At least 3-5 years of experience in a Psychiatric Inpatient Setting or 3-5 years of Health Plan or 3-5 years of Managed Behavioral Health experience Utilization Reviews experience. There will be ...
At least 3-5 years of experience in a Psychiatric Inpatient Setting or 3-5 years of Health Plan or 3-5 years of Managed Behavioral Health experience Utilization Reviews experience. There will be ...
Concurrent Review Nurse
Doral, FL · On-site
Conduct medical and behavioral health (BH) reviews for pre- and post-service authorization requests ... Minimum of two (2) years of experience in clinical review or utilization management Language Skills
Concurrent Review Nurse
Doral, FL · On-site
Conduct medical and behavioral health (BH) reviews for pre- and post-service authorization requests ... Minimum of two (2) years of experience in clinical review or utilization management Language Skills
Concurrent Review Nurse
Doral, FL · On-site
Conduct medical and behavioral health (BH) reviews for pre- and post-service authorization requests ... Minimum of two (2) years of experience in clinical review or utilization management Language Skills
Concurrent Review Nurse
Doral, FL · On-site
Conduct medical and behavioral health (BH) reviews for pre- and post-service authorization requests ... Minimum of two (2) years of experience in clinical review or utilization management Language Skills
Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ... Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ...
Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ... Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ...
Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ... Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ...
Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ... Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ...
Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ... Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ...
Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ... Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ...
Care Review Clinician
Miami, FL · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Behavioral Health and Long Term Care. Maintains department productivity and quality measures.
Care Review Clinician
Miami, FL · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Behavioral Health and Long Term Care. Maintains department productivity and quality measures.
Care Review Clinician
Miami, FL · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Behavioral Health and Long Term Care. Maintains department productivity and quality measures.
Care Review Clinician
Miami, FL · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Behavioral Health and Long Term Care. Maintains department productivity and quality measures.
Selected candidate will have at least 3-5 years of experience in a Psychiatric Inpatient Setting or 3-5 years of Health Plan or 3-5 years of Managed Behavioural Health experience Utilization Reviews ...
Selected candidate will have at least 3-5 years of experience in a Psychiatric Inpatient Setting or 3-5 years of Health Plan or 3-5 years of Managed Behavioural Health experience Utilization Reviews ...
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Behavioral Health Case Manager
Sunrise, FL · Hybrid
$74K - $112K/yr
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Behavioral Health Case Manager
Sunrise, FL · Hybrid
$74K - $112K/yr
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Medical Director, Behavioral Health (FL)
$186K - $363K/yr
Facilitates behavioral health-related regional medical necessity reviews and cross coverage. Standardizes behavioral health-related utilization management, quality, and financial goals across all ...
Medical Director, Behavioral Health (FL)
$186K - $363K/yr
Facilitates behavioral health-related regional medical necessity reviews and cross coverage. Standardizes behavioral health-related utilization management, quality, and financial goals across all ...
Care Review Clinician, ABA
Miami, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... utilization and care management departments to provide ABA and behavioral health therapy (BHT ...
Care Review Clinician, ABA
Miami, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... utilization and care management departments to provide ABA and behavioral health therapy (BHT ...
Care Review Clinician, ABA
Miami, FL · On-site
$26.41 - $51.49/hr
... utilization and care management departments to provide ABA and behavioral health therapy (BHT ... Approves prior authorization requests for BHT treatment by reviewing BHT assessments and treatment ...
Care Review Clinician, ABA
Miami, FL · On-site
$26.41 - $51.49/hr
... utilization and care management departments to provide ABA and behavioral health therapy (BHT ... Approves prior authorization requests for BHT treatment by reviewing BHT assessments and treatment ...
Board Certified Behavior Analyst / BCBA
Miami, FL · On-site
$85K/yr
Conduct assessments related to the need for behavioral intervention (e.g., preference assessment ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...
Quick apply
Board Certified Behavior Analyst / BCBA
Miami, FL · On-site
$85K/yr
Conduct assessments related to the need for behavioral intervention (e.g., preference assessment ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...
Conduct assessments related to the need for behavioral intervention (e.g., preference assessment ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...
Conduct assessments related to the need for behavioral intervention (e.g., preference assessment ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...
Board Certified Assistant Behavior Analyst / BCaBA
Miami, FL · On-site
$75K - $90K/yr
Conduct assessments related to the need for behavioral intervention (e.g., preference assessment ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...
Board Certified Assistant Behavior Analyst / BCaBA
Miami, FL · On-site
$75K - $90K/yr
Conduct assessments related to the need for behavioral intervention (e.g., preference assessment ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...
Board Certified Assistant Behavior Analyst / BCaBA
Miami, FL · On-site
$75K - $90K/yr
Conduct assessments related to the need for behavioral intervention (e.g., preference assessment ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...
Quick apply
Board Certified Assistant Behavior Analyst / BCaBA
Miami, FL · On-site
$75K - $90K/yr
Conduct assessments related to the need for behavioral intervention (e.g., preference assessment ... (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your ...
Prior Authorization Clinical Pharmacist
Miami, FL · On-site
$113K - $135K/yr
This role supports key clinical pharmacy programs, including Drug Utilization Review (DUR), Drug ... Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ...
Prior Authorization Clinical Pharmacist
Miami, FL · On-site
$113K - $135K/yr
This role supports key clinical pharmacy programs, including Drug Utilization Review (DUR), Drug ... Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ...
Behavioral Utilization Review information
See Miami, FL salary details
$20.46 - $24.60
2% of jobs
$24.60 - $28.74
9% of jobs
$31.57 is the 25th percentile. Wages below this are outliers.
$28.74 - $32.88
21% of jobs
The median wage is $36.23 / hr.
$32.88 - $37.02
23% of jobs
$37.02 - $41.15
13% of jobs
$44.37 is the 75th percentile. Wages above this are outliers.
$41.15 - $45.29
10% of jobs
$45.29 - $49.43
8% of jobs
$49.43 - $53.57
5% of jobs
$53.57 - $57.71
5% of jobs
$57.71 - $61.85
2% of jobs
$61.85 - $65.99
2% of jobs
$20
$40
$65
How much do behavioral utilization review jobs pay per hour?
As of Sep 6, 2026, the average hourly pay for behavioral utilization review in Miami, FL is $40.44, according to ZipRecruiter salary data. Most workers in this role earn between $31.97 and $46.44 per hour, depending on experience, location, and employer.
What is the difference between Behavioral Utilization Review vs Behavioral Case Manager?
| Aspect | Behavioral Utilization Review | Behavioral Case Manager |
|---|---|---|
| Credentials | Licensed mental health professionals, certifications vary | Licensed clinical social workers, counselors, or therapists |
| Work Environment | Review settings, insurance companies, healthcare facilities | Direct patient interaction, hospitals, outpatient clinics |
| Employer & Industry | Insurance companies, healthcare organizations | Hospitals, mental health agencies, managed care |
| Primary Focus | Assessing medical necessity, reviewing treatment plans | Coordinating 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 are popular job titles related to Behavioral Utilization Review jobs in Miami, FL?
For Behavioral Utilization Review jobs in Miami, FL, the most frequently searched job titles are:
- Remote Utilization Review Rn
- Remote Per Diem Utilization Review Nurse
- Home Based Utilization Review Nurse
- Remote Utilization Review Social Worker
- Temporary Utilization Review Nurse
- Full Time Physician Advisor Utilization Review
- Night Utilization Review Nurse
- Full Time Behavioral Health Utilization Review
- Remote Concurrent Review Nurse
- Part Time Utilization Review Nurse
What job categories do people searching Behavioral Utilization Review jobs in Miami, FL look for?
The top searched job categories for Behavioral Utilization Review jobs in Miami, FL are:
- Utilization Review
- Remote Utilization Review
- Aetna Utilization Review Nurse
- Remote Hca Utilization Review
- Lpn Utilization Review Work From Home
- Full Time Bcba Utilization Review
- Full Time Utilization Review Specialist
- Medical Utilization Review Physician
- Remote Cigna Utilization Review Nurse
- Weekend Utilization Review
What cities near Miami, FL are hiring for Behavioral Utilization Review jobs?
Cities near Miami, FL with the most Behavioral Utilization Review job openings:
Contractor
Re-posted 21 days ago
Job description
Company Description
Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.
Job Description
Under general supervision by management, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical information in order to authorize services. Reviews health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria; collects and analyzes utilization information; assists with program processes for transitions across levels of care including discharge planning and ambulatory follow up activity. Serves as an expert resource on coverage policies, covered benefits, and medical necessity criteria.
Qualifications
Hours of operation for the Department: M- F 8:00am - 7:00pm.
This positon is 98% telephonic.
At least 3-5 years of experience in a Psychiatric Inpatient Setting or
3-5 years of Health Plan or 3-5 years of Managed Behavioral Health experience Utilization Reviews experience.
There will be rounds with a Doctor for 15 mins every day. Travel maybe required to a local hospital with a mileage rate of $0.54/mile.
Training will be 3 - 4 weeks long that will include Code of Conduct, Systems App and Shadowing.
Credentialing Paperwork will be completed during training.
Required License: LCSW, LCMFC, LMHC, LMFT, LCPC or RN. OR RN, then a Bachelor Degree is required.
The Master Degree is required for all other licensing.
Additional Information
Kind Regards,
Kavita Kumari
Clinical Recruiter
Integrated Resources, Inc.
IT Life Sciences Allied Healthcare CRO
DIRECT # - 732-844-8726
About Integrated Resources
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
1996