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Entry Level Behavioral Health Utilization Review Jobs

Cynet Health

Utilization Review

Eureka, CA · On-site

$1.9K/wk

Details Client Name Providence Health and Services Job Type Travel Offering Nursing Profession Registered Nurse Specialty Utilization Review Job ID 18635671 Job Title Utilization Review Weekly Pay ...

Nationwide Children's Hospital

Reviews behavioral health cases to determine medical necessity and appropriateness of care ... Conducts utilization reviews of behavioral health cases to determine medical necessity ...

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

As of Aug 7, 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?

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 is an entry level behavioral health utilization review?

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.

Registered Nurse (RN) - Behavioral Health Utilization Review

Tenet Health

Modesto, CA • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Tenet Healthcare rating

6.2

Company rating: 6.2 out of 10

Based on 350 frontline employees who took The Breakroom Quiz

701st of 887 rated healthcare providers

Job description

Job Type: Per Diem

Job Shift: Rotate

Holiday Rotation: 

Department: Behavioral Health

Position Summary                        
Reporting to the Director of Case Management, the Utilization Review Nurse is responsible for ensuring that patients being admitted to Doctors Behavioral Health Center are admitted to the appropriate level of care in accordance with the vision and goals of Doctors Medical Center and the regulatory guidelines as set by the state and federal rules.  The Utilization Review Nurse ensures quality, cost-effective patient care through planning; communication, critical thinking and facilitation of the multi-disciplinary patient care team. Coordinates Utilization Review activities to ensure that authorizations are obtained for in-patient acute hospitalizations. Acts as a liaison between MD's, the Treatment Team and External Review Organizations. Reviews the Treatment Plan and monitors the delivery of care to make sure the desired treatment outcomes are achieved.. Communicates reimbursement issues, trends and patterns to the Director of Case Management and the Administrator.                        

Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters!

At Doctors Medical Center of Modesto, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Career development and continuing education opportunities
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Doctors Medical Center (DMC), part of the Central Valley Doctors Health System, is the largest full-care hospital between Stockton and Fresno, and from the Sierras to the San Francisco Bay Area, with a 394-bed general acute care and a 67-bed inpatient psychiatric capacity. DMC is known for providing comprehensive inpatient, outpatient and emergency care. Doctors Medical Center offers a wide range of services including cardiology, neurosurgery, orthopedics, emergency and trauma services, minimally-invasive and robotic surgery, women and childrens services, medical/surgical, behavioral health, oncology and critical/intensive care. Join our team!

Minimum Education:        

BSN preferred.
 

Minimum Experience/Skills:        

One or more year's recent acute hospital experience Minimum of one year acute, inpatient psychiatric or chemical dependency experience. Good communication, documentation and organizational skills. Self motivated and able to function with a minimum of supervision. Demonstrates personal maturity, independent judgment and integrity.
 

License/Certificates/Credentials:        

Current CA Registered Nurse License
Current BLS certification              

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