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Full Time Behavioral Health Utilization Review Jobs

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 ...

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Associate's or Bachelor's degree in Healthcare Administration, Medical Records, Behavioral Health ...

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Associate's or Bachelor's degree in Healthcare Administration, Medical Records, Behavioral Health ...

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Associate's or Bachelor's degree in Healthcare Administration, Medical Records, Behavioral Health ...

The Meadows

Utilization Review Coordinator

Phoenix, AZ · On-site +1

Meadows Behavioral Healthcare offer a range of specialized programs including residential ... As the Utilization Review Coordinator, you will develop and implement systems for authorizations ...

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Full Time Behavioral Health Utilization Review information

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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.
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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:
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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 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.
Clinical Coordinator - Utilization Review

Clinical Coordinator - Utilization Review

Hampton-Newport News Community Services Board

Hampton, VA • On-site

$61K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 2 days ago

Job description

Clinical Coordinator - Utilization Review
Annual Salary: $61,182
Work Schedule: Monday - Friday 8:30 am - 5:00 pm
The Hampton - Newport News Community Services Board (CSB) is hiring a Clinical Coordinator - Utilization Review for the Region 5 Reinvestment Initiative. This full-time Clinical Coordinator - Utilization Review is responsible for conducting clinical reviews of acute and intermediate care for clinical necessity and appropriateness of care and for managing utilization of beds on a daily basis to ensure movement in a clinically appropriate and expeditious manner. Major duties will include conducting clinical reviews, acute care bed management, and communication of findings and recommendations between hospitals, facilities, and CSB staff. This position will report to the Project Director of the Region 5 Reinvestment Initiative.
ROLE SUMMARY
The Clinical Coordinator (Utilization Review) ensures individuals receive the most appropriate and effective behavioral health services by conducting clinical reviews of acute care and crisis stabilization admissions. Evaluates medical necessity, monitors continued stay criteria, and makes recommendations regarding the most appropriate level of care. Working closely with hospitals, Community Services Board (CSB) staff, and regional partners, coordinates communication, tracks consumer placements, and provides clinical guidance to support informed treatment and placement decisions. Responsibilities include conducting face-to-face assessments, monitoring treatment progress and outcomes, promoting quality and cost-effective care, and preparing regular utilization reports with recommendations for acute, sub-acute, or community-based services. This position plays a critical role in ensuring consumers receive timely, clinically appropriate, and least restrictive treatment options while supporting regional behavioral health initiatives.
To qualify for this position, candidates must have:
  • Master's degree in Human Services.
  • Three (3) years of experience in behavioral health, including utilization management.

BENEFITS
  • Health, Vision, and Dental Insurance
  • Virginia Retirement System
  • Flexible Spending Account (FSA)
  • Life Insurance
  • 11 Paid Holidays

The selected candidate must successfully pass a criminal history fingerprint background investigation, DMV record check, Child Registry search, drug screening test and employment reference checks.

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