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Entry Level Behavioral Health Utilization Review Jobs

Actalent

Behavioral Health Utilization Manager

Boston, MA · On-site

$40 - $45/hr

Behavioral Health Utilization Manager The Behavioral Health Utilization Manager plays a critical ... Collaborate with Medical Directors when clinical complexity requires further review, ensuring ...

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Mindful Health

Utilization Review Specialist

$25 - $30/hr

Utilization Review Specialist Mindful Health is a fast-growing company with the goal of providing an intentionally different approach to mental health and well-being. We are a combination of bricks ...

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How much do entry level behavioral health utilization review jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for entry level behavioral health utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What are some common challenges faced by entry-level Behavioral Health Utilization Review professionals, and how can they be managed?

Entry-level Behavioral Health Utilization Review professionals often encounter challenges such as learning to interpret clinical documentation accurately, balancing productivity with thoroughness, and effectively communicating with providers about coverage determinations. Adjusting to the fast-paced environment and understanding complex insurance guidelines can also be demanding. Seeking mentorship from experienced colleagues, participating in ongoing training, and developing strong organizational skills are effective ways to overcome these challenges and grow within the role.

What are the key skills and qualifications needed to thrive as an Entry Level Behavioral Health Utilization Review Specialist, and why are they important?

To thrive as an Entry Level Behavioral Health Utilization Review Specialist, you need foundational knowledge in behavioral health, familiarity with insurance processes, and often a relevant bachelor's degree in psychology, social work, or a related field. Proficiency with medical management software, electronic health records (EHRs), and familiarity with ICD-10 and DSM-5 coding systems are typically required. Strong analytical skills, attention to detail, and effective communication help you excel in reviewing clinical documentation and collaborating with providers. These skills ensure accurate, timely authorization decisions and support quality patient care while adhering to regulatory and payer guidelines.

What are entry level behavioral health utilization review jobs?

Entry level behavioral health utilization review jobs involve assessing mental health and substance abuse treatment services to ensure they are appropriate, necessary, and covered by insurance plans. Individuals in these roles typically review clinical documentation, compare it to established criteria, and collaborate with healthcare providers to determine coverage. These positions are a starting point for those interested in behavioral health or healthcare administration, and often require strong communication, analytical skills, and a background in mental health or social services.
What are the most commonly searched types of Behavioral Health Utilization Review jobs? The most popular types of Behavioral Health Utilization Review jobs are:
What states have the most Entry Level Behavioral Health Utilization Review jobs? States with the most job openings for Entry Level Behavioral Health Utilization Review jobs include:
What job categories do people searching Entry Level Behavioral Health Utilization Review jobs look for? The top searched job categories for Entry Level Behavioral Health Utilization Review jobs are:
Entry Level Behavioral Health Utilization Review jobs near you
Infographic showing various Entry Level Behavioral Health Utilization Review job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 74% Full Time, 18% Part Time, 1% Temporary, and 5% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Behavioral Health Utilization Care Manager

Behavioral Health Utilization Care Manager

Central Florida Behavioral Health Network

Tampa, FL • On-site

$60K - $69K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

Job description

Licensed Behavioral Health Utilization Care Manager
Come Put your Experience to Use and Work with Great People!
Central Florida's Behavioral Health Network, Inc. (CFBHN) is one of the leading behavioral health managing entities in the state of Florida, covering 14 counties. Contracted with the Department of Children and Family, we provide oversite to providers in central Florida who serve in the mental health and substance abuse field in all types of settings, including school and community settings. We have been in business for more than 25 years, are well respected in the field, and are located in a convenient location near Brandon just off the Selman Expressway, not far from downtown!
The Behavioral Health Utilization Care Manager is responsible for assuring that the system of care is accessible, effective, efficient and appropriate for individuals and families seeking services.
One of the best things about working at CFBHN is that the company truly cares about its employees, and it shows in the length of time our employees stay with us. Many of our staff have been here ten years or more. We offer a great paid time off program that includes paid vacation days, paid sick days, paid personal days and a paid volunteer day! Our health and dental benefits are 100% employer paid for telehealth. We offer a great 401k plan along with a profit-sharing plan to help you prepare for your future. This is a great hybrid role which is mostly work from home. We provide your laptop, cell phone, monitor, and other supplies you may need.
Responsibilities:
Essential Job Functions
  • Review, analyze, trend and report utilization/care coordination data of individuals receiving behavioral health services.
  • Identify, recommend, and assist in implementing programmatic and system changes designed to further develop and improve system of care through acute care meetings, care coordination, etc.
  • Provide training and technical assistance related to utilization management/care coordination.
  • Assure compliance with provider and CFBHN contractual requirements, managing entity accreditation requirements, annual audit requirements and laws, regulations and rules that govern the provision of behavioral health services
  • Participate in and/or chair CFBHN Utilization Management Committee and other associated CFBHN meetings
  • Exceptional skills in utilization data analysis
  • Understanding of different funding sources for behavioral health care (Medicaid, commercial insurance) as well as state and federal funding
  • In-depth understanding of system of care principles and values
  • Knowledge of federal and state regulations related to the provision of mental health and substance services
  • Knowledge of the principles and practices of collaborative quality improvement processes
  • Ability to manage multiple tasks and prioritize meeting deadlines
  • Knowledge of Microsoft Office suite as applicable to the position
  • Ability to travel as required by the position

Qualifications:
Required Education/Experience
  • Master's degree in social work, mental health counseling or marriage and family counseling.
  • Behavioral health license LMHC, LCSW, LMFT required
  • Two years' experience in utilization management that includes oversight of admissions, census, discharges, and budget.

We offer:
  • Health & dental (100% paid for employee)
  • Vision benefits (deeply discounted pricing)
  • Hybrid role
  • Life Insurance ($10,000 policy, 100% paid)
  • 401k (after 90 days)
  • 401k Matching up to 4%
  • AD&D policy (100% employer paid)
  • Telehealth
  • AFLAC available
  • 12 paid vacation days, 12 paid sick days
  • Two paid personal days and one paid volunteer day
  • Nine paid holidays
  • Employee assistance program
  • And more great benefits!

Send your resume now!

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