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Psychiatric Utilization Review Jobs (NOW HIRING)

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

Parkside Psychiatric Hospital & Outpatient Clinic is a comprehensive mental healthcare system ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Harahan, LA · On-site

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

UHS

DIR - UTILIZATION REVIEW / MGMT

Augusta, GA

Responsibilities Lighthouse Care Center of Augusta has been providing psychiatric services to the ... The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Augusta, GA

Responsibilities Lighthouse Care Center of Augusta has been providing psychiatric services to the ... The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Augusta, GA

Responsibilities Lighthouse Care Center of Augusta has been providing psychiatric services to the ... The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Augusta, GA

Responsibilities Lighthouse Care Center of Augusta has been providing psychiatric services to the ... The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Augusta, GA · On-site

Responsibilities Lighthouse Care Center of Augusta has been providing psychiatric services to the ... The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ...

State of Oklahoma

Utilization Review Specialist I

Tulsa, OK · On-site

$17.44/hr

Job Posting Title Utilization Review Specialist I Agency 452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV ... Preference will be given to candidates with experience in social work, psychology, or a psychiatric ...

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Psychiatric Utilization Review information

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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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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 Specialist

Parkside Hospital

Tulsa, OK

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Job description

Parkside provides professional purpose, hope, and healing. As a member of our staff, you will be part of a mission-driven team, dedicated to changing lives and changing communities, one patient at a time. 

Parkside Psychiatric Hospital & Outpatient Clinic is a comprehensive mental healthcare system providing acute inpatient care, residential treatment, and outpatient therapy. With a focus on society’s most vulnerable population, Parkside provides world-class mental health services for youth and adults. For over 65 years, Parkside’s physicians, therapists, and staff have provided state of the art, patient-centered care that propels families from hopeful to hope-filled. As a center of excellence, we cultivate talent and provide professional purpose. Together we facilitate healing, one patient at a time. 

We are looking for a Full Time Utilization Review Specialist! The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to limit possible recoupment from third party pay sources including Medicare, Medicaid, HMO or private insurance. Coordinates with clinicians, business office and medical records to achieve above goals.

Responsibilities:

• Prepares authorization paperwork, processes requests for authorizations, and reviews requests for accuracy.

• Communicates with clinicians regarding discharge issues relevant to patient’s pay source. Tracks due dates for authorization reviews and alerts clinicians.

• Communicates with clinicians regarding admissions and discharges to various units.

• Knowledgeable of criteria for Medicare, Medicaid, HMO and private insurance coverage. Maintains current knowledge of managed care requirements and accurately interprets these requirements to increase authorizations.

• Coordinates/completes the appeal process for authorization denials

• Performs audits of clinical services to ensure compliance with standards of third party pay sources and agency policies.

• Tracks unauthorized services and possible recoupment issues. Looks for possible corrections, trends.

 • Maintains a good working relationship within the department and with other departments.

• Documentation meets current standards and policies.

 • Maintains fit for duty. Acts in a professional manner and follows all Parkside policies and procedures.

• Orients new staff members to the unit

• Demonstrates the ability to be organized and flexible, acts appropriately in stressful/emergency situations. Able to provide Handle with Care when needed

• Performs other duties as assigned

  • Bachelor’s degree in related field from an accredited university required. Experience in lieu of Degree will be considered.
  • 2yrs minimal experience in health care, utilization review and business setting

Benefits include:

  • Medical, Dental, and Vision
  • Generous Paid Time Off and Holidays
  • 401K and match start immediately, and includes a generous match
  • Company Paid Life Insurance and Disability and more!

We are an Equal Opportunity Employer! 

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