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Behavioral Utilization Review Jobs in Georgia (NOW HIRING)

Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN ...

Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN ...

Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN ...

The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ...

The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ...

The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ...

The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ...

The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ...

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Behavioral Utilization Review information

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.
What cities in Georgia are hiring for Behavioral Utilization Review jobs? Cities in Georgia with the most Behavioral Utilization Review job openings:
Infographic showing various Behavioral Utilization Review job openings in Georgia as of July 2026, with employment types broken down into 2% As Needed, 75% Full Time, 17% Part Time, 1% Temporary, and 5% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution.
Utilization Review Clinician

Utilization Review Clinician

UHS

Augusta, GA

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago


Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

493rd of 890 rated healthcare providers


Job description

Responsibilities

Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years.  Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness.  Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff. 

Website: https://www.LighthouseCareCenters.com

The Utilization Review Clinician opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued stay reviews.

Job Duties/ Responsibilities:

  • Review clinical content of medical records, participate in treatment team meetings, and collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved.
  • Ensure input of pre-certifications and continued stay reviews into Midas, follow-up on unfinished pre-certifications from the day before, coordinate with the treatment team on any follow-ups necessary, verify insurance coverage at the first of the month, and post patient payments into MS4. 
  • Trained in all aspects relative to timely gathering of clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems, in addition to other job duties.

Benefit Highlights 

  • Referral Bonus Program
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website: uhsguest.com 

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.


Qualifications

EDUCATION AND EXPERIENCE

Masters level education in social science field (social work, counseling, sociology, psychology).

Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC)

Nurses with a current GA or Multistate license encouraged to apply. (LPN, RN)

Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review.

CERTIFICATIONS, LICENSES, REGISTRATION

LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.

Qualifications:

EDUCATION AND EXPERIENCE

Masters level education in social science field (social work, counseling, sociology, psychology).

Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC)

Nurses with a current GA or Multistate license encouraged to apply. (LPN, RN)

Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review.

CERTIFICATIONS, LICENSES, REGISTRATION

LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US