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Behavioral Utilization Review Jobs (NOW HIRING)

ICBD

Utilization Review Specialist

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 ...

ICBD

Utilization Review Specialist

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 ...

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL

$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 ...

Prime Healthcare

Utilization Review Tech

Lynwood, CA

$21 - $24.45/hr

... Behavioral Health, and Emergency and Trauma Care. In addition, the hospital offers a broad array of ... The Utilization review tech essentially works to coordinate the utilization review and appeals ...

Prime Healthcare

Utilization Review Tech

Lynwood, CA · On-site

$21 - $24.45/hr

... Behavioral Health, and Emergency and Trauma Care. In addition, the hospital offers a broad array of ... Utilization review tech is responsible for coordinating phone calls, data entry and tracking data ...

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Behavioral Utilization Review information

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$21

$42

$68

How much do behavioral utilization review jobs pay per hour?

As of Jul 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 jobs make $3,000 a month without a degree?

Behavioral Utilization Review roles typically require specialized training or certifications but may offer salaries around $3,000 or more per month, especially with experience. Other jobs that can pay this amount without a degree include sales positions, certain administrative roles, and skilled trades like HVAC or plumbing, which often prioritize skills and certifications over formal education.

Is being a BHT a stressful job?

Behavioral Utilization Review (BHT) roles can be stressful due to the need to assess and monitor patient care, often involving high caseloads and emotional situations. The job requires strong communication skills, attention to detail, and adherence to healthcare regulations, which can contribute to work-related stress. However, stress levels vary depending on the work environment and individual coping strategies.

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.

How to become a utilization reviewer?

To become a utilization reviewer, typically one needs a bachelor's degree in healthcare, nursing, or a related field, along with experience in clinical or medical review processes. Certification such as the Certified Professional in Healthcare Quality (CPHQ) or relevant state licensure can enhance job prospects, and strong analytical and communication skills are essential for reviewing medical records and determining appropriate care utilization.

What skills do you need to be a BHT?

A Behavioral Utilization Review (BHT) typically requires strong communication, critical thinking, and knowledge of mental health or behavioral health principles. Skills in documentation, assessment, and familiarity with healthcare or insurance systems are also important. Certification or training in behavioral health or related fields may be required depending on the employer.
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What states have the most Behavioral Utilization Review jobs? States with the most job openings for Behavioral Utilization Review jobs include:
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Behavioral Utilization Review jobs near you
Utilization Review Specialist

Utilization Review Specialist

Northlake Behavioral Health System

Mandeville, LA

Full-time

Posted 20 days ago

Job description

Position: Utilization Review Specialist

Status: Full Time, Days

Schedule: Mon-Fri, Days. New hire will have the option to choose a schedule of either 7:30am to 4:00pm or 8:00am to 4:30pm.
Are you experienced in navigating medical insurance authorizations? We're looking for a Utilization Review Specialist to ensure our inpatient psychiatric patients receive timely access to the care they need — and that our facility is appropriately reimbursed for the services we provide.

In this role, you'll conduct admission, concurrent, and continued stay reviews with managed care organizations, commercial insurers, and government payers. You'll work closely with psychiatrists, nurses, therapists, and case managers to make sure clinical documentation supports medical necessity, and you'll manage denials and appeals to protect both patient access and reimbursement.

What You'll Do

Utilization Review & Authorizations

  • Conduct admission, concurrent, and continued stay reviews for inpatient behavioral health patients

  • Evaluate patient records against payer medical necessity and level-of-care criteria

  • Complete telephonic and electronic reviews with managed care organizations and third-party payers

  • Secure initial and continued stay authorizations; track authorization periods and obtain extensions

  • Submit clinical information on time to prevent authorization lapses and reimbursement delays

Denials & Appeals

  • Review denials and coordinate reconsiderations, peer-to-peer reviews, and appeals

  • Prepare appeal packets with supporting clinical documentation

  • Monitor denial trends and identify ways to improve authorization outcomes

Clinical Documentation & Team Collaboration

  • Review psychiatric, nursing, and therapy documentation for accuracy and medical necessity support

  • Coach providers and clinical staff on documentation improvements

  • Participate in treatment team discussions to support medical necessity and discharge planning

  • Serve as the go-to resource on behavioral health payer criteria and UR processes

Data & Compliance

  • Maintain authorization, denial, and appeal tracking logs with timely, accurate data entry

  • Assist with audits, reporting, and performance improvement initiatives

  • Maintain compliance with federal/state regulations, accreditation standards, and HIPAA

What We're Looking For

Required:

  • Associate's degree in healthcare related field — OR a high school diploma/GED with at least 4 years of psychiatric, behavioral health, utilization review, case management, admissions, or related healthcare experience

  • Min 2 years of experience in a psychiatric, behavioral health, or healthcare setting

  • Knowledge of managed care, medical necessity criteria, utilization review, third-party reimbursement, and clinical documentation review

  • Strong organization and time management — you'll juggle multiple payer reviews and deadlines

Ready to apply? Submit your resume today

Northlake Behavioral Health is an equal opportunity/affirmative action employer. All qualified applicants are encouraged to apply and will receive consideration for all employment; free from discrimination based on race, creed, color, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, religion, associational preferences, status as a qualified individual with a disability, or status as a protected veteran.