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 ...
Quick apply
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 ...
Quick apply
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 ...
Georgetown, TX · On-site
As a Utilization Review Directorjoining our team, you're embracing a vital mission dedicated to ... At Rock Springs Behavioral Hospital, we are committed to delivering compassionate, high-quality ...
Georgetown, TX · On-site
As a Utilization Review Directorjoining our team, you're embracing a vital mission dedicated to ... At Rock Springs Behavioral Hospital, we are committed to delivering compassionate, high-quality ...
Lake Charles, LA · On-site
Freedom Behavioral Lake Charles is a rapidly expanding psychiatric hospital committed to providing ... A Utilization Review (UR) Director at Freedom Behavioral Hospital is responsible for overseeing ...
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Lake Charles, LA · On-site
Freedom Behavioral Lake Charles is a rapidly expanding psychiatric hospital committed to providing ... A Utilization Review (UR) Director at Freedom Behavioral Hospital is responsible for overseeing ...
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
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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Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Work closely with interdisciplinary teams, Board Certified Behavior Analysts, Registered Behavior ...
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Work closely with interdisciplinary teams, Board Certified Behavior Analysts, Registered Behavior ...
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Work closely with interdisciplinary teams, Board Certified Behavior Analysts, Registered Behavior ...
As a Utilization Review Director joining our team, you're embracing a vital mission dedicated to ... At Rock Springs Behavioral Hospital, we are committed to delivering compassionate, high-quality ...
As a Utilization Review Director joining our team, you're embracing a vital mission dedicated to ... At Rock Springs Behavioral Hospital, we are committed to delivering compassionate, high-quality ...
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Work closely with interdisciplinary teams, Board Certified Behavior Analysts, Registered Behavior ...
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Work closely with interdisciplinary teams, Board Certified Behavior Analysts, Registered Behavior ...
Manhattan, NY · On-site
$65K - $75K/yr
Candidates must understand the various aspects of the managed care system including LOCATDR 3 criteria, behavioral health benefits, precertification, utilization review, peer reviews, discharge ...
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Manhattan, NY · On-site
$65K - $75K/yr
Candidates must understand the various aspects of the managed care system including LOCATDR 3 criteria, behavioral health benefits, precertification, utilization review, peer reviews, discharge ...
Sierra Vista, AZ · On-site
$46K/yr
Previous Utilization Review experience in a behavioral healthcare facility preferred. JOB ... RESPONSIBILITIES As Utilization Review Coordinator, you will : * Obtain initial authorizations and ...
Sierra Vista, AZ · On-site
$46K/yr
Previous Utilization Review experience in a behavioral healthcare facility preferred. JOB ... RESPONSIBILITIES As Utilization Review Coordinator, you will : * Obtain initial authorizations and ...
Seattle, WA · On-site +1
Guidelight Health is a cutting-edge behavioral healthcare company dedicated to transforming lives ... Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle Management ...
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Seattle, WA · On-site +1
Guidelight Health is a cutting-edge behavioral healthcare company dedicated to transforming lives ... Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle Management ...
Los Angeles, CA · On-site +1
Guidelight Health is a cutting-edge behavioral healthcare company dedicated to transforming lives ... Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle Management ...
New
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Los Angeles, CA · On-site +1
Guidelight Health is a cutting-edge behavioral healthcare company dedicated to transforming lives ... Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle Management ...
New
Responsibilities Utilization Review Coordinator Opportunity! Lighthouse Behavioral Health Hospital, located near beautiful Myrtle Beach, SC, treats adolescents, adults and senior adults in need of ...
Responsibilities Utilization Review Coordinator Opportunity! Lighthouse Behavioral Health Hospital, located near beautiful Myrtle Beach, SC, treats adolescents, adults and senior adults in need of ...
Responsibilities Utilization Review Coordinator Opportunity! Lighthouse Behavioral Health Hospital, located near beautiful Myrtle Beach, SC, treats adolescents, adults and senior adults in need of ...
New
Responsibilities Utilization Review Coordinator Opportunity! Lighthouse Behavioral Health Hospital, located near beautiful Myrtle Beach, SC, treats adolescents, adults and senior adults in need of ...
New
Plainfield, IN · On-site
$47K - $56K/yr
Case Management/Utilization Management * Review the treatment plan and advocate for additional ... Benefits are subject to change at the discretion of Hendricks Behavioral Hospital. Compensation:
New
Plainfield, IN · On-site
$47K - $56K/yr
Case Management/Utilization Management * Review the treatment plan and advocate for additional ... Benefits are subject to change at the discretion of Hendricks Behavioral Hospital. Compensation:
New
Wichita, KS · On-site
Applied Behavioral Sciences * Criminal Justice * High school diploma or GED required Licensure ... Utilization review * Wellness coordination * At least one year working with economically ...
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Wichita, KS · On-site
Applied Behavioral Sciences * Criminal Justice * High school diploma or GED required Licensure ... Utilization review * Wellness coordination * At least one year working with economically ...
Plainfield, IN · On-site
$47K - $56K/yr
Case Management/Utilization Management * Review the treatment plan and advocate for additional ... Benefits are subject to change at the discretion of Hendricks Behavioral Hospital. Compensation:
New
Plainfield, IN · On-site
$47K - $56K/yr
Case Management/Utilization Management * Review the treatment plan and advocate for additional ... Benefits are subject to change at the discretion of Hendricks Behavioral Hospital. Compensation:
New
Louisville, TN · On-site
... Cognitive Behavioral Therapy (CBT) modules and wellness coaching. * Voluntary Coverages - Pet ... The Utilization Review Specialist plays a critical role in ensuring that healthcare services ...
Louisville, TN · On-site
... Cognitive Behavioral Therapy (CBT) modules and wellness coaching. * Voluntary Coverages - Pet ... The Utilization Review Specialist plays a critical role in ensuring that healthcare services ...
Meadows Behavioral Healthcare offer a range of specialized programs including residential ... As the Utilization Review Coordinator, you will develop and implement systems for authorizations ...
Meadows Behavioral Healthcare offer a range of specialized programs including residential ... As the Utilization Review Coordinator, you will develop and implement systems for authorizations ...
Chandler, AZ · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
Chandler, AZ · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...
... review and other utilization management activities aimed at providing Molina Healthcare members ... members including Behavioral Health and Long Term Care. Qualifications Minimum Education ...
... review and other utilization management activities aimed at providing Molina Healthcare members ... members including Behavioral Health and Long Term Care. Qualifications Minimum Education ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
| Aspect | Behavioral Utilization Review | Behavioral Case Manager |
|---|---|---|
| Credentials | Licensed mental health professionals, certifications vary | Licensed clinical social workers, counselors, or therapists |
| Work Environment | Review settings, insurance companies, healthcare facilities | Direct patient interaction, hospitals, outpatient clinics |
| Employer & Industry | Insurance companies, healthcare organizations | Hospitals, mental health agencies, managed care |
| Primary Focus | Assessing medical necessity, reviewing treatment plans | Coordinating 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.

Per diem
Posted 14 days ago
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.