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Full Time Behavioral Health Utilization Review Jobs in Texas

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

... Health Care Insurance Company. * Knowledge of medical terminology and procedures. * Verbal and ... Utilization management experience LOCATION: REMOTE in Texas ( Richardson area ? Dallas/Collin ...

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Full Time Behavioral Health Utilization Review information

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 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 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.

What are the most commonly searched types of Behavioral Health Utilization Review jobs in Texas?

The most popular types of Behavioral Health Utilization Review jobs in Texas are:

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For Full Time Behavioral Health Utilization Review jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Full Time Behavioral Health Utilization Review jobs in Texas look for?

The top searched job categories for Full Time Behavioral Health Utilization Review jobs in Texas are:

What cities in Texas are hiring for Full Time Behavioral Health Utilization Review jobs?

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Full Time Behavioral Health Utilization Review jobs near you
Infographic showing various Full Time Behavioral Health Utilization Review job openings in Texas as of August 2026, with employment types broken down into 2% As Needed, 79% Full Time, 14% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Utilization Review Specialist, Behavioral Health

Lifepoint Health

Fort Worth, TX • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

LifePoint Health rating

5.9

Company rating: 5.9 out of 10

Based on 273 frontline employees who took The Breakroom Quiz

766th of 898 rated healthcare providers

Job description


Your experience matters
Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to making communities healthier®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
How you'll contribute
An Utilization Review Specialistwho excels in this role:
  • Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocates on behalf of the patient to secure coverage for needed services
  • Completes pre and re-certifications for inpatient and outpatient services.
  • Reports appropriate denial, and authorization information to designated resource.
  • Actively communicates with interdisciplinary team to acquire pertinent information and give updates on authorizations.
  • Participate in treatment teams to ensure staff have knowledge of coverage and to collect information for communication with agencies.
  • Works with DON to ensure documentation requirements are met.
  • Ensure appeals are completed thoroughly and on a timely basis.
  • Interface with managed care organizations, external reviews, and other payers.
  • Communicate with physicians to schedule peer to peer reviews.
  • Accurately report denials.

Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
  • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage, tailored benefit options for part-time and PRN employees, and more.
  • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
  • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
  • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
  • Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for
Applicants should have a Bachelor's degree (required), Master's degree preferred. Additional requirements include:
  • Current unencumbered clinical license strongly preferred
  • CPR and CPI Certification within 30 day of employment
  • Previous utilization review experience in a psychiatric healthcare facility preferred.

More about Mesa Springs
Mesa Springs is a behavioral health hospital offering exceptional care to the Fort Worth, TX community.
EEOC Statement
"Mesa Springs is an Equal Opportunity Employer. Mesa Springs is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
About Us
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
About the Team
We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

What LifePoint Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About LifePoint Health

Sourced by ZipRecruiter

Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Brentwood, TN, US

Year founded

1999

Social media

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