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Psychiatric Utilization Review Jobs (NOW HIRING)

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 ...

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 ...

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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.

DIR - UTILIZATION REVIEW / MGMT

UHS

Augusta, GA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 19 days ago

Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

494th of 887 rated healthcare providers

Job description

Responsibilities

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. 

Website: https://www.LighthouseCareCenters.com

The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical content; 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.  The Director of Utilization Review is responsible for the collection, analysis and articulation of required clinical data to insurance providers to obtain authorizations and ensure coordination with treatment services. The population served are patients' whose lives are disrupted or complicated by mental illness, behavioral disturbance, substance issues or inability to function or maintain in the community. 

Job Duties/Responsibilities: 

  • Working manager who oversees the Utilization Review coordinators
  • Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff
  • Authorizing entities to ensure initial precertification and continued authorization is achieved
  • Responsible for aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems (Midas)

Benefit Highlights 

  • 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
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website: uhsguest.com

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.


Qualifications

EDUCATION:

Masters Degree in nursing, social work, mental health counseling, or related field required with licensure. (RN, APRN, LPC, LMSW, LCSW, etc)

EXPERIENCE: 

A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities.

Qualifications:

EDUCATION:

Masters Degree in nursing, social work, mental health counseling, or related field required with licensure. (RN, APRN, LPC, LMSW, LCSW, etc)

EXPERIENCE: 

A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US

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