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Full Time Behavioral Health Utilization Review Jobs

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 full time behavioral health utilization review jobs pay per hour?

As of Jul 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.
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Full Time Behavioral Health Utilization Review jobs near you
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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