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Monday Through Friday Behavioral Health Utilization Review Jobs

Umpqua Health

Utilization Review Clinician

Roseburg, OR · On-site +1

$80K - $94K/yr

We provide integrated, whole-person care through primary care, specialty care, behavioral health ... SCHEDULE Monday through Friday - 8:00am - 5:00pm ; standard business hours with flexibility to meet ...

Franciscan Health

Utilization Review Coordinator

Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care ... Monday - Friday, 8am - 4:30pm EST * Perform concurrent reviews for appropriateness of utilization ...

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Monday Through Friday Behavioral Health Utilization Review information

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How much do monday through friday behavioral health utilization review jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for monday through friday 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 is the difference between Monday Through Friday Behavioral Health Utilization Review vs Behavioral Health Case Manager?

AspectMonday Through Friday Behavioral Health Utilization ReviewBehavioral Health Case Manager
Primary RoleReview and authorize behavioral health services based on medical necessityCoordinate and support behavioral health treatment plans for clients
Work EnvironmentTypically office-based, Monday through Friday scheduleOften in community or clinical settings, flexible hours
CredentialsOften requires licensure or certification in behavioral health or related fieldsRequires similar credentials, such as LCSW, LPC, or RN
Industry UsageCommon in insurance companies, managed care organizationsCommon in healthcare facilities, community agencies

While both roles involve behavioral health, the Monday Through Friday Behavioral Health Utilization Review focuses on evaluating and authorizing services, whereas the Behavioral Health Case Manager emphasizes direct client support and treatment coordination. Understanding these differences helps professionals choose the right career path or job fit.

Is Monday Through Friday Behavioral Health Utilization Review a stressful job?

Monday Through Friday Behavioral Health Utilization Review is generally considered less stressful than roles with irregular hours or high patient volumes, as it typically involves standard weekday schedules and administrative tasks. However, the job can involve pressure to meet deadlines, ensure accurate assessments, and handle complex cases, which may contribute to stress levels for some individuals.
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Monday Through Friday Behavioral Health Utilization Review jobs near you
Infographic showing various Monday Through Friday Behavioral Health Utilization Review job openings in the United States as of August 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Registered Nurse

Prairie Lakes Healthcare System

Watertown, SD

$28.09 - $44.81/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 29 days ago

Prairie Lakes Healthcare System rating

4.0

Company rating: 4.0 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

Utilization Review Registered Nurse
Job Summary
Join our team and be a part of our mission to deliver accessible, high-quality, affordable, and compassionate healthcare. Prairie Lakes Healthcare System is a non-profit healthcare system serving 10 counties in northeastern South Dakota and west-central Minnesota. Our team at Prairie Lakes makes a difference in the lives of patients and their loved ones
POSITION SUMMARY
Wage: 28.09-44.81
On-site.
This full-time (0.9 status or 36 hours per week) position ensures the medical necessity for hospital services, admissions and continued stay are met per specific Medicare and commercial payor guidelines.
RESPONSIBILITIES
Develops and implements effective utilization review functions resulting in maintaining an average length of stay that is financially justified for hospital operations.
Reviews all inpatient and observation admissions within 24 hours for appropriateness based on approved criteria and standards, Monday through Friday. All weekend admissions are reviewed on the following Monday.
Contacts physicians as required for information to justify admission or continued stay the same day of questionable stay.
Refers all cases where necessity for admission is questionable or potential for denial is identified to the attending physician or his/her designee for appropriate action after notifying the Discharge Planning/Social Services manager.
Develops and maintains a system to monitor and review certification completion.
Maintains complete and accurate documentation which reflects the status of hospital utilization, numbers and categories of cases reviewed, and denials by fiscal intermediaries. Documents and reports back follow-up.
Reviews and follows through the appeal process for patient stay denials.
Other duties may be assigned.
JOB SPECIFICATIONS
Education and/or Experience
Bachelor’s degree required.
Five years of acute health care experience.
Two years experience related to utilization review preferred.
Certificates, Licenses, Registrations
Holds or is eligible for current nursing licensor in the State of South Dakota.
Mandatory Basic and Advanced Life Support Training per policy
Benefits
Prairie Lakes Healthcare System offers comprehensive benefits for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 403(b)-retirement plan, and generous paid time off to maintain a healthy home-work balance.
Additional benefits for those qualifying include:
  • Flexible Spending Account
  • Employee Assistance Program for mental health
  • Education Loan Program
  • Community discounts including the Prairie Lakes Wellness Center
Prairie Lakes Healthcare System has a Drug Free Workplace Policy. An accepted offer will require positive reference checks and pre-employment background screening as a condition of employment.

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