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Psychiatric Utilization Review Jobs (NOW HIRING)

UHS

Utilization Review Coordinator

Portsmouth, VA · On-site

... psychiatric diagnoses and/or developmental disabilities. Located in Portsmouth, VA, Harbor Point ... Prefers minimum two years of Utilization Review/Management, Quality Assurance or Risk Management.

The Meadows

Utilization Review Coordinator

Phoenix, AZ · On-site +1

As the Utilization Review Coordinator, you will develop and implement systems for authorizations ... Minimize the number of cases that need to be referred for psychiatric peer/peer review. * Interact ...

UHS

Utilization Review Coordinator

Portsmouth, VA · On-site

... psychiatric diagnoses and/or developmental disabilities. Located in Portsmouth, VA, Harbor Point ... Prefers minimum two years of Utilization Review/Management, Quality Assurance or Risk Management.

MiraVista

Utilization Review Clinician

Holyoke, MA · On-site

Join us as a Utilization Review Clinician! Schedule: Monday - Friday, 40 hours onsite. As a ... psychiatric setting * License eligible (LMHC or LICSW preferred) or RN * Possess sufficient ...

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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 Director

Utilization Review Director

Lifepoint Health

Englewood, CO

$110K - $148K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 20 days ago

Key responsibilities

  • Oversee the utilization review department to ensure timely and accurate completion of utilization review activities including precertification, recertification, peer to peer process, and appeals.

  • Consistently and accurately report the authorization status of current patients and appeals to the CEO or delegate.

  • Ensure that all utilization review staff members follow department and facility procedures and communicate effectively with relevant departments.

LifePoint Health rating

5.9

Company rating: 5.9 out of 10

Based on 263 frontline employees who took The Breakroom Quiz

753rd of 877 rated healthcare providers

Job description

Job Title: Utilization Review Director
Job Type: Onsite, Full-time

Pay rate: $$110,000 -$148,000

Work Schedule: Monday-Friday 8am-5pm MST

Your experience matters Denver Springs 

At Denver Springs, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve. 

How you'll contribute 

The responsibility of the Utilization Review Director is to ensure the utilization review activities are completed accurately and timely. This includes the precertification and recertification, peer to peer process, and appeals. The UR Director will report consistently and accurately to the CEO or delegate the authorization status of current patients and appeals. The Director will ensure that all UR staff members follow department and facility procedures. The Director will further ensure that communication with all relevant departments, but especially CBO and Business Office, meets staff and patient needs. The UR Director will report consistently and accurately to the CEO or delegate the authorization status of current patients and appeals

Other Duties Include: 

  • Oversees the UR department, ensuring staff has completed all assignments and monitors performance.
  • Ensures all pre-certifications are completed for inpatient and outpatient services.
  • Ensures all re-certifications are completed for inpatient and outpatient services and reports status to the CEO or delegate.
  • Assists with creation of treatment team agenda and participates to ensure team is aware of coverage info as well as collecting information for communication with insurance or other funding source.
  • Be available to educate staff members from other relevant departments on documentation requirements / medical criteria and does so in a professional, organized, and understandable manner.
  • Works with DON to ensure documentation requirements are met.
  • Ensure appeals are completed thoroughly and on a timely basis.
  • Interface with managed care organizations, external reviews, and other payers.
  • Participates in Administrator on call rotation
  • Communicate with physicians to schedule peer to peer reviews.
  • Accurately report denials.
  • Is available to proctor staff members at other Springstone facilities on relevant policies and procedures. 

What we offer 

We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, PTO, medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. 

Qualifications and requirements 

  • Education: Bachelor's degree required.
  • Experience: Previous utilization review experience in a psychiatric healthcare facility preferred.
  • License: Current unencumbered clinical license strongly preferred. RN license preferred. 
  • Additional Requirements: CPI and CPR preferred within 30 days of hire. May be required to work flexible hours.

About Us 
Denver Springs hospital located in Englewood, CO, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters 

EEOC Statement 

"Denver Springs is an Equal Opportunity Employer. Denver Springs is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." 

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

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About LifePoint Health

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Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Brentwood, TN, US

Year founded

1999

Social media

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