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Remote Behavioral Health Utilization Review Jobs in Raleigh, NC

Red Oak Recovery Center

Clinical Director

Durham, NC · Remote

$90K - $100K/yr

... behavioral health services. This role involves supervising clinical staff, managing patient care ... Participate in utilization review meetings, representing patient needs in both clinical and ...

Kind Behavioral Health

Senior Accountant

Raleigh, NC · On-site +1

$71K - $90K/yr

Kind Behavioral Health is a leading provider of Applied Behavior Analysis services, dedicated to ... Review key business process designs to improve expediency, efficiency, and quality while ensuring ...

Kind Behavioral Health

Senior Accountant

Raleigh, NC · Remote

$75K - $95K/yr

Kind Behavioral Health is a leading provider of Applied Behavior Analysis services, dedicated to ... Review key business process designs to improve expediency, efficiency, and quality while ensuring ...

ClinDCast LLC

EHR Epic Analyst

Cary, NC · Remote

Remote (Based in Raleigh, NC) Position Type: Contract We are seeking an experienced EHR Epic ... Behavioral Health apps . This role involves working closely with healthcare providers, IT teams ...

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All JobsBehavioral Health Utilization Review JobsRemote Behavioral Health Utilization Review JobsRemote Behavioral Health Utilization Review Jobs in Raleigh, NC

Remote Behavioral Health Utilization Review information

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

As of Aug 9, 2026, the average hourly pay for remote behavioral health utilization review in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 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 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 Raleigh, NC? The most popular types of Behavioral Health Utilization Review jobs in Raleigh, NC are:
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What job categories do people searching Remote Behavioral Health Utilization Review jobs in Raleigh, NC look for? The top searched job categories for Remote Behavioral Health Utilization Review jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Behavioral Health Utilization Review jobs? Cities near Raleigh, NC 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 Raleigh, NC as of August 2026, with employment types broken down into 91% Full Time, 4% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.

Clinical Director

Red Oak Recovery Center

Durham, NC • Remote

$90K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago

Job description

Red Oak Recovery Center is a clinician-run treatment program with campuses established to serve the needs of our clients. Our Red Oak campuses offer a unique blend of clinical rehabilitation, 12 step addiction recovery, proven addiction therapy services, family counseling, and experiential and adventure therapy for men. The Willows at Red Oak offers a sanctuary for women to focus on healing and help prepare them for fulfilling, post-treatment lives.

We are seeking a Clinical Director to add to our dynamic team. This position will support our facility in Durham, NC. The Clinical Director oversees all aspects of clinical programming, ensuring the delivery of high-quality behavioral health services. This role involves supervising clinical staff, managing patient care, and ensuring compliance with regulatory standards. The Clinical Director works closely with interdisciplinary teams to develop and implement treatment programs that align with best practices in addiction recovery.

This is a dually licensed position that requires full LCMHC/LCSW/LMFT supervision licensure and full LCAS.

This position requires onsite employment at our facility in Durham, NC.

Responsibilities
  • Provide leadership and supervision to therapists, counselors, and BHTs, ensuring clinical excellence and adherence to treatment protocols
  • Develop and implement clinical programming, ensuring alignment with state and federal regulations, industry standards, and organizational goals
  • Oversee admissions, discharges, and extensions of treatment, ensuring decisions align with patient needs and clinical best practices
  • Ensure all treatment schedules, staff schedules, and group therapy offerings are maintained and delivered effectively
  • Conduct staff meetings, case reviews, and clinical supervision to support professional development and ensure high standards of patient care
  • Carries a case load pending census
  • Provide direct clinical supervision to therapists and counselors working toward licensure
  • Ensure ongoing training and professional development opportunities for clinical staff, enhancing knowledge in addiction treatment and evidence-based practices
  • Monitor staff performance and provide feedback, coaching, and corrective actions as necessary
  • Ensure compliance with HIPAA, state and federal regulations, and accreditation requirements
  • Conduct regular audits of patient records, documentation, and treatment plans to maintain quality and compliance
  • Participate in utilization review meetings, representing patient needs in both clinical and financial considerations
  • Develop and implement policies and procedures to improve clinical operations and enhance patient outcomes
  • Mediate patient and family concerns regarding treatment delivery, ensuring a patient-centered approach
  • Collaborate with medical staff, case management, and social services to ensure comprehensive and coordinated care
  • Stay current with emerging trends in addiction treatment and integrate new research into clinical programming

Qualifications
  • Full supervision licensure (LCMHC, LCSW, LMFT) required upon hire
  • Full LCAS licensure required upon hire
  • CPR certification required (training will be provided)
  • Three years of experience in managing clinical programs preferred


We’re officially a Great Place to Work®! We’ve always believed that supporting our team is just as important as supporting our patients. Now, we’re proud to share that we’ve earned Great Place to Work® Certification - based entirely on feedback from our own employees. This certification reflects the culture we’ve worked hard to build - one rooted in trust, inclusion, and purpose-driven leadership.

At Bradford Health Services, we are committed to providing exceptional care to our patients while fostering a supportive and rewarding workplace for our employees. We believe that taking care of our team allows them to take better care of others, which is why we offer a comprehensive benefits package designed to support their well-being.


  • Medical Coverage – Three new BCBSAL medical plans with better rates, improved co-pays, and enhanced prescription benefits.

  • Expanded Coverage – Options for domestic partners and a wider network of in-network providers.

  • Mental Health Support – Improved access to services and a new Employee Assistance Program (EAP) featuring digital wellness tools like Cognitive Behavioral Therapy (CBT) modules and wellness coaching.

  • Voluntary Coverages – Pet insurance, home and auto insurance, family legal services, and more.

  • Student Loan Repayment – Available for nurses and therapists.

  • Retirement Benefits – 401(k) plan through Voya to help employees plan for the future.

  • Generous PTO – A robust paid time off policy to support work-life balance.

  • Voluntary Benefits for Part-Time Employees – Dental, vision, life, accident insurance, and telehealth options for those working 20 hours or more per week.


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