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Behavioral Utilization Review Jobs in Ohio (NOW HIRING)

syfs

UR Manager

Columbus, OH

For billing and hospitalization utilization review purposes, the reviewer will identify and certify ... behavioral health field. Benefits DailyPay Educational Assistance Program Medical, Dental, and ...

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Behavioral Utilization Review information

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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Infographic showing various Behavioral Utilization Review job openings in Ohio as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 100% In-person job distribution.

Utilization Management (UM) Coordinator

Communicarehealth

Blue Ash, OH • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Job description

Job Address:

10123 Alliance Road, Sutie 300 Blue Ash, OH 45242


Role: UM Director

Job Post Title: Utilization Review Director

Shift: M-F

Hours: 8-4:30 9-5

The Role Itself

  • Oversees service requests, authorizations and LOS metrics.

  • Reviews documentation quality for clinical effectiveness in regards to reimbursement.

  • Participates in clinical team for goal alignment and compliance.

  • Manages patient transitions between LOC and updates denial log.

  • Develops processes to minimize denials and provides education.

  • Possesses strong knowledge of external review organizations.

  • Facilitates UM team meetings.

Perks with us!

  • Medical Packages with Rx - 3 Choices

  • Flexible Spending Accounts (FSA)

  • Dependent Care Spending Accounts

  • Health Spending Accounts (HSA) with a company match

  • Dental Care Program - 2 choices

  • Vision Plan

  • Life Insurance Options

  • Accidental Insurances

  • Paid Time Off + Paid Holidays

  • Employee Assistance Programs

  • 401k with a Company Match

Education + Leadership Development

  • Up to $15,000 in Tuition Reimbursements

  • Student Loan Forgiveness Programs

Education:

  • Related and relevant field experience

  • Or Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences,

  • Or Master's Degree

  • Must be 21 yrs or older

License:

  • LPN, RN, LMSW, LPC, BSW, LSW, LPCC, LISW or applicable license preferred.

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