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Psychiatric Utilization Review Jobs (NOW HIRING)

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health ... psychiatric and addictive diseases. Visit us online at: www.pavilionhospital.com . The UR ...

Utilization Review Tech III

San Mateo, CA ยท On-site

$48.91 - $68.47/hr

Graduate of an accredited Psychiatric Technician Program CERTIFICATION & LICENSURE: * LVN-Licensed ... Critical thinking skills necessary to provide utilization review/discharge planning services ...

Responsibilities Fort Lauderdale Behavioral Health Center , is a 182-bed, acute care psychiatric ... The Director of Utilization Management is also responsible for ensuring that the utilization review ...

Minimum of two years psychiatric experience in chart analysis and in the utilization review field. Excellent oral and written communication skills required in order to communicate in a clear and ...

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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Psychiatric Utilization Review information

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How much do psychiatric utilization review jobs pay per hour?

As of Jul 21, 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.

More about Psychiatric Utilization Review jobs
What cities are hiring for Psychiatric Utilization Review jobs? Cities with the most Psychiatric Utilization Review job openings:
What are the most commonly searched types of Psychiatric Utilization Review jobs? The most popular types of Psychiatric Utilization Review jobs are:
What states have the most Psychiatric Utilization Review jobs? States with the most job openings for Psychiatric Utilization Review jobs include:
Infographic showing various Psychiatric Utilization Review job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 78% Full Time, 15% Part Time, and 4% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Utilization Review Coordinator - PRN position

Utilization Review Coordinator - PRN position

Georgetown Behavioral Health Institute

Georgetown, TX โ€ข On-site

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago


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.