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Remote Behavioral Health Utilization Review Jobs in Orem, UT

firsthand Health

Remote Triage Nurse

Provo, UT · Remote

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support ... illness, behavioral health conditions, and/or substance use disorders * Care management and ...

LedgerGurus

Part-Time Accounting Manager (Remote)

Lehi, UT · Remote

$32 - $39/hr

... reviewing finance information from all sections of their company. As an Accounting Manager, you ... The healthy work/life balance that you enjoy in this part-time position allows you to balance a ...

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Remote Behavioral Health Utilization Review information

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$18

$36

$59

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

As of Sep 1, 2026, the average hourly pay for remote behavioral health utilization review in Orem, UT is $36.76, according to ZipRecruiter salary data. Most workers in this role earn between $29.04 and $42.21 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 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.

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Remote Behavioral Health Utilization Review jobs near you

Behavioral Health Utilization Management Specialist

Row Partners

Draper, UT • On-site, Remote

Full-time

Medical, Dental, Vision, PTO

Re-posted 19 days ago

Job description

Behavioral Health Utilization Management Specialist 

Location: Utah (Hybrid & Remote Options Available) 

Job Type: Full-time 

Department: Behavioral Health / Utilization Management 

Who We Are 

At Row Partners, we’re more than a healthcare support organization — we’re a passionate team dedicated to empowering behavioral health facilities and their patients. We believe that compassionate, accessible, and high-quality care starts with the right people on our team. 

Our Behavioral Health division is growing, and we’re looking for a Behavioral Health Utilization Management Specialist who shares our commitment to improving access, ensuring appropriate care, and supporting patient success stories every day. 

If you’re driven by purpose, thrive in a collaborative environment, and want your work to make a real difference, this role is for you. 

The Role 

As a Behavioral Health Utilization Management Specialist, you will be the bridge between clinical care and insurance coverage — ensuring patients receive the right services, at the right time, for the right reasons. Your expertise will help providers, patients, and payers work together toward the shared goal of better behavioral health outcomes. 

What You’ll Do 

  • Champion patient care by reviewing medical records and clinical documentation to determine medical necessity and appropriateness of behavioral health services. 
  • Collaborate and connect with clinicians, medical staff, and insurance providers to make sure patients get timely access to the services they need.
  • Conduct clinical reviews for inpatient, outpatient, and residential behavioral health services.
  • Ensure quality of care by reviewing treatment plans, discharge plans, and progress toward goals.
  • Support evidence-based treatment by applying clinical criteria and guidelines to approve and recommend necessary care. 
  • Stay ahead of industry standards, insurance requirements, and treatment protocols. 
  • Advocate for patients by facilitating communication and resolving barriers between providers, patients, and payers. 
  • Document with precision for utilization reviews, audits, and compliance needs. 

What You Bring 

Proven Success 

  • A history of professional growth, creative problem-solving, and a commitment to excellence. 
  • Integrity, accountability, and a collaborative spirit that uplifts your team and patients alike. 

Preferred Experience 

  • 2+ years in utilization management, case management, or behavioral health services 
  • Familiarity with mental health and substance use disorder diagnoses. 
  • Understanding of insurance coding, billing, and behavioral health authorization procedures. 

Preferred Skills 

  • Strong knowledge of Behavioral Health diagnosis, Treatments, and evidence-based practices.
  • Comfort with utilization management tools (ASAM, MCG, InterQual). 
  • Excellent communication and relationship-building skills.
  • Ability to multitask in a fast-paced environment. 
  • EHR system proficiency. 

(If you don’t have all the experience listed, but have the passion and potential to succeed, we’re willing to train the right candidate.) 

Work Location 

  • Based in Sandy, Utah — remote work available for those living more than 50 miles from the office. 

Why You’ll Love Working With Us 

  • Competitive salary & comprehensive benefits (health, dental, vision).
  • Paid time off, sick leave, and paid holidays.
  • Opportunities for growth, training, and continuing education. 
  • Supportive, team-first culture where your contributions matter. 
  • The chance to impact lives and improve care outcomes every single day. 

If you’re ready to use your skills to make a lasting difference in behavioral health care, we’d love to hear from you. Apply today and join a team thats shaping the future of patient care.