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Per Diem Remote Behavioral Health Utilization Review Jobs

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 ...

New

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

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 ...

New

Imh

Manager Utilization and Care Management

Murray, UT · On-site +1

$44.99 - $69.44/hr

... RN or Behavioral Health Utilization Review clinicians, and related support positions ensuring ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

New

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee ...

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee ...

Umpqua Health

Utilization Review Nurse

$85K - $105K/yr

Utilization Review Nurse Remote Ability to travel on-site to 3031 NE Stephens St., Roseburg OR ... We provide integrated, whole-person care through primary care, specialty care, behavioral health ...

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

As of Aug 8, 2026, the average hourly pay for per diem 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.

What are the key skills and qualifications needed to thrive as a per diem remote behavioral health utilization review specialist?

To thrive as a Per Diem Remote Behavioral Health Utilization Review Specialist, you need a clinical background in behavioral health (such as an RN, LCSW, or LPC license) and a strong understanding of medical necessity criteria and insurance guidelines. Familiarity with utilization management software, electronic health records, and knowledge of standards like InterQual or Milliman Care Guidelines is typically required. Excellent analytical thinking, written communication, and organizational skills help you stand out in this position. These capabilities ensure effective case reviews, appropriate care authorization, and regulatory compliance in a remote, fast-paced environment.

What are some common challenges faced by per diem remote behavioral health utilization review professionals, and how can they be managed effectively?

Per Diem Remote Behavioral Health Utilization Review professionals often face challenges such as managing a fluctuating workload, staying up-to-date with changing insurance policies, and maintaining clear communication with providers and care teams remotely. To manage these challenges, it’s helpful to establish a structured daily routine, participate in ongoing training sessions, and utilize secure communication platforms to facilitate timely information exchange. Additionally, consistently reviewing updates from accrediting and regulatory organizations can help ensure accurate and compliant decision-making.

What is a per diem remote behavioral health utilization review specialist?

A Per Diem Remote Behavioral Health Utilization Review specialist is a licensed mental health professional who works on an as-needed basis to assess the medical necessity, appropriateness, and efficiency of behavioral health services provided to patients. They review clinical documentation remotely, apply established criteria to determine coverage, and communicate with providers and insurance companies to support proper care management. This role typically requires strong analytical skills, knowledge of behavioral health conditions, and familiarity with insurance guidelines.
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Per Diem Remote Behavioral Health Utilization Review jobs near you
Infographic showing various Per Diem Remote Behavioral Health Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% 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

$60K - $70K/yr

Full-time

Medical, Dental, Vision, PTO

Re-posted 24 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.