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Psychiatric Utilization Review Jobs (NOW HIRING)

UHS

Utilization Review Coordinator

Augusta, GA

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

UHS

Utilization Review Coordinator

Augusta, GA

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

UHS

Utilization Review Coordinator

Washington, DC · On-site

$33.60 - $50.40/hr

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

Augusta, GA · On-site

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

UHS

Utilization Review Coordinator

Washington, DC

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

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

DIR - UTILIZATION REVIEW / MGMT

Harahan, LA

Possesses knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Current knowledge of regulating /accrediting agency guidelines. Basic knowledge of ...

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How much do psychiatric utilization review jobs pay per hour?

As of Jun 30, 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 the Psychiatric Utilization Review position, and why are they important?

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 typical day look like for someone working in Psychiatric Utilization Review?

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 job?

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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What cities are hiring for Psychiatric Utilization Review jobs? Cities with the most Psychiatric Utilization Review job openings:
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Psychiatric Utilization Review jobs near you
Infographic showing various Psychiatric Utilization Review job openings in the United States as of June 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Utilization Review Clinician

Utilization Review Clinician

TaraVista Behavioral Health Center

Holyoke, MA • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Utilization Review Clinician

Join us as a Utilization Review Clinician! As a Utilization Review Clinician for MiraVista in Holyoke, Massachusetts, you'll bring your experience and knowledge where your voice matters. A Utilization Review Clinician is an integral part of our multidisciplinary team.

As a Utilization Review Clinician:

  • You will be an active participant in the health care team.
  • You are responsible for pre-certification, concurrent and discharge reviews, appeals and denials, and the compliance of contracted quality measures identified by managed care organizations.
  • You will serve as liaison between the hospital and outside payor sources in accordance with the mission and core principals of MiraVista Behavioral Health Center.

The Utilization Review Clinician will have the following:

  • Master's level clinician or RN.
  • Previous utilization management, preferably in an inpatient psychiatric setting
  • License eligible (LMHC or LICSW preferred) or RN
  • Possess sufficient knowledge regarding clinical treatment of psychiatric patients, the mental health care delivery system, and the managed care environment
  • Display excellent communication skills and an ability to integrate clinical and financial information in the context of an overall utilization management program
  • Requires the ability to work in a multidisciplinary, fast paced environment with a demonstrated sense of autonomy and professionalism.

When you join the growing MiraVista team as a Utilization Review Clinician, you'll receive:

  • Medical, Dental, and Vision
  • 401(k) match
  • Employer paid long term disability (LTD)
  • Short term disability (STD)
  • Employer paid life and AD&D Insurance
  • Generous Paid Time Off
  • Flexible Spending Account
  • Tuition Reimbursement

Pay Range: Compensation will be determined based on the candidate's relevant experience.

$80,000 - $90,000

TaraVista is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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