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Behavioral Health Utilization Review Jobs in Springfield, MA

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

As of Aug 20, 2026, the average hourly pay for behavioral health utilization review in Springfield, MA is $42.13, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.37 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 Springfield, MA?

The most popular types of Behavioral Health Utilization Review jobs in Springfield, MA are:

What are popular job titles related to Behavioral Health Utilization Review jobs in Springfield, MA?

For Behavioral Health Utilization Review jobs in Springfield, MA, the most frequently searched job titles are:

What job categories do people searching Behavioral Health Utilization Review jobs in Springfield, MA look for?

The top searched job categories for Behavioral Health Utilization Review jobs in Springfield, MA are:

What cities near Springfield, MA are hiring for Behavioral Health Utilization Review jobs?

Cities near Springfield, MA 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 Springfield, MA as of August 2026, with employment types broken down into 2% As Needed, 75% Full Time, 17% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $87,639 per year, or $42.1 per hour.

Social Worker, Full Time Days

TaraVista Behavioral Health

Holyoke, MA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

Join us as a Social Worker!

Full time - 40 hours, day shift! No weekends required!

As a Social Worker for MiraVista in Holyoke, Massachusetts, youll bring your experience and knowledge where your voice matters. A Social Worker is an integral part of our multidisciplinary treatment team. You will provide direct care and support not only to our patients but also their families and make decisions that impact the lives of your peers, your patients, and your community. In exchange, we will care for you as much as you care for our patients.

As a Social Worker:

  • You will be an active participant in the health care team who provides direct and indirect care to patients, families, and legal guardians.

  • Provide clinical social work services in partnership with physicians, nurse practitioners, and direct care staff.

  • Administer biopsychosocial assessments, multidisciplinary treatment planning, case management, individual and family therapy, and systems interventions directed towards comprehensive discharge strategies and aftercare planning.

  • Assist with insurance utilization review and provide liaison services to patients and their family/guardians, the hospital, and outside community agencies and programs as needed for care coordination.

  • You will work collaboratively as a member of the multidisciplinary treatment team and contribute to each patients treatment plan by helping develop, implement, and document appropriate goals and interventions, informed by patient strengths and presenting psychiatric problems.

The Social Worker will have the following:

  • LCSW or license eligibility for LMHC required. LICSW or LMHC with prior experience working within an inpatient behavioral health or acute care settings preferred.

  • Clinical Master's Degree, required.

  • Child & Adolescent Needs & Strengths (CANS) Certification, required within 30 days of hire.

  • Prior experience working within an inpatient behavioral health setting, short-term treatment and/or acute care preferred.

  • Advanced level knowledge and experience in the application of clinical behavioral health treatment and family system modalities for patients with psychiatric illnesses, as well as risk and safety assessment.

  • Sufficient typing and computer skills to facilitate use of Electronic Health Record required; experience with Electronic Health Record, including Medsphere/Vista preferred.

  • Possess advanced level knowledge and experience in the application of clinical behavioral health treatment and family system modalities for patients with psychiatric illnesses.

  • Possess an understanding of appropriate community support and systems available to patients after discharge. Demonstrate competency and possess the knowledge base, skill, and ability to work in an acute inpatient setting.

  • Bilingual English/Spanish preferred.

When you join the growing MiraVista team as a Social Worker, youll receive:

  • Medical, Dental, and Vision

  • 401(k) match

  • Employer paid long term disability (LTD)

  • Employer paid life and AD&D Insurance

  • Generous Paid Time Off

  • Flexible Spending Account

  • Tuition Reimbursement

Pay Range:

Compensation will be determined based on the candidate's relevant experience and licensure status.

$64,000 - $75,000

MiraVista is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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