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Psychiatric Utilization Review Jobs (NOW HIRING)

UHS

Utilization Review Clinician

Augusta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Responsibilities Lighthouse Care Center of Augusta has been providing psychiatric services to the ... Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ...

UHS

Utilization Review Clinician

Augusta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Responsibilities Lighthouse Care Center of Augusta has been providing psychiatric services to the ... Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ...

UHS

Utilization Review Coordinator

Washington, DC · On-site

$33.60 - $50.40/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Responsibilities The Psychiatric Institute of Washington is a152-bed facility with inpatient ... Six months psychiatric utilization review either for hospital or external review organization ...

UHS

Utilization Review Coordinator

Washington, DC

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Responsibilities The Psychiatric Institute of Washington is a152-bed facility with inpatient ... Six months psychiatric utilization review either for hospital or external review organization ...

UHS

Utilization Review Coordinator

Washington, DC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Responsibilities The Psychiatric Institute of Washington is a152-bed facility with inpatient ... Six months psychiatric utilization review either for hospital or external review organization ...

UHS

Utilization Review Clinician

Augusta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Responsibilities Lighthouse Care Center of Augusta has been providing psychiatric services to the ... Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ...

Lifepoint Health

Utilization Review Specialist

Tucson, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric, or emotional ...

Lifepoint Health

Utilization Review Specialist

Tucson, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric, or emotional ...

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Psychiatric Utilization Review information

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How much do psychiatric utilization review jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for psychiatric 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 in psychiatric utilization review?

To thrive as a Psychiatric Utilization Review professional, you typically need a background in nursing, social work, or behavioral health, along with a strong understanding of mental health diagnoses, treatment planning, and insurance guidelines. Familiarity with clinical documentation, electronic medical record (EMR) systems, and utilization management software is important, and certification such as Certified Case Manager (CCM) can be advantageous. Excellent analytical thinking, attention to detail, and effective communication skills help you advocate for patients and collaborate with healthcare providers. These skills ensure objective, fair, and efficient case reviews that support quality care and appropriate resource use.

What does a psychiatric utilization review do?

A typical day in Psychiatric Utilization Review involves reviewing patient medical records to evaluate the appropriateness and medical necessity of inpatient or outpatient psychiatric care. You will interact with providers, payers, and clinical teams to gather information, clarify treatment plans, and ensure compliance with insurance and regulatory criteria. Much of the work is independent, but collaboration with multidisciplinary teams is common, especially when resolving complex cases or conducting peer reviews. You may also participate in meetings, submit timely documentation, and stay up-to-date on benefit guidelines and relevant legislation. This role provides a dynamic blend of clinical assessment, administrative responsibilities, and teamwork in a healthcare setting.

What is a psychiatric utilization review?

A Psychiatric Utilization Review job involves evaluating the medical necessity, appropriateness, and efficiency of mental health treatments. Professionals in this role review patient cases, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They collaborate with healthcare providers and insurance companies to authorize services and prevent unnecessary care. Their goal is to balance quality patient care with cost containment.

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Psychiatric Utilization Review jobs near you
Infographic showing various Psychiatric Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Clinician

Wellington Regional Medical Center

Augusta, GA • On-site

Other

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

Utilization Review Clinician Opportunity

Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15 years. Located in Augusta, GA, our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.

The Utilization Review Clinician opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing, and accreditation requirements. Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued stay reviews.

Job duties/responsibilities include reviewing clinical content of medical records, participating in treatment team meetings, and collaborating with physicians, therapists, nurses, and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved. Ensure input of pre-certifications and continued stay reviews into Midas, follow-up on unfinished pre-certifications from the day before, coordinate with the treatment team on any follow-ups necessary, verify insurance coverage at the first of the month, and post patient payments into MS4. Trained in all aspects relative to timely gathering of clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer-based systems, in addition to other job duties.

Benefit highlights include a referral bonus program, challenging and rewarding work environment, competitive compensation & generous paid time off, excellent medical, dental, vision, and prescription drug plans, 401(k) with company match and discounted stock plan, and career development opportunities within UHS and its 300+ subsidiaries!

Qualifications include a masters level education in social science field (social work, counseling, sociology, psychology). Must be license-eligible or licensed in Georgia (LAPC, LPC, LMSW, LCSW, LMFT, LMHC). Nurses with a current GA or multistate license encouraged to apply (LPN, RN). Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review. LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.

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