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Overnight 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 ...

Umpqua Health

Utilization Review Clinician

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 ...

Umpqua Health

Utilization Review Clinician

Roseburg, OR · Remote

$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 ...

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Overnight Behavioral Health Utilization Review information

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How much do overnight behavioral health utilization review jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for overnight 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 the key skills and qualifications needed to thrive as an overnight behavioral health utilization review specialist?

To thrive in Overnight Behavioral Health Utilization Review, you need a background in behavioral health or nursing, experience with clinical assessments, and often a state licensure such as RN, LCSW, or LMHC. Familiarity with utilization review software, electronic health records (EHR), and knowledge of insurance guidelines and medical necessity criteria like MCG or InterQual is typically required. Strong analytical skills, attention to detail, and clear written and verbal communication are essential soft skills for this role. These competencies ensure accurate, timely reviews and effective collaboration with providers, which are crucial for appropriate patient care and compliance with regulatory standards.

What are some common challenges faced by overnight behavioral health utilization review professionals, and how can they prepare for them?

One common challenge in this role is managing complex cases during off-hours when immediate resources or clinical staff may be limited. Overnight reviewers often need to make timely, well-informed decisions with less direct support, so strong critical thinking and autonomous decision-making skills are essential. Additionally, effective communication with healthcare providers and payers is crucial, even when working remotely or asynchronously. Job seekers can prepare by familiarizing themselves with behavioral health protocols, building strong documentation habits, and developing confidence in interpreting clinical guidelines.

What is an overnight behavioral health utilization review?

An Overnight Behavioral Health Utilization Review is a process conducted by healthcare professionals, often during nighttime hours, to assess and determine the medical necessity of behavioral health treatments, such as psychiatric inpatient admissions or continued stays. These reviews ensure that patients receive appropriate care while ensuring compliance with insurance policies and regulatory guidelines. The overnight aspect allows hospitals and facilities to process urgent cases and obtain authorizations outside of regular business hours, helping maintain uninterrupted patient care. Utilization reviewers collaborate with providers, insurance companies, and clinical teams to evaluate treatment plans and resource utilization.
What cities are hiring for Overnight Behavioral Health Utilization Review jobs? Cities with the most Overnight 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:
What states have the most Overnight Behavioral Health Utilization Review jobs? States with the most job openings for Overnight Behavioral Health Utilization Review jobs include:
Overnight Behavioral Health Utilization Review jobs near you

Utilization Review Coordinator - Behavioral Health

Avenues Recovery

Toms River, NJ • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 24 days ago

Job description

Avenues Recovery Center is Now Hiring: Utilization Review Specialists
Avenues Recovery Center is a nationwide network of drug and alcohol rehabilitation centers with eighteen locations across seven states. We provide highly individualized, evidence-based treatment in clean, modern settings across all levels of care including detox, residential, PHP, IOP, and outpatient services.
Our success is driven by our people and a strong clinical model that has helped transform thousands of lives. We are seeking a Utilization Review Specialist to join our corporate team in New Jersey and support authorization, clinical documentation integrity, and continued stay coordination across our network.
Position Overview
Location: Corporate office - New Jersey
Schedule: Full-time
The Utilization Review Specialist ensures timely authorization of client services, supports appropriate level-of-care determinations, and partners closely with clinical and billing teams to maintain accurate documentation and continuity of care across facilities.
This role requires strong communication, attention to detail, and the ability to collaborate across clinical, administrative, and billing departments.
Key Responsibilities
Utilization Review & Authorization Management
  • Field incoming calls, emails, and documentation requests related to client authorizations
  • Ensure timely approval and continuation of services at the appropriate level of care
  • Manage client caseloads and support authorization workflows across facilities
  • Advocate for continued stay based on clinical documentation and treatment needs
Clinical & Billing Collaboration
  • Work closely with billing and clinical teams to identify and resolve authorization issues
  • Communicate with facility leadership regarding UR status and documentation needs
  • Support coordination between treatment teams and administrative departments
Documentation & Compliance
  • Maintain accurate electronic records of all UR activity and authorization communications
  • Ensure documentation meets internal standards and payer requirements
  • Assist in identifying gaps in charting and supporting improvements in documentation workflows
Systems & Process Improvement
  • Assist in creating standardized templates and UR workflows across facilities
  • Work with site leaders to ensure consistent implementation of processes
  • Support improvement of internal UR systems and efficiency initiatives
Qualifications
Required / Preferred Education
  • High school diploma or GED required
  • Bachelor's degree preferred
  • Nursing background, clinical background or healthcare knowledge strongly preferred
Experience
  • Minimum 1 year of experience in behavioral health, healthcare, or treatment setting preferred
  • Experience with utilization review, insurance authorization, or medical billing strongly preferred
Core Skills
  • Strong communication (written and verbal)
  • Excellent interpersonal and collaboration skills
  • Strong attention to detail and documentation accuracy
  • Ability to manage multiple cases and deadlines
  • Sound judgment and critical thinking
  • Flexible, team-oriented, and adaptable in a fast-paced environment

Willing to train
Why Join Avenues?
At Avenues, our people are our greatest strength. We foster a culture of support, collaboration, and purpose-driven work, where every team member is valued and empowered to make an impact.
We provide the tools, resources, and benefits needed to help you succeed both personally and professionally.
Comprehensive Benefits
  • 401(k) with employer match
  • Medical, Dental, and Vision Insurance
  • Accident, Critical Illness, and Hospital Indemnity coverage
  • Employer-paid Life and AD&D Insurance
  • Short- and Long-Term Disability options
  • Legal coverage and Identity Theft Protection
  • Pet Insurance
  • Employee Assistance Program (EAP)
  • Flexible Spending Accounts (Medical & Dependent Care)

Join our growing team and discover the magic here at Avenues!
Apply today!

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