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Full Time Remote Behavioral Health Utilization Review Jobs

Umpqua Health

Utilization Review Clinician

Roseburg, OR · On-site +1

$80K - $94K/yr

UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR ... Evaluate behavioral health and substance use disorder services to determine medical necessity ...

Sentara Healthcare

UTILIZATION REVIEW NURSE

Norfolk, VA · On-site +1

The Utilization Review Nurse is responsible for utilization management services within the scope of ... For positions that are available as remote work, Sentara Health employs associates in the following ...

Centene

Utilization Review Clinician_Behavioral Health

$27.02 - $48.55/hr

... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ... full-time or part-time status. Total compensation may also include additional forms of incentives.

Centene

Utilization Review Clinician_Behavioral Health

$27.02 - $48.55/hr

... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ... full-time or part-time status. Total compensation may also include additional forms of incentives.

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

As of Aug 29, 2026, the average hourly pay for full time remote 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.

How to become a full time remote behavioral health utilization review?

To become a full-time remote behavioral health utilization review professional, candidates typically need a relevant clinical background such as a master's degree in social work, counseling, or psychology, along with licensure or certification as required by the employer. Experience in behavioral health, knowledge of insurance policies, and familiarity with utilization review processes are also important. Strong communication skills and proficiency with electronic health records and review tools are essential for remote work in this field.

Is full time remote behavioral health utilization review work from home?

Full-time remote behavioral health utilization review positions are typically performed from home, allowing reviewers to assess patient records and authorization requests remotely. These roles often require familiarity with electronic health records (EHR) systems and adherence to confidentiality standards, with a standard schedule aligned with business hours. Many employers offer remote work options for this role, making it a common work-from-home job in the healthcare industry.
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Full Time Remote Behavioral Health Utilization Review jobs near you
Infographic showing various Full Time Remote Behavioral Health Utilization Review job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Behavioral Health Utilization Management Specialist

Row Partners

Draper, UT • On-site, Remote

Full-time

Medical, Dental, Vision, PTO

Re-posted 15 days ago

Job description

Behavioral Health Utilization Management Specialist 

Location: Utah (Hybrid & Remote Options Available) 

Job Type: Full-time 

Department: Behavioral Health / Utilization Management 

Who We Are 

At Row Partners, we’re more than a healthcare support organization — we’re a passionate team dedicated to empowering behavioral health facilities and their patients. We believe that compassionate, accessible, and high-quality care starts with the right people on our team. 

Our Behavioral Health division is growing, and we’re looking for a Behavioral Health Utilization Management Specialist who shares our commitment to improving access, ensuring appropriate care, and supporting patient success stories every day. 

If you’re driven by purpose, thrive in a collaborative environment, and want your work to make a real difference, this role is for you. 

The Role 

As a Behavioral Health Utilization Management Specialist, you will be the bridge between clinical care and insurance coverage — ensuring patients receive the right services, at the right time, for the right reasons. Your expertise will help providers, patients, and payers work together toward the shared goal of better behavioral health outcomes. 

What You’ll Do 

  • Champion patient care by reviewing medical records and clinical documentation to determine medical necessity and appropriateness of behavioral health services. 
  • Collaborate and connect with clinicians, medical staff, and insurance providers to make sure patients get timely access to the services they need.
  • Conduct clinical reviews for inpatient, outpatient, and residential behavioral health services.
  • Ensure quality of care by reviewing treatment plans, discharge plans, and progress toward goals.
  • Support evidence-based treatment by applying clinical criteria and guidelines to approve and recommend necessary care. 
  • Stay ahead of industry standards, insurance requirements, and treatment protocols. 
  • Advocate for patients by facilitating communication and resolving barriers between providers, patients, and payers. 
  • Document with precision for utilization reviews, audits, and compliance needs. 

What You Bring 

Proven Success 

  • A history of professional growth, creative problem-solving, and a commitment to excellence. 
  • Integrity, accountability, and a collaborative spirit that uplifts your team and patients alike. 

Preferred Experience 

  • 2+ years in utilization management, case management, or behavioral health services 
  • Familiarity with mental health and substance use disorder diagnoses. 
  • Understanding of insurance coding, billing, and behavioral health authorization procedures. 

Preferred Skills 

  • Strong knowledge of Behavioral Health diagnosis, Treatments, and evidence-based practices.
  • Comfort with utilization management tools (ASAM, MCG, InterQual). 
  • Excellent communication and relationship-building skills.
  • Ability to multitask in a fast-paced environment. 
  • EHR system proficiency. 

(If you don’t have all the experience listed, but have the passion and potential to succeed, we’re willing to train the right candidate.) 

Work Location 

  • Based in Sandy, Utah — remote work available for those living more than 50 miles from the office. 

Why You’ll Love Working With Us 

  • Competitive salary & comprehensive benefits (health, dental, vision).
  • Paid time off, sick leave, and paid holidays.
  • Opportunities for growth, training, and continuing education. 
  • Supportive, team-first culture where your contributions matter. 
  • The chance to impact lives and improve care outcomes every single day. 

If you’re ready to use your skills to make a lasting difference in behavioral health care, we’d love to hear from you. Apply today and join a team thats shaping the future of patient care.