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Behavioral Utilization Review Jobs (NOW HIRING)

Discovery Institute NJ

Utilization Review

Marlboro, NJ · On-site

Experience in substance use disorder or behavioral health treatment strongly preferred. * Knowledge of ASAM Criteria preferred. * Familiarity with Medicaid, commercial insurance, and managed care ...

Discovery Institute

Utilization Review

Marlboro, NJ · On-site

Experience in substance use disorder or behavioral health treatment strongly preferred. * Knowledge of ASAM Criteria preferred. * Familiarity with Medicaid, commercial insurance, and managed care ...

Discovery Institute NJ

Utilization Review

Marlboro, NJ · On-site

Experience in substance use disorder or behavioral health treatment strongly preferred. * Knowledge of ASAM Criteria preferred. * Familiarity with Medicaid, commercial insurance, and managed care ...

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How much do behavioral utilization review jobs pay per hour?

As of Aug 11, 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.

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Behavioral Utilization Review jobs near you
Infographic showing various Behavioral Utilization Review job openings in the United States as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% In-person job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Behavioral Utilization Review Specialist

Gardens of Arkansas LLC

Little Rock, AR • On-site

Full-time

Posted 21 days ago

Job description

Behavioral Utilization Review Specialist Position Summary

The Behavioral Utilization Review Specialist is responsible for coordinating new client referrals, supporting the prior authorization process, maintaining referral records, and completing routine Medicaid eligibility screenings. This position works closely with discharge planners, Program Administrators, Clinical Directors, and other members of the referral and billing teams.

The ideal candidate will be highly organized, detail-oriented, comfortable reviewing behavioral health documentation, and able to manage multiple deadlines across all Gardens of Arkansas locations.

Essential Duties and Responsibilities- Assist the Chief Revenue Officer with the following:

  • Clinical Review & Assessment: Evaluate care related to mental health before, and during services to determine medical appropriateness

  • Prior Authorization Reviews: Assess and submit requests for behavioral health services to ensure they meet regulatory and clinical criteria

  • Concurrent Review: Monitor behavioral health records to assess treatment needs, and discharge planning.

Preferred Qualifications

  • Education: Bachelor’s degree in nursing, social work, counseling, or related field; Master’s degree preferred for behavioral health clinicians

  • Licensure: LMHC, LPC, LMHP, or LPN ,RN licensure.

  • Experience: 2–4 years in utilization review, case management, or related behavioral health roles preferred

Knowledge, Skills, and Abilities

  • Strong understanding of medical and behavioral health terminology

  • Proficiency in data analysis and regulatory compliance.

  • Excellent verbal and written communication and collaboration skills with healthcare teams and providers.

  • Excellent organizational skills and ability to prioritize a workload

  • Some Billing knowledge

Additional Responsibilities

· Participate in meetings, training, and process-improvement activities as required.

· Provide administrative support to the referral, clinical, billing, and leadership teams as needed.

· Perform other duties as assigned.

Physical and Work Requirements

· Prolonged periods of sitting and working at a computer.

· Ability to communicate by telephone, email, video conferencing, and in person.

· Ability to organize, review, scan, upload, and maintain electronic and paper records.

· Ability to work in a fast-paced environment with frequent deadlines and interruptions.

Equal Employment Opportunity

The Gardens of Arkansas is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other characteristic protected by applicable law.