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How much do full time behavioral health utilization review jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for full time 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 Behavioral Health Utilization Review professionals, and how can they be addressed?

Behavioral Health Utilization Review professionals often encounter challenges such as managing high caseloads, staying current with changing insurance policies, and effectively communicating clinical needs to payers. Balancing administrative requirements with patient advocacy can be demanding, especially when there is pressure to ensure timely reviews and approvals. To address these challenges, strong organizational skills, ongoing professional development, and collaboration with interdisciplinary teams are essential. Utilizing up-to-date technology and participating in regular training can also help streamline processes and improve outcomes.

What is a Full Time Behavioral Health Utilization Review?

A Full Time Behavioral Health Utilization Review professional evaluates mental health and substance use treatment plans to ensure they meet clinical guidelines and are medically necessary. They review patient records, coordinate with healthcare providers, and make recommendations regarding the approval or denial of services. These professionals help manage healthcare costs while ensuring patients receive appropriate care. Their expertise is essential in maintaining compliance with insurance and regulatory requirements, and they often serve as a bridge between treatment providers and insurance companies.

What are the key skills and qualifications needed to thrive as a Full Time Behavioral Health Utilization Review Specialist, and why are they important?

To thrive as a Full Time Behavioral Health Utilization Review Specialist, you need clinical expertise in behavioral health, knowledge of insurance guidelines, and typically a degree in nursing, social work, or a related field with relevant licensure. Familiarity with utilization management software, electronic health records (EHRs), and standardized assessment tools is essential. Strong analytical skills, attention to detail, and effective communication are vital soft skills for collaborating with providers and advocating for patients. These competencies ensure appropriate care authorization, regulatory compliance, and quality outcomes for both patients and healthcare organizations.
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Full Time Behavioral Health Utilization Review jobs near you
Supervisor Behavioral Health Utilization Review

Supervisor Behavioral Health Utilization Review

Saint Luke's Health System

Kansas City, MO • On-site

Full-time

Posted 25 days ago

Saint Luke's Health System (Kansas City) rating

7.1

Company rating: 7.1 out of 10

Based on 109 frontline employees who took The Breakroom Quiz

376th of 882 rated healthcare providers

Job description

Job Description
Saint Luke's Crittenton Children's Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team.
This role facilitates and directs the Utilization Review Department, Case Management and Reception teams of a 24/7 inpatient residential and hospital program. Additionally, ensures compliance with all pertinent regulations, analyzes trends related to denials & authorizations, builds strong relationships with third party payers. Positive relationships with physicians, nursing supervisors and senior administration are required to ensure empathic and timely response to individual patient and community needs.
Job Details:
  • Monday - Friday, dayshift, 9am -5pm. Remote work not preferred, but occasional opportunity, must be primarily onsite. No weekend or holiday rotations.
  • Supervises and completes daily operations as assigned by Manager of Intake and Utilizations Review.
  • Oversees resources and functions related to utilization review and regulatory compliance adherence.
  • Responsible for training of staff, discipline and evaluations.
  • Monitors and maintains data to achieve quality outcomes and progression with the departmental strategic plan.
  • Collaborates and communicates with the multidisciplinary team to ensure communication of patient's treatment to the managed care provider.
  • Review clinical charts in order to file appeals on denied accounts.
  • Oversees scheduling and supervision needs for the Reception team.
  • Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW)
  • 1-3 years in a leadership or team lead role preferred

Job Requirements
Applicable Experience:
2 years
Licensed Professional Counselor - Various
Master's Degree
Job Details
Full Time
Day (United States of America)
The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

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