ZipRecruiter

Log In

2

Full Time Behavioral Health Utilization Review Jobs

UHS

Utilization Reviewer -Behavioral Health

Conway, SC · On-site

Responsibilities Utilization Reviewer Opportunity! Lighthouse Behavioral Health Hospital, located ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...

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 ...

Imh

Utilization Management Behavioral Health

Murray, UT · Hybrid

$38.77 - $59.82/hr

FTE: Full time * Shift: Hybrid Role. Monday - Friday, 8:00am - 4:30pm. (Schedule finalized on hire ... Utilization Review and Care Management of members with specific treatment plans, conditions, or ...

next page

Showing results 1-20

All JobsFull Time Behavioral Health Utilization Review Jobs

Full Time Behavioral Health Utilization Review information

See salary details

$21

$42

$68

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

As of Jun 14, 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.
More about Full Time Behavioral Health Utilization Review jobs
What cities are hiring for Full Time Behavioral Health Utilization Review jobs? Cities with the most Full Time Behavioral Health Utilization Review job openings:
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 job categories do people searching Full Time Behavioral Health Utilization Review jobs look for? The top searched job categories for Full Time Behavioral Health Utilization Review jobs are:
Full Time Behavioral Health Utilization Review jobs near you
Infographic showing various Full Time Behavioral Health Utilization Review job openings in the United States as of June 2026, with employment types broken down into 8% Locum Tenens, 53% Full Time, 23% Part Time, 8% Temporary, and 8% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred...

Sanctuary Recovery Centers

Phoenix, AZ • On-site

Full-time

Posted 28 days ago

Job description

Job Title: Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] - Behavioral Health
Employment Type: Full-Time
Schedule: In-office, Monday through Friday
Position Overview
We are seeking a detail-oriented and highly organized Utilization Review (UR) Coordinator / Authorization Representative [clinical experience preferred]. This role is responsible for managing authorizations, ensuring medical necessity documentation, and maintaining compliance with AHCCCS (Arizona Health Care Cost Containment System) requirements.
The ideal candidate thrives in a fast-paced environment, demonstrates strong knowledge of behavioral health utilization management, and has a proven ability to manage high client volumes while maintaining strict adherence to timely filing and regulatory standards.
Key Responsibilities
  • Obtain, track, and manage initial and concurrent authorizations for behavioral health services
  • Coordinate and complete utilization review processes in compliance with AHCCCS guidelines and medical necessity criteria
  • Submit timely and accurate authorization requests, ensuring adherence to payer-specific timely filing requirements
  • Monitor authorizations for expiration and proactively manage concurrent reviews to prevent gaps in coverage
  • Communicate effectively with clinical staff, payers, and case managers to gather necessary documentation and ensure continuity of care
  • Maintain accurate and up-to-date records in the EHR and authorization tracking systems
  • Review clinical documentation for completeness and alignment with medical necessity standards
  • Manage a high volume of client cases, prioritizing tasks to meet deadlines and avoid service disruptions
  • Follow up on pending authorizations, denials, and appeals as needed
  • Ensure compliance with all federal, state, and AHCCCS regulations, as well as internal policies and procedures

Qualifications
  • Minimum of [2+] years of experience in utilization review, authorizations, or behavioral health administration
  • Clinical experience (peer service, clinician, etc.) that could aid in the review of clinical necessity.
  • Strong working knowledge of AHCCCS requirements, including authorization processes and compliance standards
  • Experience with timely filing requirements and payer-specific guidelines
  • Proven ability to manage high caseloads and concurrent reviews in a fast-paced environment
  • Familiarity with behavioral health levels of care (e.g., RTC, PHP, IOP, outpatient)
  • Excellent organizational skills and attention to detail
  • Strong written and verbal communication skills
  • Experience with EHR systems and authorization tracking tools
  • Ability to work independently and as part of a multidisciplinary team

Preferred Qualifications
  • Experience working with Medicaid/managed care plans, specifically AHCCCS
  • Knowledge of InterQual, ASAM, or other medical necessity criteria tools
  • Previous experience handling denials, appeals, and peer-to-peers

Key Competencies
  • Time management and prioritization
  • Accuracy and compliance-driven mindset
  • Critical thinking and problem-solving
  • Ability to handle sensitive information with confidentiality (HIPAA compliance)
  • Adaptability in a high-volume, deadline-driven environment

Why Join Us
  • Opportunity to make a meaningful impact in behavioral health care
  • Collaborative and mission-driven team environment
  • Competitive compensation and benefits package
  • Professional growth and development opportunities

Note: This position requires strict adherence to AHCCCS guidelines, timely filing requirements, and all applicable regulatory standards. Candidates must demonstrate the ability to manage multiple concurrent authorizations while maintaining accuracy and compliance.
As part of our commitment to maintaining a safe and productive work environment, Sanctuary Recovery Centers conducts background checks and drug screenings for all potential employees. Please note the following:
  1. Background Check: All offers of employment are contingent upon the successful completion of a background check. This may include verification of employment history, education, criminal records, and other relevant information.
  2. Drug Screening: Candidates must pass a drug screening test as a condition of employment. This test will screen for the presence of illegal substances and may include random testing during employment.
  3. APS Registry: Candidates must pass an APS (Adult Protective Services) registry check before an offer of employment can be extended.
  4. Confidentiality: All information obtained during the background check, drug screening, and APS registry check process will be kept confidential and used solely for employment purposes.
  5. Compliance: Sanctuary Recovery Centers complies with all applicable federal, state, and local laws regarding background checks, drug screenings, and APS registry checks.

By applying for this position, you acknowledge and consent to these procedures.

Apply