$19.25 - $24.75/hr

The Behavioral Health Concurrent Review Clinician utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking ...

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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 12, 2026, the average hourly pay for behavioral health utilization review in Baton Rouge, LA is $40.60, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $46.63 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 Baton Rouge, LA? The most popular types of Behavioral Health Utilization Review jobs in Baton Rouge, LA are:
What are popular job titles related to Behavioral Health Utilization Review jobs in Baton Rouge, LA? For Behavioral Health Utilization Review jobs in Baton Rouge, LA, the most frequently searched job titles are:
What job categories do people searching Behavioral Health Utilization Review jobs in Baton Rouge, LA look for? The top searched job categories for Behavioral Health Utilization Review jobs in Baton Rouge, LA are:
What cities near Baton Rouge, LA are hiring for Behavioral Health Utilization Review jobs? Cities near Baton Rouge, LA 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 Baton Rouge, LA as of August 2026, with employment types broken down into 72% Full Time, 25% Part Time, and 3% Contract. Highlights an 89% In-person, 3% Hybrid, and 8% Remote job distribution, with an average salary of $84,449 per year, or $40.6 per hour.

Drug Utilization Review (DUR) Pharmacist - Remote

Pharmacy Careers

Baton Rouge, LA • On-site

Other

Posted yesterday

New

Job description

Remote DUR Pharmacist - Safe & Cost-Effective Medication Use | Work From Home
Analyze medication use patterns, apply clinical guidelines, and collaborate with providers - all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale.
Key Responsibilities

  • Conduct prospective, concurrent, and retrospective drug utilization reviews.
  • Evaluate prescribing patterns against clinical guidelines and formulary criteria.
  • Identify potential drug interactions, therapeutic duplications, and inappropriate therapy.
  • Prepare recommendations for prescribers to optimize therapy and reduce risk.
  • Document reviews and ensure compliance with state, federal, and health-plan requirements.
  • Contribute to quality-improvement initiatives and pharmacy program development.
What You'll Bring
  • Education: PharmD or Bachelor of Pharmacy.
  • Licensure: Active U.S. pharmacist license.
  • Experience: Managed care, PBM, or health-plan preferred. Hospital and community pharmacists with strong clinical skills are encouraged to apply.
  • Skills: Analytical mindset, detail orientation, excellent written and verbal communication.
Why This Role?
  • Shape prescribing decisions that affect thousands of patients.
  • Build expertise in managed care and population-health pharmacy.
  • Many DUR roles offer hybrid or fully remote schedules.
  • Competitive salary, benefits, and career advancement.

About Us
We are a confidential healthcare partner providing managed-care pharmacy services nationwide. Our DUR pharmacists ensure medications are used safely, appropriately, and cost-effectively.
Apply Today
Advance your career in managed care - apply now for our Remote Drug Utilization Review Pharmacist opening.

Apply