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Behavioral Utilization Review Jobs (NOW HIRING)

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Work closely with interdisciplinary teams, Board Certified Behavior Analysts, Registered Behavior ...

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Work closely with interdisciplinary teams, Board Certified Behavior Analysts, Registered Behavior ...

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Work closely with interdisciplinary teams, Board Certified Behavior Analysts, Registered Behavior ...

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Behavioral Utilization Review information

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How much do behavioral utilization review jobs pay per hour?

As of Jun 1, 2026, the average hourly pay for behavioral 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 the difference between Behavioral Utilization Review vs Behavioral Case Manager?

AspectBehavioral Utilization ReviewBehavioral Case Manager
CredentialsLicensed mental health professionals, certifications varyLicensed clinical social workers, counselors, or therapists
Work EnvironmentReview settings, insurance companies, healthcare facilitiesDirect patient interaction, hospitals, outpatient clinics
Employer & IndustryInsurance companies, healthcare organizationsHospitals, mental health agencies, managed care
Primary FocusAssessing medical necessity, reviewing treatment plansCoordinating care, supporting treatment adherence

Behavioral Utilization Review primarily involves evaluating the necessity of mental health services through review processes, while Behavioral Case Managers focus on coordinating patient care and supporting treatment plans. Both roles require mental health credentials but differ in daily tasks and work settings.

More about Behavioral Utilization Review jobs
What cities are hiring for Behavioral Utilization Review jobs? Cities with the most Behavioral Utilization Review job openings:
What states have the most Behavioral Utilization Review jobs? States with the most job openings for Behavioral Utilization Review jobs include:
Infographic showing various Behavioral Utilization Review job openings in the United States as of May 2026, with employment types broken down into 54% Full Time, 40% Part Time, and 6% 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.

Utilization Review (UR) Specialist

Thrive Behavioral Hospital

Las Vegas, NV

Per diem

Posted 14 days ago


Job description

Are you experienced in psychiatric care and passionate about ensuring patients receive the right level of care at the right time? We are seeking a dedicated Utilization Review (UR) Specialist to join our team and support our mission of delivering quality behavioral health services.

What You’ll Do

  • Conduct utilization reviews to determine medical necessity and appropriate levels of care for psychiatric and behavioral health patients.

  • Collaborate with physicians, nurses, and treatment teams to develop individualized care plans that align with payer requirements.

  • Communicate with insurance companies, providing clinical documentation and justifications to support ongoing care.

  • Monitor patient progress and identify opportunities for earlier discharge or transitions to alternative levels of care.

  • Maintain accurate and timely documentation in compliance with state, federal, and organizational standards.

  • Serve as a resource for clinical teams regarding payer guidelines, authorizations, and managed care processes.

What You’ll Bring

  • Required: Experience working in psychiatric, behavioral health, or mental health settings.

  • Strong knowledge of managed care, payer guidelines, and utilization management processes.

  • Excellent clinical assessment, critical thinking, and communication skills.

  • Ability to collaborate across interdisciplinary teams and interact with external stakeholders.

  • Nursing license (RN, LPN) preferred, but candidates with strong behavioral health utilization review experience will also be considered.

Why Join Us?

  • Be part of a mission-driven organization focused on patient-centered care.

  • Work alongside a supportive and collaborative clinical team.

  • Competitive pay and comprehensive benefits package.

  • Opportunities for growth in a growing behavioral health network.