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Psychiatric Utilization Review Jobs (NOW HIRING)

Lifepoint Health

Specialist, Utilization Review

Holyoke, MA · On-site

$33.22 - $44.85/hr

Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued ... UR advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric or emotional ...

Lifepoint Health

Specialist, Utilization Review

Holyoke, MA · On-site

$33.22 - $44.85/hr

Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued ... UR 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 Sep 3, 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 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.

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 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.

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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, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Coordinator - PRN position

Georgetown Behavioral Health Institute

Georgetown, TX • On-site

Full-time, Per diem

Medical, Dental, Vision, Retirement, PTO

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

Our inpatient behavioral health hospital is seeking a PRN Utilization Review Coordinator.

This position is responsible for working with insurance companies and managed care systems for the initial authorization, concurrent and retrospective review of inpatient, partial, and intensive outpatient admissions and services. Previous experience in utilization review or case management desirable.

This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to proactively identify potential problems to help patients access the full range of their benefits through the utilization review process.

Requirements

Education and/or Licensure – Bachelor’s degree or equivalent in nursing preferred.

Experience – 3-5 years Admitting or Financial Counseling preferred. Prefer two years clinical experience in a facility with medical terminology and in criteria for acute psychiatric inpatient care. Knowledgeable of insurance coverage and billing practices preferred. Previous experience in utilization review or case management desirable.

Additional Requirements – Must possess or obtain a valid CPR certification and certified in facility approved verbal de-escalation and physical crisis management techniques within 30 days of hire and prior to completion of orientation required.

Benefits

Full-time employees are eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.