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Behavioral Utilization Review Jobs in Tennessee (NOW HIRING)

... utilization review processes to assure continuity for the most appropriate level of care for ... One or more years' experience in mental/behavioral health working with individuals in a clinical or ...

Posted today

... utilization review processes to assure continuity for the most appropriate level of care for ... One or more years' experience in mental/behavioral health working with individuals in a clinical or ...

Posted today

Admissions Counselor

Memphis, TN · On-site

$34K - $46K/yr

... utilization review processes to assure continuity for the most appropriate level of care for ... behavioral health working with individuals in a clinical or observational capacity preferred.

... utilization review processes to assure continuity for the most appropriate level of care for ... behavioral acuity and respond within facility policy timeframes. * Respond to inquiries about the ...

... need for behavioral intervention (e.g., preference assessment, functional assessment, staff ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...

... need for behavioral intervention (e.g., preference assessment, functional assessment, staff ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...

... need for behavioral intervention (e.g., preference assessment, functional assessment, staff ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...

... need for behavioral intervention (e.g., preference assessment, functional assessment, staff ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...

... need for behavioral intervention (e.g., preference assessment, functional assessment, staff ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...

... need for behavioral intervention (e.g., preference assessment, functional assessment, staff ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...

... need for behavioral intervention (e.g., preference assessment, functional assessment, staff ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...

... utilization review processes to assure continuity for the most appropriate level of care for ... behavioral acuity and respond within facility policy timeframes. * Respond to inquiries about the ...

Showing results 41-60

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.

What cities in Tennessee are hiring for Behavioral Utilization Review jobs? Cities in Tennessee with the most Behavioral Utilization Review job openings:
Infographic showing various Behavioral Utilization Review job openings in Tennessee as of August 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 100% In-person job distribution.

Mobile Response Counselor

Crestwyn Behavioral Health

Memphis, TN • On-site

Full-time

Posted 8 days ago


Job description

Overview

PURPOSE STATEMENT: 

Clinical professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resource utilization.

Monday-Friday 12pm-8:30pm

Saturday & Sunday 12pm-8:30pm

Responsibilities

ESSENTIAL FUNCTIONS: 

  • Respond to inquiries about the facility within facility policy timeframes. 
  • Ability to develop therapeutic relationships with patients and families. 
  • Perform benefit eligibility to ensure patient benefits are active at the time of admission.  Communicate benefit eligibility to the business office and the patient or significant other. 
  • Collaborate with facility medical and psychiatric personnel to ensure appropriate recommendations regarding pending referrals.  
  • Coordinate admission and transfer from referral sources and between levels of care within the facility. 
  • Maintain knowledge of milieu management. 
  • Communicate projected admissions to designated internal representatives promptly.  
  • Ensure all clinical information from referral sources or patients (including medical comorbidity information) is received, when possible, prior to patient admission.  
  • Schedule (when applicable) and complete pre-admission assessments, consult with the admitting physician and communicate disposition recommendations to the patient or their family. 
  • Possess skill in preparing and maintaining appropriate medical record documentation that will result in authorization at the level of care being requested of the payor.  
  • Complete initial pre-authorization for treatment and admission prior to admission, when possible, and within payor timeframe guidelines.  
  • Admit the patient to the registration and accounting system.  Complete all admission and consent forms with the patient. 
  • Demonstrate a positive, empathetic, and professional attitude toward customers always. When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority. 

OTHER FUNCTIONS:  

  • Perform other functions and tasks as assigned. 
Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

  • Bachelor's degree in a social services field required (if state allows). 
  • Master's degree in a social services field (psychology, counseling, social work, sociology, health administration, nursing) or RN preferred.   
  • One or more years' experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred. 

LICENSES/DESIGNATIONS/CERTIFICATIONS:  

  • Current licensure, as preferred for the area of clinical specialty, as designated by the state in which the facility operates. 
  • CPR and de-escalation/restraint certification required (training available upon hire and offered by facility). 
  • First aid may be preferred based on state or facility. 

ADDITIONAL REGULATORY REQUIREMENTS: 

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances  (e.g. emergencies, changes in workload, rush jobs, or technological developments) dictate. 

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

AHMKT

#LI-SW1

Employment Type: FULL_TIME