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
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
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
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
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 ...
Director of Utilization Management
Troy, MI · On-site +1
$160K - $160K/yr
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
Prepare and maintain Utilization Review Plan policies and procedures * Obtain or maintain ... Health and wellness programs * Career development opportunities Remote Opportunities We are ...
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 ...
... 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 ...
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
Previous experience in quality assurance, utilization review, or clinical leadership * Experience ... Remote work opportunity * Health, dental, and vision insurance * Paid Time Off * Paid holidays ...
Adult, Behavioral Health Integration Team Pay Rate: Flat rate of 42.85/hr * Provides evidence based ... Fully Remote role, but residing in Michigan is strongly preferred* * Outpatient therapy experience ...
Adult, Behavioral Health Integration Team Pay Rate: Flat rate of 42.85/hr * Provides evidence based ... Fully Remote role, but residing in Michigan is strongly preferred* * Outpatient therapy experience ...
Behavioral Health Clinician - Infant Mental Health, Home Based
Southfield, MI · On-site +1
$54K - $73K/yr
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
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
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
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.
Adult, Behavioral Health Integration Team Pay Rate: Flat rate of 42.85/hr * Provides evidence based ... Fully Remote role, but residing in Michigan is strongly preferred* * Outpatient therapy experience ...
Adult, Behavioral Health Integration Team Pay Rate: Flat rate of 42.85/hr * Provides evidence based ... Fully Remote role, but residing in Michigan is strongly preferred* * Outpatient therapy experience ...
Licensed Mental Health Therapist - Telehealth
Boon, MI · Remote
$83 - $95/hr
Remote Licensed Mental Health Therapist (LCSW, LPC, LMFT)1099 Contractor | Telehealth Join ... behavioral health care . Our model combines proven clinical frameworks with technology and human ...
Quick apply
Licensed Mental Health Therapist - Telehealth
Boon, MI · Remote
$83 - $95/hr
Remote Licensed Mental Health Therapist (LCSW, LPC, LMFT)1099 Contractor | Telehealth Join ... behavioral health care . Our model combines proven clinical frameworks with technology and human ...
$56K - $77K/yr
For further information, please review the Know Your Rights notice from the Department of Labor.
$56K - $77K/yr
For further information, please review the Know Your Rights notice from the Department of Labor.
$56K - $77K/yr
For further information, please review the Know Your Rights notice from the Department of Labor.
$56K - $77K/yr
For further information, please review the Know Your Rights notice from the Department of Labor.
Associate Mental Health Therapist
Detroit, MI · Remote
$65K - $75K/yr
Fully Remote Salary: $65,000-$75,000 per year Schedule: Monday-Friday Job Summary We are looking ... Graduate degree in an appropriate behavioral health discipline. * Current state-issued associate ...
Associate Mental Health Therapist
Detroit, MI · Remote
$65K - $75K/yr
Fully Remote Salary: $65,000-$75,000 per year Schedule: Monday-Friday Job Summary We are looking ... Graduate degree in an appropriate behavioral health discipline. * Current state-issued associate ...
Associate Mental Health Therapist
Detroit, MI · On-site +1
$65K - $75K/yr
Fully Remote Salary: $65,000-$75,000 per year Schedule: Monday-Friday Job Summary We are looking ... Graduate degree in an appropriate behavioral health discipline. * Current state-issued associate ...
Associate Mental Health Therapist
Detroit, MI · On-site +1
$65K - $75K/yr
Fully Remote Salary: $65,000-$75,000 per year Schedule: Monday-Friday Job Summary We are looking ... Graduate degree in an appropriate behavioral health discipline. * Current state-issued associate ...
Remote Community Based Clinical Coordinator - Care Manager - Mackinac County, MI
Saint Ignace, MI · On-site +1
$29.72/hr
... 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 - Mackinac County, MI
Saint Ignace, MI · On-site +1
$29.72/hr
... 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- Luce County, MI
Newberry, MI · On-site +1
$29.72/hr
... 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- Luce County, MI
Newberry, MI · On-site +1
$29.72/hr
... 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 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.

Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote
Troy, MI • On-site, Remote
Full-time
Re-posted 16 days ago
Henry Ford Health rating
7.0
Based on 564 frontline employees who took The Breakroom Quiz
416th of 887 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
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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