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Behavioral Health Utilization Review Jobs in Santa Rosa, CA

Jconnect Infotech Inc

RN Case Manager

Saint Helena, CA · On-site

$2.7K - $2.8K/wk

Coordinate patient care from admission to discharge, discharge planning, utilization review, work closely with patients, families, and healthcare team Note: Both local and travelers accepted. To ...

GQR Global Markets

RN Case Manager

Santa Rosa, CA · On-site

$2.0K - $2.1K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Santa Rosa ... As an award-winning talent partner, we support healthcare professionals through every step of that ...

GQR

RN - Case Manager

Santa Rosa, CA · On-site

$2.0K - $2.1K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Santa Rosa ... As an award-winning talent partner, we support healthcare professionals through every step of that ...

LanceSoft

Travel Case Manager RN

Santa Rosa, CA · On-site

Work Settings Acute Hospital Case Management/Utilization Review Admission Criteria Benefits ... Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care ...

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All JobsBehavioral Health Utilization Review JobsBehavioral Health Utilization Review Jobs in Santa Rosa, CA

Behavioral Health Utilization Review information

See Santa Rosa, CA salary details

$23

$46

$75

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

As of Aug 23, 2026, the average hourly pay for behavioral health utilization review in Santa Rosa, CA is $46.23, according to ZipRecruiter salary data. Most workers in this role earn between $36.54 and $53.08 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 popular job titles related to Behavioral Health Utilization Review jobs in Santa Rosa, CA?

For Behavioral Health Utilization Review jobs in Santa Rosa, CA, the most frequently searched job titles are:

What job categories do people searching Behavioral Health Utilization Review jobs in Santa Rosa, CA look for?

The top searched job categories for Behavioral Health Utilization Review jobs in Santa Rosa, CA are:

What cities near Santa Rosa, CA are hiring for Behavioral Health Utilization Review jobs?

Cities near Santa Rosa, CA 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 Santa Rosa, CA as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $96,155 per year, or $46.2 per hour.

Registered Nurse Utilization Review

vTech Solution

Santa Rosa, CA • On-site

Other

Re-posted 25 days ago

Job description

Job Summary:
We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER, Psychiatric, Labor & Delivery, PACU, Operating Room. The Registered Nurse will be responsible for providing skilled nursing care, case management, and hospice care to individuals facing advancing age, frailty, and serious illness. Daily tasks include patient assessments, medication administration, treatment planning, and collaborating with the interdisciplinary team. Critical to this role is strong communication and strong collaboration with patients, providers, and other members of our team. At least 2 years of experience and exceptional skill is required.
Responsibilities:
  • Conduct patient assessments and monitor patient conditions.
  • Administer medications and treatments as prescribed.
  • Develop and implement individualized treatment plans.
  • Collaborate with interdisciplinary teams including physicians, therapists, and social workers.
  • Provide case management and hospice care for patients with advancing age, frailty, and serious illness.
  • Document patient care activities and maintain accurate medical records.
  • Communicate effectively with patients, families, and healthcare providers.
Required Skills & Certifications:
  • Active Registered Nurse license in the state of employment.
  • Bachelor's degree in Nursing or related field.
  • Minimum of 2 years' experience in hospital, home health, or hospice care.
  • Clinical assessment, medication administration, and treatment planning skills.
  • Interdisciplinary team collaboration skills.
  • Excellent communication and interpersonal skills.
  • Driver's license, car insurance, and automobile for field work.
Preferred Skills & Certifications:
  • Experience in Utilization Review or case management roles.
  • Specialty certifications relevant to Medical/Surgical, ICU, ER, Psychiatric, Labor & Delivery, PACU, or Operating Room nursing.
  • Advanced certifications such as CCRN, CMC, or CHPN.
Special Considerations:
  • May require occasional field visits necessitating reliable transportation.
  • Strong ability to work independently in remote settings.
  • Must be able to handle fast-paced and complex clinical situations.
Scheduling:
  • Remote work with flexible scheduling based on utilization review caseload.
  • Standard business hours with potential for occasional extended hours as needed.
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About vTech Solution

Sourced by ZipRecruiter

vTech is a Managed IT Services firm based out of Washington DC with a primary focus on Cloud Computing and Managed Network Security.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Washington, DC, US

Year founded

2006

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