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Remote Behavioral Health Utilization Review Jobs in Alabama

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How much do remote behavioral health utilization review jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for remote behavioral health utilization review in Alabama is $38.32, according to ZipRecruiter salary data. Most workers in this role earn between $30.29 and $43.99 per hour, depending on experience, location, and employer.

What is a remote behavioral health utilization review?

A Remote Behavioral Health Utilization Review job involves evaluating behavioral health treatment plans and services to ensure they meet insurance guidelines, medical necessity, and regulatory requirements. Professionals in this role review clinical documentation, assess patient needs, and collaborate with healthcare providers to determine appropriate levels of care. They work remotely, often for insurance companies or healthcare organizations, to authorize or deny coverage based on established criteria. Strong clinical knowledge, attention to detail, and communication skills are essential for success in this role.

What are the key skills and qualifications needed to thrive in remote behavioral health utilization review, and why are they important?

To excel in Remote Behavioral Health Utilization Review, candidates generally need a clinical background such as a nursing or social work license, strong analytical skills, and experience with behavioral health diagnoses and treatment planning. Familiarity with utilization management software, electronic health records (EHRs), and insurance coding systems is often required, along with certifications like CCM (Certified Case Manager) or URAC accreditation being valued. Excellent communication, critical thinking, and organizational skills help professionals handle complex cases and collaborate effectively in a virtual team environment. These competencies ensure accurate review of mental health services, compliance with payer requirements, and optimal patient outcomes.

What are the typical daily responsibilities for someone working in remote behavioral health utilization review?

In a Remote Behavioral Health Utilization Review role, your daily tasks often include reviewing clinical documentation, assessing medical necessity for behavioral health services, and making authorization or denial recommendations according to established guidelines. You’ll frequently interact with providers, case managers, and insurance representatives to gather information and clarify care requests. Additionally, your day may involve documenting decisions, participating in case review meetings, and staying updated on evolving policies. Working remotely, you'll communicate primarily via secure electronic systems, phone, and video conferencing. This structure typically offers flexibility but also requires strong self-motivation and organization.

What are the most commonly searched types of Behavioral Health Utilization Review jobs in Alabama? The most popular types of Behavioral Health Utilization Review jobs in Alabama are:
What are popular job titles related to Remote Behavioral Health Utilization Review jobs in Alabama? For Remote Behavioral Health Utilization Review jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Remote Behavioral Health Utilization Review jobs in Alabama look for? The top searched job categories for Remote Behavioral Health Utilization Review jobs in Alabama are:
What cities in Alabama are hiring for Remote Behavioral Health Utilization Review jobs? Cities in Alabama with the most Remote Behavioral Health Utilization Review job openings:
Remote Behavioral Health Utilization Review jobs near you
Infographic showing various Remote Behavioral Health Utilization Review job openings in Alabama as of August 2026, with employment types broken down into 71% Full Time, and 29% Part Time. Highlights an 100% Remote job distribution, with an average salary of $79,714 per year, or $38.3 per hour.

LPN Care Manager (Hybrid Remote) (Baldwin, Mobile & Washington Counties, AL)

AltaPointe Health

AL • On-site, Remote

Full-time

Re-posted 2 days ago

AltaPointe Health rating

7.0

Company rating: 7.0 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

Responsibilities
Primary Job Functions:
Clinical:
  • Chart Review and Documentation
    • Conduct structured reviews of clinical records to assess service utilization, client engagement, and treatment plan compliance.
    • Document all findings and coordination efforts in the electronic health record using the Care Manager System.
    • Identify gaps in care, missed services, or follow-up needs and take appropriate action.
  • Care Coordination
    • Coordinate physical, behavioral, and social health services across internal programs and external providers.
    • Facilitate client access to community-based services such as housing, benefits, employment supports, and substance use care.
    • Ensure referrals are generated, tracked, and closed with appropriate documentation.
  • Hospital Discharge and Transition Support
    • Conduct follow-up calls within 24 hours of psychiatric or medical hospital discharges.
    • Confirm follow-up appointments are scheduled, and discharge instructions are supported and understood.
    • Notify care team members of transitions and facilitate continuity of care.
  • Service Monitoring and Engagement
    • Monitor client attendance at therapy, psychiatry, and medical appointments.
    • Address patterns of disengagement, such as missed appointments, and initiate outreach or peer support referrals.
    • Review PHQ-9 and other screening tools to track clinical progress and inform care needs.
  • Referral and Linkage Management
    • Create, follow up, and close referrals in the Care Manager System.
    • Communicate with service providers to confirm that referrals were completed and appointments attended.
    • Resolve barriers such as transportation, insurance, or documentation needs.
  • Risk Identification and Response
    • Monitor client risk levels and report any significant changes to the treatment team.
    • Support crisis response planning by facilitating communication across care team members and community resources.
  • Treatment Plan Support
    • Assist with treatment plan implementation by ensuring services align with identified goals and timelines.
    • Coordinate updates to the treatment plan as client needs or engagement levels change.
  • Ongoing Caseload Management
    • Manage assigned client caseloads, respond to alerts, and complete scheduled reviews as outlined in care protocols.
    • Participate in team huddles and interdisciplinary case discussions.
  • Compliance and Reporting
    • Ensure documentation meets agency, Medicaid, and CCBHC standards.
    • Maintain timely and accurate entries in line with quality assurance requirements.
  • Productivity Standard
    • Care Managers are expected to review an average of 8-10 charts per day as they build familiarity with the process and complete full chart reviews.
    • Once training is completed and review skills are developed, productivity will increase to 15-20 chart reviews per day, depending on chart complexity, and new patient chart reviews.
    • Documentation of reviews must be completed daily to ensure timely follow-up and coordination of care.

Supervision and Consultation:
  • Seeks supervision and consultation as needed.
  • Accepts and employs suggestions for improvement.
  • Actively works to enhance care management skills

Clinical Record Keeping:
  • Documents interactions with patients and chart reviews.
  • Documents within Care Manager appropriate follow up and provision of linkage to services.

Courteous and respectful attitudes towards patients, visitors, and co-workers:
  • Treats patients with care, dignity, and compassion.
  • Respects patient's privacy and confidentiality.
  • Is pleasant and cooperative with others.
  • Personal values don't inhibit ability to relate and care for others.
  • Is sensitive to the patient's needs, expectations, and individual differences.

Caseload Management:
  • Effectively manages caseload based on patient needs and staffs with supervisor regularly.

Administrative and Other Related Duties as Assigned:
  • Actively participates in Performance Improvement activities.
  • Actively participates in AltaPointe committees as required.
  • Follows AltaPointe policies and procedures
  • Attends required in-service training and other workshops, trainings.

Qualifications
Minimum Qualifications:
Education:
Bachelor's degree in a behavioral health, human services, nursing, public health, or related field is preferred -or- High School diploma or equivalent and 4 years of experience in behavioral health, care coordination, case management, or related healthcare service delivery.
Experience:
Minimum of 2 years of experience in behavioral health, care coordination, case management, or related healthcare service delivery. Experience with high-need populations (SMI, SED, SUD) strongly preferred.
Skills and Competencies:
  • Strong knowledge of behavioral health systems, including mental health, substance use, and social determinants of health.
  • Proficiency in navigating and documenting within electronic health records (EHR), including coordination systems like Avatar or equivalent.
  • Experience with treatment planning, interagency coordination, and client engagement.
  • Strong organizational and communication skills, including ability to document accurately and follow up on tasks.
  • Ability to work independently and as part of an interdisciplinary team.

Other Requirements:
  • Valid driver's license and reliable transportation may be required based on program location.
  • Ability to pass background checks and credentialing per agency standards.

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