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Behavioral Utilization Review Jobs in Michigan (NOW HIRING)

UHS

Utilization Review Manager

Grand Rapids, MI

... Utilization Review Manager. Position Description: The Utilization Manager is responsible for ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...

UHS

Utilization Review Manager

Grand Rapids, MI · On-site

... Utilization Review Manager. Position Description: The Utilization Manager is responsible for ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...

UHS

Utilization Review Manager

Grand Rapids, MI

... Utilization Review Manager. Position Description: The Utilization Manager is responsible for ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...

Region 10 PIHP

Access-Utilization Manager

Port Huron, MI · On-site

... for behavioral health services utilization across the region respective to the Region 10 PIHP ... Review (UR) activities across the CMH and SUD provider networks, including case finding and case ...

New

UHS

UR COORDINATOR

Augusta, MI · On-site

... behavioral health facilities and 30 outpatient and other facilities located in 37 states ... Qualifications The Utilization Review Coordinator is responsible for reviewing patient insurance ...

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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 are popular job titles related to Behavioral Utilization Review jobs in Michigan? For Behavioral Utilization Review jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Behavioral Utilization Review jobs in Michigan look for? The top searched job categories for Behavioral Utilization Review jobs in Michigan are:
What cities in Michigan are hiring for Behavioral Utilization Review jobs? Cities in Michigan with the most Behavioral Utilization Review job openings:
Behavioral Utilization Review jobs near you
Infographic showing various Behavioral Utilization Review job openings in Michigan as of July 2026, with employment types broken down into 83% Full Time, and 17% Contract. Highlights an 100% In-person job distribution.
Utilization Review Nurse

Utilization Review Nurse

Healthcare Support Staffing

Troy, MI

Contractor

Posted 27 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Company: Molina Healthcare

Location: 880 Long Lake Rd Suite 600 Troy, Michigan 48098

Shift: Daytime hours

Employment: Contract: 1-2 months (possibility of going longer depending on business needs)


Company Job Description/Day to Day Duties:


Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Molina Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines


Provider appeals and Utilization reviews and assist with Denial Letters 


Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.

Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.

Participates in interdepartmental integration and collaboration to enhance the continuity of care for Molina members including Behavioral Health and Long Term Care. 

Qualifications

Minimum Education/Qualifications/Licensures:


Must be an RN 

Utilization Review background in either Managed Care of Provider environment (at least one year) 

Interqual experience 

Other basic computer skills necessary: Microsoft Office, Data Entry, etc. 

Minimum 2-4 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management.

Also has a background in patient, skilled nurses facilities, rehab, and home healthcare.  

Additional Information

Apply now for immediate consideration. After applying, a recruiting consultant will contact you for pre-screening. Please provide your best phone number to contact.

Thanks and look forward to hearing from you!

Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

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