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Senior Behavioral Health Utilization Review Jobs in Boca Raton, FL

The Hartford

Behavioral Health Case Manager

Sunrise, FL · Hybrid

$74K - $112K/yr

Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...

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All JobsBehavioral Health Utilization Review JobsSenior Behavioral Health Utilization Review JobsSenior Behavioral Health Utilization Review Jobs in Boca Raton, FL

Senior Behavioral Health Utilization Review information

See Boca Raton, FL salary details

$29.4K

$75.7K

$111K

How much do senior behavioral health utilization review jobs pay per year?

As of Sep 1, 2026, the average yearly pay for senior behavioral health utilization review in Boca Raton, FL is $75,700.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,400.00 and $110,600.00 per year, depending on experience, location, and employer.

What is the difference between Senior Behavioral Health Utilization Review vs Behavioral Health Case Manager?

AspectSenior Behavioral Health Utilization ReviewBehavioral Health Case Manager
CredentialsLicenses (e.g., RN, LCSW), certifications in utilization reviewLicenses (e.g., LCSW, LPC), case management certifications
Work EnvironmentHealthcare facilities, insurance companies, managed care organizationsHospitals, community clinics, outpatient centers
Primary FocusReviewing medical necessity, authorizing services, ensuring appropriate utilizationCoordinating 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.

What are the most commonly searched types of Behavioral Health Utilization Review jobs in Boca Raton, FL?

The most popular types of Behavioral Health Utilization Review jobs in Boca Raton, FL are:

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For Senior Behavioral Health Utilization Review jobs in Boca Raton, FL, the most frequently searched job titles are:

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The top searched job categories for Senior Behavioral Health Utilization Review jobs in Boca Raton, FL are:

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Cities near Boca Raton, FL with the most Senior Behavioral Health Utilization Review job openings:

Senior Behavioral Health Utilization Review jobs near you
Infographic showing various Senior Behavioral Health Utilization Review job openings in Boca Raton, FL as of August 2026, with employment types broken down into 44% Full Time, 33% Part Time, and 23% Contract. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $75,700 per year, or $36.4 per hour.

Utilization Review Coordinator

Lake Worth, FL • Remote

NRG MGMT LLC
See more jobs at NRG MGMT LLCexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago

Job description

Remedial Pro is a specialized medical billing company serving substance abuse treatment and behavioral health providers. Through services including benefits verification, billing and claims submission, and utilization review, we help treatment centers optimize revenue cycle management while focusing on delivering exceptional patient care. Our team is committed to accuracy, professionalism, efficiency, and outstanding client service

JOB DESCRIPTION

The primary goal is to monitor adherence to the facility’s utilization review plan to ensure the effective and efficient use of facility services and monitor the appropriateness of facility  admissions and extended facility stays.

Job Classification: Non Exempt Hourly        Reports To: Senior RCM Director

Supervisory Responsibilities:   None.

JOB DUTIES:

  • Completes Initial, concurrent, peer reviews, and expedited appeals in a timely manner to ensure continuous coverage.
  • responsible for all aspects of the authorization of treatment via insurance and managed care companies.
  • Utilize clinical information and knowledge of Medical Necessity criteria to effectively communicate plans of care to insurance case managers, facility staff, and healthcare partners.
  • Collaborate with facilities in order to obtain necessary clinical documentation for reviews and ensure appropriate lengths of stay and effective utilization of resources.
  • Represents the company in a positive manner per the Professional Standards of Conduct
  • Protects the confidentiality of patients and the privacy of staff
  • provides appropriate client information to third party payers regarding the medical necessity of treatment in a timely manner.
  • Uses a computer to type correspondence, reports and other items as requested,
  • Experience in the Mental Health/Addiction space, May be a fully licensed SUDC, CAC,LADC, LCSW, CMHC or RN
  • Additional duties as assigned.

MINIMUM QUALIFICATIONS

  • Bachelor’s or Master’s degree in Behavioral/Mental Health Field (or related experience) preferred
  • A minimum of 3-5 years experience doing utilization review is required preferred
  • Expertise in psychiatric and addiction disorders
  • Experience interacting effectively with co-workers as well as clients.
  • Experience maintaining confidentiality in accordance with HIPAA and company policy requirements.

Required Skills/Abilities:

  • Excellent verbal and written communication skills.
  • Excellent organizational skills and attention to detail.
  • Excellent time management skills with a proven ability to meet deadlines.
  • Proficient with Microsoft Office Suite or related software.
PHYSICAL REQUIREMENTS
  • Prolonged periods sitting at a desk and working on a computer.

Remote Position

Benefits:

• Competitive salary

• Health, dental, and vision insurance

• 401(k) with company match

• Paid time off and holidays

• Continuing education and professional development opportunities

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