Role Overview Under the direction of the Supervisor, the Behavioral Health Utilization Management ... review. It is within the BH UM Reviewer's discretion to retain requests for additional information ...
Role Overview Under the direction of the Supervisor, the Behavioral Health Utilization Management ... review. It is within the BH UM Reviewer's discretion to retain requests for additional information ...
Coord-Behavioral Health Ult Mg
Bronx, NY · On-site
Overview The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients admitted into psychiatry or substance abuse for appropriateness of admission according ...
Coord-Behavioral Health Ult Mg
Bronx, NY · On-site
Overview The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients admitted into psychiatry or substance abuse for appropriateness of admission according ...
Join a dedicated healthcare team in the Midwest region as a Registered Nurse Case Manager specializing in behavioral health utilization review. In this role, you will collaborate closely with health ...
Join a dedicated healthcare team in the Midwest region as a Registered Nurse Case Manager specializing in behavioral health utilization review. In this role, you will collaborate closely with health ...
Utilization Review Specialist (UR), Behavioral Health Full-time Your experience matters Beckett Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to ...
Utilization Review Specialist (UR), Behavioral Health Full-time Your experience matters Beckett Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to ...
Utilization Review Specialist (UR), Behavioral Health Full-time Your experience matters Beckett Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to ...
Utilization Review Specialist (UR), Behavioral Health Full-time Your experience matters Beckett Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to ...
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent ... In this role you will conduct clinical review of mental health and substance use authorization ...
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent ... In this role you will conduct clinical review of mental health and substance use authorization ...
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 ...
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 ...
Behavioral Health Utilization Mgmt Clinician, Experienced
El Dorado Hills, CA · On-site
$33.99 - $50.98/hr
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent ... In this role you will conduct clinical review of mental health and substance use authorization ...
Behavioral Health Utilization Mgmt Clinician, Experienced
El Dorado Hills, CA · On-site
$33.99 - $50.98/hr
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent ... In this role you will conduct clinical review of mental health and substance use authorization ...
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 ...
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 ...
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] -
Phoenix, AZ · On-site
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] - Behavioral Health Employment Type: Full-Time Schedule: In-office, Monday through Friday Position ...
Quick apply
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] -
Phoenix, AZ · On-site
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] - Behavioral Health Employment Type: Full-Time Schedule: In-office, Monday through Friday Position ...
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred...
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] - Behavioral Health Employment Type: Full-Time Schedule: In-office, Monday through Friday Position ...
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred...
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] - Behavioral Health Employment Type: Full-Time Schedule: In-office, Monday through Friday Position ...
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred...
Phoenix, AZ · On-site
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] - Behavioral Health Employment Type: Full-Time Schedule: In-office, Monday through Friday Position ...
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred...
Phoenix, AZ · On-site
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] - Behavioral Health Employment Type: Full-Time Schedule: In-office, Monday through Friday Position ...
... level reviews. Accepted licensure includes but is not limited to RN, LMSW, LMHC. * Must have Mental Health or Substance Abuse experience. * Successful completion of UR nurse orientation program.
... level reviews. Accepted licensure includes but is not limited to RN, LMSW, LMHC. * Must have Mental Health or Substance Abuse experience. * Successful completion of UR nurse orientation program.
Bachelor's degree in behavioral health, nursing, social work, or a related field required. * Knowledge of ASAM Criteria required * Minimum of 1 year of experience in utilization review, case ...
Bachelor's degree in behavioral health, nursing, social work, or a related field required. * Knowledge of ASAM Criteria required * Minimum of 1 year of experience in utilization review, case ...
Lighthouse Behavioral Health Solutions (LBHS) offers a full continuum of care, including outpatient ... Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible ...
Quick apply
Lighthouse Behavioral Health Solutions (LBHS) offers a full continuum of care, including outpatient ... Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible ...
Lighthouse Behavioral Health Solutions (LBHS) offers a full continuum of care, including outpatient ... Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible ...
Lighthouse Behavioral Health Solutions (LBHS) offers a full continuum of care, including outpatient ... Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible ...
Responsibilities Utilization Reviewer Opportunity! Lighthouse Behavioral Health Hospital, located ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...
Responsibilities Utilization Reviewer Opportunity! Lighthouse Behavioral Health Hospital, located ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...
Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
Responsibilities Utilization Reviewer Opportunity! Lighthouse Behavioral Health Hospital, located ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...
Responsibilities Utilization Reviewer Opportunity! Lighthouse Behavioral Health Hospital, located ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...
Meaningful work supporting behavioral health services * Stable organization focused on quality and growth * Opportunities for professional development Position Summary The Utilization Review ...
Quick apply
Meaningful work supporting behavioral health services * Stable organization focused on quality and growth * Opportunities for professional development Position Summary The Utilization Review ...
Internship Behavioral Health Utilization Review information
See salary details
$9.13 - $10.38
1% of jobs
$10.38 - $11.63
0% of jobs
$11.63 - $12.87
3% of jobs
$12.87 - $14.12
11% of jobs
$14.49 is the 25th percentile. Wages below this are outliers.
$14.12 - $15.36
35% of jobs
The median wage is $15.41 / hr.
$15.36 - $16.61
13% of jobs
$17.78 is the 75th percentile. Wages above this are outliers.
$16.61 - $17.85
14% of jobs
$17.85 - $19.10
11% of jobs
$19.10 - $20.35
12% of jobs
$20.35 - $21.59
1% of jobs
$21.59 - $22.84
1% of jobs
$9
$16
$22
How much do internship behavioral health utilization review jobs pay per hour?
What is the difference between Internship Behavioral Health Utilization Review vs Behavioral Health Case Manager?
| Aspect | Internship Behavioral Health Utilization Review | Behavioral Health Case Manager |
|---|---|---|
| Credentials | Typically in training, no required certifications | Often requires licensure or certification (e.g., LCSW, LPC) |
| Work Environment | Internship setting, supervised, often in healthcare or insurance companies | Clinical settings, community agencies, hospitals |
| Job Focus | Assisting with review of treatment plans, insurance authorization, and utilization data | Providing direct client support, care coordination, and treatment planning |
While Internship Behavioral Health Utilization Review involves supporting the review process and insurance authorization under supervision, Behavioral Health Case Managers focus on direct client care and coordination. Both roles are essential in mental health services but differ in responsibilities, experience requirements, and work settings.
Full-time
Medical, Retirement, PTO
Posted 21 days ago
AmeriHealth Caritas rating
8.5
Based on 69 frontline employees who took The Breakroom Quiz
87th of 261 rated insurance
Job description
Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and experience, the clinician reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. It is within the BH UM Reviewer's discretion to retain requests for additional information and/or request clarification. The BH UM Reviewer will use professional judgment to evaluate the request to ensure that appropriate services are approved and recognize care coordination opportunities and refer those cases to integrated care management as needed. The BH UM Reviewer will apply medical health benefit policy and medical management guidelines to authorize services and appropriately identify and refer requests to the Medical Director when indicated. The BH UM Reviewers are responsible to ensure that treatment delivered is appropriately utilized and meets the member's needs in the least restrictive, least intrusive manner possible. The BH UM Reviewer will maintain current knowledge and understanding of the laws, regulations, and policies that pertain to the organizational unit's business and uses clinical judgment in their application.
Work Arrangement
- Remote role
- Monday through Friday from 8:00 AM EST to 5:00 PM EST
- Must work 4 out of 10 recognized company holidays to include Thanksgiving and Christmas (rotating)
- Must be willing to work 2 to 3 weekends per year. Weekend rotation based on business needs
Education & Experience
- Registered Nurse candidates: Associate Degree in Nursing required; Bachelor Degree in Nursing preferred
- Licensed Social Worker candidates: Master Degree in Social Work required
- Minimum of 2 years of independent clinical practice experience assessing and treating individuals with substance use/co-occurring disorders in a clinical setting
- Utilization management experience in a managed care organization preferred
- Experience working in a remote work environment preferred
Licensure
- Requirements for LSW: Active and unencumbered professional licensure/independent licensure in Ohio: LPC, LCSW, LICSW, LISW, LCMHC, LMFT
- Must have ability to obtain additional licensure in LA, NC, NH and DC within 12 months from date of hire
- Requirements for RN: Active and unencumbered RN license in Ohio and/or compact state nurse license
- Must have ability to obtain additional licensure in LA, NC, NH and DC within 12 months from date of hire
Skills & Abilities
- Proficiency in Microsoft Office, including Word, Excel, Teams, and Outlook
- Consistent and accurate typing skills
- Ability to communicate in a positive/professional manner both orally and written
- Strong problem-solving skills and decision making skills
- Strong organizational and time management skills
- Ability to follow detailed instructions with a high degree of accuracy
- Ability to work independently; complete tasks in the allotted time frame
Your career starts now. We're looking for the next generation of health care leaders.
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
What AmeriHealth Caritas employees say
Pay
Benefits
Hours and flexibility
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About AmeriHealth Caritas
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1983