In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
Behavioral Health Clinician - Home-Based Genesee County
Flint, MI · On-site +1
$60K - $82K/yr
Medical
Dental
Vision
Retirement
PTO
Easterseals MORC is hiring for a Behavioral Health Clinician - Homebased to help make a difference ... Participate in utilization review committee meetings for the purpose of reviewing case records for ...
Behavioral Health Clinician - Home-Based Genesee County
Flint, MI · On-site +1
$60K - $82K/yr
Medical
Dental
Vision
Retirement
PTO
Easterseals MORC is hiring for a Behavioral Health Clinician - Homebased to help make a difference ... Participate in utilization review committee meetings for the purpose of reviewing case records for ...
Behavioral Health Clinician - Home-Based Genesee County
Flint, MI · On-site +1
$60K - $82K/yr
Medical
Dental
Vision
Retirement
PTO
Easterseals MORC is hiring for a Behavioral Health Clinician - Homebased to help make a difference ... Participate in utilization review committee meetings for the purpose of reviewing case records for ...
Behavioral Health Clinician - Home-Based Genesee County
Flint, MI · On-site +1
$60K - $82K/yr
Medical
Dental
Vision
Retirement
PTO
Easterseals MORC is hiring for a Behavioral Health Clinician - Homebased to help make a difference ... Participate in utilization review committee meetings for the purpose of reviewing case records for ...
Utilization Management Coordinator
Troy, MI · On-site +1
$19/hr
Medical
Dental
Vision
Life
Retirement
PTO
Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes * Verify ... Health and wellness programs * Career development opportunities Remote Opportunities We are ...
Utilization Management Coordinator
Troy, MI · On-site +1
$19/hr
Medical
Dental
Vision
Life
Retirement
PTO
Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes * Verify ... Health and wellness programs * Career development opportunities Remote Opportunities We are ...
Director of Utilization Management
Troy, MI · On-site +1
$160K - $160K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Prepare and maintain Utilization Review Plan policies and procedures * Obtain or maintain ... Health and wellness programs * Career development opportunities Remote Opportunities We are ...
Director of Utilization Management
Troy, MI · On-site +1
$160K - $160K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Prepare and maintain Utilization Review Plan policies and procedures * Obtain or maintain ... Health and wellness programs * Career development opportunities Remote Opportunities We are ...
Behavioral Health Integration Clinician - Michigan
Traverse City, MI · On-site +1
$75K - $85K/yr
Given the remote nature of the position, stable high-speed internet is expected. * Proficiency in ... Behavioral Health Integration Clinicians will join meetings and complete therapy primarily by video ...
New
Behavioral Health Integration Clinician - Michigan
Traverse City, MI · On-site +1
$75K - $85K/yr
Given the remote nature of the position, stable high-speed internet is expected. * Proficiency in ... Behavioral Health Integration Clinicians will join meetings and complete therapy primarily by video ...
New
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Preferred Qualifications Utilization management, care management, behavioral health and/or ...
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Preferred Qualifications Utilization management, care management, behavioral health and/or ...
Auditor, Healthcare Services (Remote in MI)
Detroit, MI · Remote
$26.41 - $51.49/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... utilization management, care management, member assessment, behavioral health, and/or other ...
Auditor, Healthcare Services (Remote in MI)
Detroit, MI · Remote
$26.41 - $51.49/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... utilization management, care management, member assessment, behavioral health, and/or other ...
Auditor, Healthcare Services (Remote in MI)
Detroit, MI · On-site +1
$26.41 - $51.49/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... utilization management, care management, member assessment, behavioral health, and/or other ...
Auditor, Healthcare Services (Remote in MI)
Detroit, MI · On-site +1
$26.41 - $51.49/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... utilization management, care management, member assessment, behavioral health, and/or other ...
Board Certified Behavior Analyst Clinical Quality Assurance
Detroit, MI · Remote
$100/hr
Medical
Dental
Vision
Retirement
PTO
Previous experience in quality assurance, utilization review, or clinical leadership * Experience ... Remote work opportunity * Health, dental, and vision insurance * Paid Time Off * Paid holidays ...
Quick apply
Board Certified Behavior Analyst Clinical Quality Assurance
Detroit, MI · Remote
$100/hr
Medical
Dental
Vision
Retirement
PTO
Previous experience in quality assurance, utilization review, or clinical leadership * Experience ... Remote work opportunity * Health, dental, and vision insurance * Paid Time Off * Paid holidays ...
Behavioral Health Clinician - Infant Mental Health, Home Based
Southfield, MI · On-site +1
$54K - $73K/yr
Medical
Dental
Vision
Retirement
PTO
Easterseals MORC is hiring for a Behavioral Health Clinician - Infant Mental Health, Home Based to ... For further information, please review the Know Your Rights notice from the Department of Labor.
Behavioral Health Clinician - Infant Mental Health, Home Based
Southfield, MI · On-site +1
$54K - $73K/yr
Medical
Dental
Vision
Retirement
PTO
Easterseals MORC is hiring for a Behavioral Health Clinician - Infant Mental Health, Home Based to ... For further information, please review the Know Your Rights notice from the Department of Labor.
Behavioral Health Clinician - Infant Mental Health, Home Based
Southfield, MI · On-site +1
$54K - $73K/yr
Medical
Dental
Vision
Retirement
PTO
Easterseals MORC is hiring for a Behavioral Health Clinician - Infant Mental Health, Home Based to ... For further information, please review the Know Your Rights notice from the Department of Labor.
Behavioral Health Clinician - Infant Mental Health, Home Based
Southfield, MI · On-site +1
$54K - $73K/yr
Medical
Dental
Vision
Retirement
PTO
Easterseals MORC is hiring for a Behavioral Health Clinician - Infant Mental Health, Home Based to ... For further information, please review the Know Your Rights notice from the Department of Labor.
BCBA | 60 Percent Remote | $90K-$110K
Taylor, MI · On-site +1
$90K - $110K/yr
Medical
Dental
Vision
Life
PTO
... mentoring behavior technicians and case supervisors, and guiding families through meaningful ... Health Savings Account (HSA) and Flexible Spending Account (FSA) * Dependent Care Flexible Spending ...
BCBA | 60 Percent Remote | $90K-$110K
Taylor, MI · On-site +1
$90K - $110K/yr
Medical
Dental
Vision
Life
PTO
... mentoring behavior technicians and case supervisors, and guiding families through meaningful ... Health Savings Account (HSA) and Flexible Spending Account (FSA) * Dependent Care Flexible Spending ...
$56K - $77K/yr
Medical
Dental
Vision
Retirement
PTO
For further information, please review the Know Your Rights notice from the Department of Labor.
$56K - $77K/yr
Medical
Dental
Vision
Retirement
PTO
For further information, please review the Know Your Rights notice from the Department of Labor.
$56K - $77K/yr
Medical
Dental
Vision
Retirement
PTO
For further information, please review the Know Your Rights notice from the Department of Labor.
$56K - $77K/yr
Medical
Dental
Vision
Retirement
PTO
For further information, please review the Know Your Rights notice from the Department of Labor.
Remote Community Based Clinical Coordinator - Care Manager - Charlevoix, County
Boyne City, MI · On-site +1
$29.72/hr
Medical
Retirement
... and behavioral and health related social needs. 4. Assesses members' current health status ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Remote Community Based Clinical Coordinator - Care Manager - Charlevoix, County
Boyne City, MI · On-site +1
$29.72/hr
Medical
Retirement
... and behavioral and health related social needs. 4. Assesses members' current health status ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Remote Community Based Clinical Coordinator - Care Manager - Cheboygan County, MI
Cheboygan, MI · On-site +1
$29.72/hr
Medical
Retirement
... and behavioral and health related social needs. 4. Assesses members' current health status ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Remote Community Based Clinical Coordinator - Care Manager - Cheboygan County, MI
Cheboygan, MI · On-site +1
$29.72/hr
Medical
Retirement
... and behavioral and health related social needs. 4. Assesses members' current health status ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Remote Community Based Clinical Coordinator - Care Manager - Emmet County, MI
Petoskey, MI · On-site +1
$29.72/hr
Medical
Retirement
... and behavioral and health related social needs. 4. Assesses members' current health status ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Remote Community Based Clinical Coordinator - Care Manager - Emmet County, MI
Petoskey, MI · On-site +1
$29.72/hr
Medical
Retirement
... and behavioral and health related social needs. 4. Assesses members' current health status ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Remote Community Based Clinical Coordinator - Care Manager - Otsego County, MI
Daggett, MI · On-site +1
$29.72/hr
Medical
Retirement
... and behavioral and health related social needs. 4. Assesses members' current health status ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Remote Community Based Clinical Coordinator - Care Manager - Otsego County, MI
Daggett, MI · On-site +1
$29.72/hr
Medical
Retirement
... and behavioral and health related social needs. 4. Assesses members' current health status ... utilization, past and present treatment plan and services, prognosis, short and long-term goals ...
Remote Behavioral Health Utilization Review information
See Michigan salary details
$18.65 - $22.42
2% of jobs
$22.42 - $26.19
9% of jobs
$28.77 is the 25th percentile. Wages below this are outliers.
$26.19 - $29.96
21% of jobs
The median wage is $33.01 / hr.
$29.96 - $33.73
23% of jobs
$33.73 - $37.50
13% of jobs
$40.44 is the 75th percentile. Wages above this are outliers.
$37.50 - $41.28
10% of jobs
$41.28 - $45.05
8% of jobs
$45.05 - $48.82
5% of jobs
$48.82 - $52.59
5% of jobs
$52.59 - $56.36
2% of jobs
$56.36 - $60.13
2% of jobs
$18
$36
$60
How much do remote behavioral health utilization review jobs pay per hour?
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 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 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 most commonly searched types of Behavioral Health Utilization Review jobs in Michigan?
The most popular types of Behavioral Health Utilization Review jobs in Michigan are:
What are popular job titles related to Remote Behavioral Health Utilization Review jobs in Michigan?
For Remote Behavioral Health Utilization Review jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Behavioral Health Utilization Review jobs in Michigan look for?
The top searched job categories for Remote Behavioral Health Utilization Review jobs in Michigan are:
What cities in Michigan are hiring for Remote Behavioral Health Utilization Review jobs?
Cities in Michigan with the most Remote Behavioral Health Utilization Review job openings:

Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote
Troy, MI • On-site, Remote
Full-time
Re-posted 24 days ago
Henry Ford Health rating
7.0
Based on 565 frontline employees who took The Breakroom Quiz
414th of 888 rated healthcare providers
Job description
Hours are Monday - Friday from 830am until 5pm with no weekends
EDUCATION AND EXPERIENCE:
- RHIT, RHIA, or related coding certification required.
- Minimum 3-5 years of clinical experience preferred.
- Previous utilization management or case management experience preferred.
CERTIFICATIONS/LICENSURES REQUIRED:
- RHIT, RHIA, or related coding certification required.
What Henry Ford Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Henry Ford Health
Sourced by ZipRecruiter
Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Detroit, MI, US
Year founded
1915