ZipRecruiter

Log In

1

Behavioral Health Utilization Review Jobs in Rochester, NY

Mindlance

Clinical Pharmacist

Rochester, NY · On-site

$116K - $139K/yr

Clinical Pharmacist - Utilization Management (Remote) * Primary Responsibilities: * Review prior ... Comfortable communicating with providers, patients, and healthcare staff. * Required Qualifications ...

Lthc

Utilization Management Services Rep I

Rochester, NY · On-site

$15.75 - $21.50/hr

... and outpatient procedures, behavioral health, and durable medical equipment. Essential ... review and creation of desk level procedures, acting as a subject matter expert for UM Services.

Lthc

Utilization Management Services Rep I

Rochester, NY · On-site

$15.75 - $21.50/hr

... and outpatient procedures, behavioral health, and durable medical equipment. Essential ... review and creation of desk level procedures, acting as a subject matter expert for UM Services.

previous page

Showing results 41-60

All JobsBehavioral Health Utilization Review JobsBehavioral Health Utilization Review Jobs in Rochester, NY

Behavioral Health Utilization Review information

See Rochester, NY salary details

$21

$41

$68

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

As of Aug 6, 2026, the average hourly pay for behavioral health utilization review in Rochester, NY is $41.74, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 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 Rochester, NY? The most popular types of Behavioral Health Utilization Review jobs in Rochester, NY are:
What are popular job titles related to Behavioral Health Utilization Review jobs in Rochester, NY? For Behavioral Health Utilization Review jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Behavioral Health Utilization Review jobs in Rochester, NY look for? The top searched job categories for Behavioral Health Utilization Review jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Behavioral Health Utilization Review jobs? Cities near Rochester, NY 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 Rochester, NY as of August 2026, with employment types broken down into 2% As Needed, 81% Full Time, 11% Part Time, 2% Temporary, and 4% Contract. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $86,813 per year, or $41.7 per hour.

HCBS Unlicensed Behavioral Health Prov

Finger Lakes Area Counseling and Recovery Agency

Rochester, NY • On-site

$17 - $18/hr

Full-time

Posted 5 days ago

Job description

Major Duties and Responsibilities: The HCBS Unlicensed Behavioral Health Provider is an active member in the FLACRA team and provides services identified and approved through HARP Care Management and Managed Care Organization (MCO) to clients with who meet eligibility criteria for HCBS services.
Under the supervision of the Licensed Program Director the HCBS Unlicensed Behavioral Health Provider will function to provide the following service types:
  • Psychosocial Rehabilitation (PSR)
  • Habilitation (HAB)
  • Family Support and Training (FST)
  • Education Support Services (ESS)
  • Empowerment Service - Peer Supports (EMP)
  • Pre-Vocational Services (PVOC)

Each service type is defined in the New York State: Health and Recovery Plan (HARP) Adult Behavioral Health Home and Community Based Services (BH HCBS) Provider Manual.
Duties
  1. Serves as an active member of the client's treatment team, including participation in team meetings and treatment planning meetings. Team members include but aren't limited to the care managers/HARP coordinators.
  2. Manage individual caseloads, including referrals, intake, prior authorization with insurance providers, input/management of service thresholds, development of individual service plans and care plan reviews/updates as well as discharge/transition planning. Will additionally complete/coordinate care with referral source for crisis plan.
  3. Provides services as approved by HARP and the MCO as described in the BH HCBS Provider Manual.
  4. Serves as role model for clients by sharing own recovery process and teaching effective coping techniques and self-help strategies depending on HCBS service line.
  5. Provides case management, resourcing, service collaboration for individual clients as extension of case management services.
  6. Provides advocacy services on behalf of clients.
  7. Informs supervisor, and other members of treatment team as indicated, of issues/concerns related to individual clients.
  8. Participates in required trainings to maintain certification and HCBS requirements.
  9. Knowledge of Crisis Intervention and Early Engagement
  10. Helps facilitate outreach and encourage engagement in appropriate treatments
  11. Provides services in the community which may include client's homes.
  12. Providers transportation services as appropriate.
  13. Other duties as assigned.

Minimum Qualifications:
  • Unlicensed staff must be at least 18 years of age and have a high school diploma or equivalent, and 1-3 years of relevant experience working with individuals with SUD disorders and/or SMI or a BA degree.
  • A Certified Peer Specialist/Certified Recovery Peer Advocate, or equivalently qualified by education in the human services field or a combination of work experience and education, with one year of education substituting for one year of experience.

Other Skills/Knowledge and Experience
  1. Good interpersonal skills and written and oral communication skills.
  2. Knowledge of applicable population group and principles/philosophy of recovery.
  3. Ability to multi-task, have good problem solving and time management skills and the ability to remain calm in a crisis
  4. Strong networking skills
  5. Required to participate in an on-call rotation.
  6. Must have NY state driver license.

Apply