We are seeking a dedicated Utilization Review (UR) Specialist to join our team and support our mission of delivering quality behavioral health services. What You'll Do * Conduct utilization reviews ...
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We are seeking a dedicated Utilization Review (UR) Specialist to join our team and support our mission of delivering quality behavioral health services. What You'll Do * Conduct utilization reviews ...
Quick apply
We are seeking a dedicated Utilization Review (UR) Specialist to join our team and support our mission of delivering quality behavioral health services. What You'll Do * Conduct utilization reviews ...
What You'll Do Utilization Review & Authorizations ... Conduct admission, concurrent, and continued stay reviews for inpatient behavioral health patients
New
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What You'll Do Utilization Review & Authorizations ... Conduct admission, concurrent, and continued stay reviews for inpatient behavioral health patients
New
El Dorado Hills, CA · On-site
$90K - $136K/yr
The Behavioral Health Utilization Management Clinician, Senior, will report to the Manager of ... In this role you will conduct clinical review of mental health and substance use authorization ...
El Dorado Hills, CA · On-site
$90K - $136K/yr
The Behavioral Health Utilization Management Clinician, Senior, will report to the Manager of ... In this role you will conduct clinical review of mental health and substance use authorization ...
UTILIZATION REV SPEC I Behavioral Health Utilization Review Specialist I Aspire Health Partners, Inc. Make a Difference in Behavioral Health Care At Aspire Health Partners, we are dedicated to ...
UTILIZATION REV SPEC I Behavioral Health Utilization Review Specialist I Aspire Health Partners, Inc. Make a Difference in Behavioral Health Care At Aspire Health Partners, we are dedicated to ...
RN Case Manager - Behavioral Health Utilization Review Join a dedicated healthcare team in the Midwest region as a Registered Nurse Case Manager specializing in behavioral health utilization review.
RN Case Manager - Behavioral Health Utilization Review Join a dedicated healthcare team in the Midwest region as a Registered Nurse Case Manager specializing in behavioral health utilization review.
Sandy, UT · On-site
$45K - $55K/yr
Posting We are seeking a Behavioral Health Utilization Review / Authorization Specialist to support clinical authorization and utilization management for substance use disorder and mental health ...
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Sandy, UT · On-site
$45K - $55K/yr
Posting We are seeking a Behavioral Health Utilization Review / Authorization Specialist to support clinical authorization and utilization management for substance use disorder and mental health ...
This role is responsible for reviewing behavioral health services to ensure medical necessity ... Conduct utilization reviews for behavioral health services, including initial, concurrent, and ...
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This role is responsible for reviewing behavioral health services to ensure medical necessity ... Conduct utilization reviews for behavioral health services, including initial, concurrent, and ...
The Behavioral Health Utilization Management Clinician, Senior, will report to the Manager of ... In this role you will conduct clinical review of mental health and substance use authorization ...
The Behavioral Health Utilization Management Clinician, Senior, will report to the Manager of ... In this role you will conduct clinical review of mental health and substance use authorization ...
Responsibilities Utilization Review Coordinator Opportunity! Lighthouse Behavioral Health Hospital ... senior adults in need of psychiatric services, as well as adults who suffer from a chemical ...
Responsibilities Utilization Review Coordinator Opportunity! Lighthouse Behavioral Health Hospital ... senior adults in need of psychiatric services, as well as adults who suffer from a chemical ...
Responsibilities Utilization Review Coordinator Opportunity! Lighthouse Behavioral Health Hospital ... senior adults in need of psychiatric services, as well as adults who suffer from a chemical ...
Responsibilities Utilization Review Coordinator Opportunity! Lighthouse Behavioral Health Hospital ... senior adults in need of psychiatric services, as well as adults who suffer from a chemical ...
Rockford, IL · On-site
$57K - $62K/yr
... level reviews. Accepted licensure includes but is not limited to RN, LMSW, LMHC. * Must have Mental Health or Substance Abuse experience. * Successful completion of UR nurse orientation program.
Rockford, IL · On-site
$57K - $62K/yr
... level reviews. Accepted licensure includes but is not limited to RN, LMSW, LMHC. * Must have Mental Health or Substance Abuse experience. * Successful completion of UR nurse orientation program.
... level reviews. Accepted licensure includes but is not limited to RN, LMSW, LMHC. * Must have Mental Health or Substance Abuse experience. * Successful completion of UR nurse orientation program.
... level reviews. Accepted licensure includes but is not limited to RN, LMSW, LMHC. * Must have Mental Health or Substance Abuse experience. * Successful completion of UR nurse orientation program.
Previous utilization review experience in a psychiatric healthcare facility preferred. More about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional care to the Fort Worth ...
Previous utilization review experience in a psychiatric healthcare facility preferred. More about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional care to the Fort Worth ...
Previous utilization review experience in a psychiatric healthcare facility preferred. More about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional care to the Fort Worth ...
Previous utilization review experience in a psychiatric healthcare facility preferred. More about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional care to the Fort Worth ...
Bronx, NY · On-site
Overview The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients admitted into psychiatry or substance abuse for appropriateness of admission according ...
Bronx, NY · On-site
Overview The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients admitted into psychiatry or substance abuse for appropriateness of admission according ...
The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients admitted into psychiatry or substance abuse for appropriateness of admission according to ...
The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients admitted into psychiatry or substance abuse for appropriateness of admission according to ...
Behavioral Health Utilization Coordinator (Bachelor's Level - Non-Licensed) Location: Clarkston, GA ... Review client records to ensure completeness (signatures, dates, required forms) * Identify ...
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Behavioral Health Utilization Coordinator (Bachelor's Level - Non-Licensed) Location: Clarkston, GA ... Review client records to ensure completeness (signatures, dates, required forms) * Identify ...
Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville ... Qualifications PRN - Utilization Review Coordinator Needed! Qualifications: * Graduate from ...
Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville ... Qualifications PRN - Utilization Review Coordinator Needed! Qualifications: * Graduate from ...
Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville ... Qualifications PRN - Utilization Review Coordinator Needed! Qualifications: * Graduate from ...
Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville ... Qualifications PRN - Utilization Review Coordinator Needed! Qualifications: * Graduate from ...
El Dorado Hills, CA · On-site
$33.99 - $50.98/hr
The Behavioral Health Utilization Management Clinician, Senior, will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role you will conduct clinical review of mental ...
El Dorado Hills, CA · On-site
$33.99 - $50.98/hr
The Behavioral Health Utilization Management Clinician, Senior, will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role you will conduct clinical review of mental ...
$31K - $38.8K
3% of jobs
$38.8K - $46.6K
11% of jobs
$50.2K is the 25th percentile. Wages below this are outliers.
$46.6K - $54.5K
23% of jobs
The median wage is $61.2K / yr.
$54.5K - $62.3K
15% of jobs
$62.3K - $70.1K
5% of jobs
$70.1K - $77.9K
3% of jobs
$77.9K - $85.7K
3% of jobs
$85.7K - $93.5K
2% of jobs
$93.5K - $101.4K
0% of jobs
$101.4K - $109.2K
0% of jobs
$111.3K is the 75th percentile. Wages above this are outliers.
$109.2K - $117K
34% of jobs
$31K
$79.8K
$117K
| Aspect | Senior Behavioral Health Utilization Review | Behavioral Health Case Manager |
|---|---|---|
| Credentials | Licenses (e.g., RN, LCSW), certifications in utilization review | Licenses (e.g., LCSW, LPC), case management certifications |
| Work Environment | Healthcare facilities, insurance companies, managed care organizations | Hospitals, community clinics, outpatient centers |
| Primary Focus | Reviewing medical necessity, authorizing services, ensuring appropriate utilization | Coordinating care, supporting patient needs, connecting clients with resources |
While both roles involve behavioral health, the Senior Behavioral Health Utilization Review focuses on evaluating and authorizing services based on medical necessity, often within insurance or managed care settings. In contrast, Behavioral Health Case Managers actively coordinate patient care and support recovery efforts. Understanding these differences helps clarify career paths and employer expectations in behavioral health services.

Per diem
Posted 27 days ago
Are you experienced in psychiatric care and passionate about ensuring patients receive the right level of care at the right time? We are seeking a dedicated Utilization Review (UR) Specialist to join our team and support our mission of delivering quality behavioral health services.
What You’ll Do
Conduct utilization reviews to determine medical necessity and appropriate levels of care for psychiatric and behavioral health patients.
Collaborate with physicians, nurses, and treatment teams to develop individualized care plans that align with payer requirements.
Communicate with insurance companies, providing clinical documentation and justifications to support ongoing care.
Monitor patient progress and identify opportunities for earlier discharge or transitions to alternative levels of care.
Maintain accurate and timely documentation in compliance with state, federal, and organizational standards.
Serve as a resource for clinical teams regarding payer guidelines, authorizations, and managed care processes.
What You’ll Bring
Required: Experience working in psychiatric, behavioral health, or mental health settings.
Strong knowledge of managed care, payer guidelines, and utilization management processes.
Excellent clinical assessment, critical thinking, and communication skills.
Ability to collaborate across interdisciplinary teams and interact with external stakeholders.
Nursing license (RN, LPN) preferred, but candidates with strong behavioral health utilization review experience will also be considered.
Why Join Us?
Be part of a mission-driven organization focused on patient-centered care.
Work alongside a supportive and collaborative clinical team.
Competitive pay and comprehensive benefits package.
Opportunities for growth in a growing behavioral health network.