Overview At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill ... The Utilization Review Coordinator will review clinical content of medical record, participate in ...
Overview At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill ... The Utilization Review Coordinator will review clinical content of medical record, participate in ...
Overview At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill ... The Utilization Review Coordinator will review clinical content of medical record, participate in ...
Overview At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill ... The Utilization Review Coordinator will review clinical content of medical record, participate in ...
Overview At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill ... The Utilization Review Coordinator will review clinical content of medical record, participate in ...
Overview At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill ... The Utilization Review Coordinator will review clinical content of medical record, participate in ...
At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill patients who ... The Utilization Review Coordinator will review clinical content of medical record, participate in ...
At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill patients who ... The Utilization Review Coordinator will review clinical content of medical record, participate in ...
... behavioral health services, ensuring compliance with payer specifications and organizational ... utilization review activities accurately and timely within the electronic health record (EHR). o ...
New
... behavioral health services, ensuring compliance with payer specifications and organizational ... utilization review activities accurately and timely within the electronic health record (EHR). o ...
New
UTILIZATION REVIEW NURSE - RN
Houston, TX ยท On-site
... behavioral health services, ensuring compliance with payer specifications and organizational ... utilization review activities accurately and timely within the electronic health record (EHR). o ...
Quick apply
UTILIZATION REVIEW NURSE - RN
Houston, TX ยท On-site
... behavioral health services, ensuring compliance with payer specifications and organizational ... utilization review activities accurately and timely within the electronic health record (EHR). o ...
Progressive knowledge of community resources, health care financial and payer requirements/issues ... utilization. * Reviews H&Ps and admitting orders of all direct, transfer, and emergency care ...
Progressive knowledge of community resources, health care financial and payer requirements/issues ... utilization. * Reviews H&Ps and admitting orders of all direct, transfer, and emergency care ...
Progressive knowledge of community resources, health care financial and payer requirements/issues ... utilization. * Reviews H&Ps and admitting orders of all direct, transfer, and emergency care ...
Progressive knowledge of community resources, health care financial and payer requirements/issues ... utilization. * Reviews H&Ps and admitting orders of all direct, transfer, and emergency care ...
Overview At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill ... Candidates must have utilization review experience** What can we offer you as a full-time employee?
Overview At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill ... Candidates must have utilization review experience** What can we offer you as a full-time employee?
Houston Behavioral Healthcare Hospital (HBHH) is unique in so many ways. Our facility is located in ... The Utilization Management Coordinator will report to the Director of Utilization Review and will ...
Quick apply
Houston Behavioral Healthcare Hospital (HBHH) is unique in so many ways. Our facility is located in ... The Utilization Management Coordinator will report to the Director of Utilization Review and will ...
Houston Behavioral Healthcare Hospital (HBHH) is unique in so many ways. Our facility is located in ... The Utilization Management Coordinator will report to the Director of Utilization Review and will ...
New
Houston Behavioral Healthcare Hospital (HBHH) is unique in so many ways. Our facility is located in ... The Utilization Management Coordinator will report to the Director of Utilization Review and will ...
New
Houston Behavioral Healthcare Hospital (HBHH) is unique in so many ways. Our facility is located in ... The Utilization Management Coordinator will report to the Director of Utilization Review and will ...
New
Houston Behavioral Healthcare Hospital (HBHH) is unique in so many ways. Our facility is located in ... The Utilization Management Coordinator will report to the Director of Utilization Review and will ...
New
... healthcare; for HM candidates, four years' experience in case management or social work, which ... behavior to accommodate tasks, situations and individuals involved * Demonstrates leadership ...
... healthcare; for HM candidates, four years' experience in case management or social work, which ... behavior to accommodate tasks, situations and individuals involved * Demonstrates leadership ...
... healthcare; for HM candidates, four years' experience in case management or social work, which ... behavior to accommodate tasks, situations and individuals involved * Demonstrates leadership ...
... healthcare; for HM candidates, four years' experience in case management or social work, which ... behavior to accommodate tasks, situations and individuals involved * Demonstrates leadership ...
... healthcare; for HM candidates, four years' experience in case management or social work, which ... behavior to accommodate tasks, situations and individuals involved * Demonstrates leadership ...
... healthcare; for HM candidates, four years' experience in case management or social work, which ... behavior to accommodate tasks, situations and individuals involved * Demonstrates leadership ...
At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill patients who ... Candidates must have utilization review experience** What can we offer you as a full-time employee?
At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill patients who ... Candidates must have utilization review experience** What can we offer you as a full-time employee?
Processes retroactive reviews and appeals, copies needed documentation and writes retro/appeal ... Minimum one year experience in a Utilization Management department in behavioral health or as a ...
Processes retroactive reviews and appeals, copies needed documentation and writes retro/appeal ... Minimum one year experience in a Utilization Management department in behavioral health or as a ...
Processes retroactive reviews and appeals, copies needed documentation and writes retro/appeal ... Minimum one year experience in a Utilization Management department in behavioral health or as a ...
Processes retroactive reviews and appeals, copies needed documentation and writes retro/appeal ... Minimum one year experience in a Utilization Management department in behavioral health or as a ...
Processes retroactive reviews and appeals, copies needed documentation and writes retro/appeal ... Minimum one year experience in a Utilization Management department in behavioral health or as a ...
Processes retroactive reviews and appeals, copies needed documentation and writes retro/appeal ... Minimum one year experience in a Utilization Management department in behavioral health or as a ...
Utilization Management Review Nurse
Houston, TX ยท On-site
$98K - $120K/yr
... ServiceFIRST behaviors in interactions with Harris Health team members, payer vendors, and ... Utilization review tools: MCG and or Change healthcare (Interqual) Work Schedule: - Flexible: 8 ...
Utilization Management Review Nurse
Houston, TX ยท On-site
$98K - $120K/yr
... ServiceFIRST behaviors in interactions with Harris Health team members, payer vendors, and ... Utilization review tools: MCG and or Change healthcare (Interqual) Work Schedule: - Flexible: 8 ...
Behavioral Health Utilization Review information
See Spring, TX salary details
$19.04 - $22.89
2% of jobs
$22.89 - $26.74
9% of jobs
$29.37 is the 25th percentile. Wages below this are outliers.
$26.74 - $30.59
21% of jobs
The median wage is $33.71 / hr.
$30.59 - $34.44
23% of jobs
$34.44 - $38.29
13% of jobs
$41.29 is the 75th percentile. Wages above this are outliers.
$38.29 - $42.14
10% of jobs
$42.14 - $45.99
8% of jobs
$45.99 - $49.84
5% of jobs
$49.84 - $53.69
5% of jobs
$53.69 - $57.54
2% of jobs
$57.54 - $61.39
2% of jobs
$19
$37
$61
How much do behavioral health utilization review jobs pay per hour?
What is a Behavioral Health Utilization Review job?
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 the Behavioral Health Utilization Review position, 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.
Utilization Review Coordinator - PRN | Voyages Conroe
Voyages Behavioral Health of ConroeConroe, TX โข On-site
Other
Medical, Dental, Vision, Life, Retirement
Posted 21 days ago
Job description
At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill patients who require extended hospital care. PAM Health has over 80 hospital locations and employs over 11,000 people across the country. Our teams work together to deliver the highest level of compassionate care ensuring the best possible outcome for our patients.
What can we offer you as a full-time employee?
- Medical benefits: EPO/HDHP/HSA options, including prescription coverage, Rx 'n Go, and Teladoc
- Comprehensive dental and vision benefits
- Employee Assistance Program, including counseling, legal, and financial services
- Flexible spending (FSA) and health savings (HSA) accounts
- Life and Disability insurance benefits
- Education/In-Service Opportunities including continuing education and tuition assistance
- Supplemental benefits: Accident, critical illness, cancer, pet, and identity theft protection insurance options
- Auto, Home, Cell Phone, and Gym Membership discount offerings
- Personal Travel Discounts
- 401(k) plans and discretionary employer match
- Generous Paid Benefit Time
Responsibilities
Under the direction of the Director of Utilization Review, the responsibilities of the Utilization Review Coordinator are to manage the review of assigned admissions, continued stays, utilization practices and discharge planning according to the approved clinically valid criteria. The Utilization Review Coordinator will review clinical content of medical record, participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved. Utilization Review Coordinator will ensure reviews and analysis of pre-certifications and continued stay reviews, follow-up on unfinished pre-certifications from the day before and coordinate with the treatment team on any follow-ups necessary. The Utilization Review Coordinator will be trained in all aspects relative to timely gathering of clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer-based systems. This position will contribute to department meetings, quality initiatives and maintain services within TJC requirements.
Qualifications
- Education and Training: Masters or bachelor's degree in nursing, social work, mental health/behavioral sciences, or related field required. Licensed if applicable in the state in which the hospital resides. Current BLS certification required. Crisis management certification per hospital policy and standards required.
- Experience: One to three years of acute care behavioral health management provided to a wide range of demographics and ages preferred.
About PAM Health
Voyages Behavioral Health is committed to being the most trusted source for behavioral health services in every community it serves by utilizing experienced and dedicated staff to provide high quality patient care and customer service. As an affiliate of PAM Health, our organization has more than 80 long-term acute care hospitals and physical medicine and rehabilitation hospitals, as well as wound clinics and outpatient physical therapy locations, in 17 states, proudly offering services including comprehensive wound care, aquatic therapy, ventilator weaning, amputation treatment, pain management and now Behavioral Health, inpatient, outpatient, and ECT service lines. Joining our PAMily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program. We are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our We Care Program. Please take a moment to visit us online at www.voyageshealth.com for a comprehensive look at how we're able to positively impact our local communities.
Voyages Behavioral Health does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.