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Behavioral Reviews information

What are behavioral reviews?

Behavioral reviews are assessments or evaluations of an individual's actions, conduct, or decision-making patterns, often in a workplace or academic setting. These reviews aim to understand how someone responds to specific situations, their interpersonal skills, and their alignment with organizational values. Behavioral reviews can inform hiring decisions, performance appraisals, or personal development plans. By focusing on observed behaviors rather than subjective opinions, these reviews provide more objective and actionable feedback.

What are the key skills and qualifications needed to thrive as a behavioral reviewer, and why are they important?

To thrive as a Behavioral Reviewer, you need a solid background in psychology, behavioral science, or a related field, often supported by relevant degrees or certifications. Familiarity with behavioral assessment tools, data analysis software, and reporting systems is typically required. Strong observational skills, critical thinking, and effective communication help you interpret behaviors accurately and convey findings clearly. These skills are essential for delivering precise evaluations and actionable insights that inform interventions and support behavioral improvement.

What are some common challenges faced by professionals conducting behavioral reviews, and how can they be addressed?

Professionals conducting behavioral reviews often encounter challenges such as managing biases, ensuring consistency across evaluations, and handling sensitive feedback. It's crucial to use standardized frameworks and clear criteria to minimize subjectivity. Regular calibration sessions with team members can help maintain fairness and alignment. Additionally, developing strong communication skills ensures that feedback is delivered constructively and received positively, fostering a culture of growth and improvement.
What are popular job titles related to Behavioral Reviews jobs in Virginia? For Behavioral Reviews jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Behavioral Reviews jobs in Virginia look for? The top searched job categories for Behavioral Reviews jobs in Virginia are:
What cities in Virginia are hiring for Behavioral Reviews jobs? Cities in Virginia with the most Behavioral Reviews job openings:
Behavioral Reviews jobs near you
Infographic showing various Behavioral Reviews job openings in Virginia as of June 2026, with employment types broken down into 2% As Needed, 78% Full Time, 17% Part Time, and 3% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution.

Behavioral Healthcare Utilization Review Spec

Horizon Behavioral Heal

Lynchburg, VA • On-site

$46K - $74K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

Hours: full-time (37.5 hours per week)

Location: Lynchburg VA, 24501

Compensation dependent on experience


Position Summary

The Behavioral Healthcare Utilization Review Specialist works on-site, and will proactively monitor utilization of services for clients, reviewing for quality of services and medical necessity. The employee will review clients’ medical records to ensure appropriate utilization of treatment resources, medical necessity, proper documentation, and compliance with federal and state regulations, and certification requirements of insurance plans or other managed care organizations (MCOs). This position will report to the CQI Manager.

Education Requirements

  • Bachelor's degree from an accredited college/university in an applicable human services field. Preferred: Master’s degree in social work, Mental Health Counseling, or related health field preferred.

Types of Experience

  • (2) Two years of continuous quality improvement and/or utilization review experience. Preference will be given to individual with at least one year of managed care experience. Behavioral Health experience is desirable.
  • An equivalent combination of education and experience that provides the candidate with the required knowledge, skills and abilities may be considered.

Related Knowledge, Skills and Abilities

  • Knowledge of behavioral healthcare terminology, the course and progress of substance abuse treatment and medical terminology;
  • Knowledge of Medicaid and MCO regulations and policies, relevant to behavioral healthcare and substance use;
  • Knowledge of Utilization Review protocols and auditing skills;
  • Knowledge of DSM 5, CPT Codes and ICD 10;
  • Knowledge of levels of care and medical necessity;
  • Ability to review and understand medical records, treatment plans and progress notes;
  • Proficiency in MS Office software and EMR systems;
  • Ability to extract and analyze data;
  • Ability to develop and present statistical and narrative reports;
  • Must be proficient in MS Office software and EMR systems.
  • Able to collaborate with all members of clinical team/medical providers;
  • Excellent verbal and written communication skills;
  • Ability to work independently as well as with a team;
  • Excellent organizational and time management skills;
  • Willing and available to work modified schedules (weekends, holiday, etc.) as required;
  • Ability to drive and must possess a valid driver's license. May be required to travel to different Horizon worksites during the day based on operational needs or provide admin support at other locations. Regular attendance at trainings and Horizon meetings may require travel to a variety of Horizon sites.

THE BEST BENEFITS FOR THOSE WHO TAKE CARE OF THE COMMUNITY

We’re proud to offer some of the best benefits options in Central Virginia. Participation in the Virginia Retirement System (VRS) is exclusively for public service workers in Virginia, while several options exist for life, health, dental, and vision insurance. Emphasis on work-life balance means a generous annual leave policy ensuring time for wellness with separate time allocated for sick leave and additionally for paid holidays. Stay active with Horizon’s annual wellness programs and various opportunities to interact with the community through the year. Horizon’s clinical sites are NHSC/HRSA approved for clinical student loan repayment and qualify for both the Public Service Loan Forgiveness (PSLF) and the Behavioral Health State Loan Repayment (BHLRP) programs. If you are interested in continuing your education, working at Horizon qualifies you to receive discounts at some local universities.

To Apply – Please visit our online career center at https://www.horizonbh.org/careers/

Horizon Behavioral Health is an Equal Opportunity Employer (EOE).