1

Behavioral Utilization Review Jobs in Oklahoma (NOW HIRING)

Coordinates utilization review activities with other departments to ensure reimbursement for ... Cedar Ridge Behavioral Hospital (a UHS facility) Cedar Ridge Behavioral Hospital provides inpatient ...

Therapist

Pawnee, OK

$48K - $65K/yr

Pawnee Nation Behavioral Health - Pawnee, OK Status:Full-Time | Exempt | On-Site JOIN OUR JOURNEY ... utilization review activities. Additional Duties * Perform other duties as assigned to support ...

Therapist

Pawnee, OK · On-site

$48K - $65K/yr

Pawnee Nation Behavioral Health, in partnership with Ascension Recovery Services, is building ... utilization review activities. Additional Duties * Perform other duties as assigned to support ...

Therapist

Pawnee, OK · On-site

$48K - $65K/yr

Pawnee Nation Behavioral Health, in partnership with Ascension Recovery Services, is building ... utilization review activities. Additional Duties * Perform other duties as assigned to support ...

Utilization Review * FTE and Expense Management * Oversight of physical space Benefit Highlights ... Knowledge of EMR Utilization Required Behavioral Health Knowledge * Applicable state laws ...

Utilization Review * FTE and Expense Management * Oversight of physical space Benefit Highlights ... Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities ...

next page

Showing results 1-20

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.

How to become a behavioral utilization review?

To become a behavioral utilization review specialist, candidates typically need a bachelor's degree in psychology, social work, nursing, or a related field. Relevant experience in mental health or healthcare settings, along with knowledge of insurance policies and utilization review processes, is important; some roles may require certification such as the Certified Professional in Utilization Review (CPUR).

Is behavioral utilization review a stressful job?

Behavioral utilization review can be stressful due to the need to evaluate complex mental health cases, meet strict deadlines, and handle sensitive patient information. The role often requires strong attention to detail, critical thinking, and emotional resilience, which can contribute to job-related stress.

What cities in Oklahoma are hiring for Behavioral Utilization Review jobs?

Cities in Oklahoma with the most Behavioral Utilization Review job openings:

Infographic showing various Behavioral Utilization Review job openings in Oklahoma as of August 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 87% In-person, and 13% Remote job distribution.

Utilization Review Specialist

Lifepoint Health

Oklahoma City, OK • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 17 days ago


LifePoint Health rating

5.9

Company rating: 5.9 out of 10

Based on 272 frontline employees who took The Breakroom Quiz

764th of 893 rated healthcare providers


Job description

Your experience matters 

At Oakwood Springs, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.

How you'll contribute 
Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to determine legitimacy of admission, treatment, and length of stay and interfaces with managed care organizations, external reviewers and other payers. UR advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric or emotional disorders to managed care providers for necessary treatment. UR contacts external case managers/managed care organizations for certification of insurance benefits throughout the patient's stay and assists the treatment team in understanding the insurance company's requirements for continued stay and discharge planning. 
 

Essential Functions

  • Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocates on behalf of the patient to secure coverage for needed services

  • Completes pre and re-certifications for inpatient and outpatient services. Reports appropriate denial, and authorization information to designated resource.

  • Actively communicates with interdisciplinary team to acquire pertinent information and give updates on authorizations.

  • Participate in treatment teams to ensure staff have knowledge of coverage and to collect information for communication with agencies.

  • Works with DON to ensure documentation requirements are met.

  • Ensure appeals are completed thoroughly and on a timely basis.

  • Interface with managed care organizations, external reviews, and other payers.

  • Communicate with physicians to schedule peer to peer reviews.

  • Accurately report denials.

  • Other duties as assigned.

What we offer 

Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers: 

  • Comprehensive medical, dental, and vision plans, plus flexible-spending and health- savings accounts  
  • Competitive paid time off 
  • Income-protection programs, such as life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverage 
  • Tuition reimbursement, loan assistance, and 401(k) matching  
  • Employee assistance program including mental, physical, and financial wellness 
  • Professional development and growth opportunities

Qualifications and requirements 
Education: Bachelor's degree required. Master's degree preferred.
Experience: Previous utilization review experience in a psychiatric healthcare facility preferred.
License: Current unencumbered clinical license strongly preferred.
Additional Requirements: CPR certification and Crisis Prevention Training (CPI) preferred. May be required to work flexible hours and overtime.

About Us
Oakwood Springs is a 72 - bed hospital located in Oklahoma City, OK, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.

EEOC Statement

Oakwood Springs is an Equal Opportunity Employer.  Oakwood Springs is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

What LifePoint Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


LifePoint Health logo

About LifePoint Health

Sourced by ZipRecruiter

Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Brentwood, TN, US

Year founded

1999

Social media