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Behavioral Health Utilization Review Jobs in Raleigh, NC

Pharmacist

Raleigh, NC ยท On-site

... Utilization Review (DUR) and pharmacy lock-in related processes, Behavioral health, and A+ kids, Preferred Drug List (PDL) and Medicaid Drug Rebate Program (MDRP), and Physicians Administered Drug ...

Psychologist Reviewer

Durham, NC ยท On-site +1

$87K - $157K/yr

Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified ... Interact with network practitioners to provide education on best practice models and utilization ...

Showing results 41-60

Behavioral Health Utilization Review information

See Raleigh, NC salary details

$20

$41

$67

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

As of Sep 1, 2026, the average hourly pay for behavioral health utilization review in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 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 Raleigh, NC?

The most popular types of Behavioral Health Utilization Review jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Behavioral Health Utilization Review jobs?

Cities near Raleigh, NC with the most Behavioral Health Utilization Review job openings:

Infographic showing various Behavioral Health Utilization Review job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $85,486 per year, or $41.1 per hour.

Behavioral Health Technician (BHT) Inpatient Behavioral Health, Nights

Duke Clinical Research Institute

Durham, NC โ€ข On-site

$14.75 - $18/hr

Other

Posted 6 days ago


Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke Regional Hospital

Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.

Occ Summary


Perform a variety of routine activities to provide physical and psychological care to patients with psychiatric disorders.

Work Performed

Observe patients and assesses progress ondaily basis; report significant changes in patients' condition and/or behavior to supervising RN. Interact with patients on a one to one basis providing recreational or social activities and reinforce patient teaching. Assist patients in activities of daily living including making beds, bathing, personal hygiene, feeding and dressing. Assist patients with position changes, range of motion exercises, transfers and walking. Provide care and monitoring of patients in seclusion and/or restraint. Provide protection and control for patients as required to ensure patient safety in the facility. Participate in restraining combative patients as necessary. Ensure compliance with safety and infection control guidelines including universal precautions for self and patients. Participate in staff discussions to assess, coordinate and execute patient care. Maintain a clean, neat and safe work environment; activities may include but not be limited to tidying room, cleaning equipment, changing bed linens, restocking workareas, keeping rooms and hallways clear of debris, etc. Practice proper safety techniques in accordance with hospital and departmental policies and procedures: immediately reports any mechanical or electrical equipment malfunctions, unsafe conditions, oremployee/patient/visitor injuries to manager. Participate in review of activities and processes for work area; assist in implementing changes to effect continual improvement in services provided; comply with regulatory and legal requirements. Assist in organizing and conducting recreational activities. Interact with patients on a one to one as well as small group basis; assist patients in planning how the treatment plan can be optimally utilized for their benefit. Perform other related duties incidental to the work described herein.

Knowledge, Skills and Abilities

Knowledge of special procedures that are applicable to work performed. Knowledge of procedures and techniques involved in administering routine treatments to patients. Knowledge of sanitation, personal hygiene, infection control, and basic health and safety precautions applicable to work in a health care environment. Knowledge of specimen collection, storage and transport. Knowledge of behavioral principles and individual responses to stressors. Ability to establish and maintain effective working relationships with patients and hospital staff. Ability to work with, express sensitivity and understanding, and secure the cooperation of patients, including maintaining sympathetic attitude towards patients. Ability to keep calm in stressful situations. Ability to maintain routine records and prepare reports. Ability to recognize patients in emergency states and seek appropriate assistance. Ability to maintain confidentiality and other patient rights. Ability to understand, follow and communicate/relate oral and written instructions and pertinent information accurately. Ability to apply proper body mechanics and safety. individuals in didactic or recreational groups.

Level Characteristics

N/A

Minimum Qualifications


Education

Graduation from high school or GED.

Experience

1 year of experience working with patients withsubstance abuse, mental health, dementia diagnosis, intellectually or disabled preferred.

Degrees, Licensures, Certifications

Listing on the Nurse Aid Registry of North Carolina or Certification as a Substance Abuse Counselor in North Carolina or Certification as an Emergency Medical Technician in North Carolina or Certification as a Behavioral Health Technician by The Academy of Addiction Professionals or American Medical Certification Association or If a hire does not meet 1of the 4 requirements, the BHT must start the process to complete one of the requirements within 1 year of employment and complete within 2 years. BCLS certification must be maintained/completed by the end of new hire orientation, which typically takes place during the first week of employment. CPI certification strongly preferred Meet DUHS credential to perform analysis of blood glucose from finger sticks and report findings to nurse. Complete quality control measures for this equipment. Participate in specimen collection according to test requested. Is responsible for patient identification, specimen labeling, and collection verification. Instruct patients in collection and preservation of urine, sputum and stool samples for analysis. Obtain and recordvital signs, intake and output amounts or other measures as delegated within 90 days of employment.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.