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Behavioral Health Utilization Review Jobs (NOW HIRING)

Actalent

Behavioral Health Utilization Manager

Boston, MA · On-site

$40 - $45/hr

Behavioral Health Utilization Manager The Behavioral Health Utilization Manager plays a critical ... Collaborate with Medical Directors when clinical complexity requires further review, ensuring ...

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Mindful Health

Utilization Review Specialist

$25 - $30/hr

Utilization Review Specialist Mindful Health is a fast-growing company with the goal of providing an intentionally different approach to mental health and well-being. We are a combination of bricks ...

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

As of Jul 13, 2026, the average hourly pay for behavioral health utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

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.

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Behavioral Health Utilization Review jobs near you
Infographic showing various Behavioral Health Utilization Review job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 74% Full Time, 18% Part Time, 1% Temporary, and 5% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Coord-Behavioral Health Ult Mg

Coord-Behavioral Health Ult Mg

BronxCare Health System

Bronx, NY • On-site

Full-time

Re-posted 14 days ago

BronxCare Health System rating

7.0

Company rating: 7.0 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Overview

The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients admitted into psychiatry or substance abuse for appropriateness of admission according to nationally recognized criteria.

Responsibilities

The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients admitted into psychiatry or substance abuse for appropriateness of admission according to nationally recognized criteria. The BH-UMC will monitor discharge plan, continued stay, provide clinical information to managed care plans or other intermediaries in order to secure certification status and reimbursement for the hospital. The BHUMC will collaborate with the physician, social worker and nursing to insure that discharge plan is implemented timely, communicated to health plan and executed within appropriate length of stay allowances. The BH-UMC will work under the direction of the Case Manager assigned to Behavioral Health in order to insure that all patients are reviewed and certified. The BH-UMC will collaborate and communicate with all members of the Behavioral Healthcare team to insure that patients designated for admission have all necessary documentation to meet admission criteria for reimbursement purposes. The BH-UMC will facilitate discharges and assist the discharge planning process by identifying delays/barriers to discharge.

Knowledge of Medicare, Medicaid, Managed Care and OASIS guidelines, medical necessity criteria pertaining to psychiatry and substance abuse.

Knowledge of federal and state regulatory guidelines governing Behavioral Health

Qualifications

Minimum of three (3) years experience specifically in Behavioral Health Utilization review and case management. Managed Care or Discharge Planning experience in Behavioral Health a plus.

Bachelors/Masters 

Employment Type: FULL_TIME

What BronxCare Health System employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom

BronxCare Health System logo

About BronxCare Health System

Sourced by ZipRecruiter

BronxCare is the largest voluntary, not-for-profit health and teaching hospital system serving the South and Central Bronx, with 859 beds and more than 4,500 employees. Its two main hospital divisions, comprehensive psychiatric and chemical dependency programs, long-term care facility, and extensive outpatient network are delivering the highest quality and accessible services to the community. BronxCare is now among the largest providers of outpatient services in New York City, with close to one million visits annually. Its ER is one of the busiest in New York.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

New York, NY, US

Year founded

1890

Social media

Twitter

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