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Senior Behavioral Health Utilization Review Jobs in Boca Raton, FL

Banyan

Utilization Review Specialist

Pompano Beach, FL · On-site

$50K - $65K/yr

Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Graduate degree in a health or behavioral health related field * Clinical licensure (LCSW, LMHC ...

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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 Aug 16, 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 Specialist (Remote) - Behavioral Health

Adolescent Wellness Academy

Davie, FL • Remote

Full-time

Posted 9 days ago

Job description

Remote Authorization Specialist

Remote | Full-Time | 9a-5p Monday-Friday | $24-$26/hour

About the Role
This role manages insurance authorization for clients across our PHP and IOP programs - completing pre-certifications, concurrent reviews, verifying benefits, obtaining Single Case Agreements, and managing appeals so that client access to treatment is never disrupted by a payer issue.

Backgrounds that translate well: Utilization Review Insurance Authorization/Precertification Behavioral Health Case Management

What You'll Do

  • Verify benefits and eligibility prior to admission and throughout treatment
  • Complete pre-certifications, concurrent reviews, and re-certifications for PHP/IOP levels of care
  • Obtain Single Case Agreements with out-of-network payers
  • Build the medical necessity case using ASAM, LOCUS, and CALOCUS criteria
  • Prepare and submit appeals on denied authorizations
  • Maintain accurate, audit-ready authorization, denial, and SCA records

What We're Looking For

Required

  • 2+ years of experience as a UR/authorization specialist at the PHP and IOP levels of care for a mental health or substance use facility
  • Working knowledge of ASAM, LOCUS, and CALOCUS criteria and medical necessity standards
  • Strong organizational skills with the ability to manage multiple authorizations and deadlines concurrently
  • Strong familiarity with EMR platforms and authorization software
  • Strong written and verbal communication skills, with the ability to advocate effectively with payers
  • Eligible for DCF and AHCA Level 2 Background Check

Preferred

  • CPT/ICD-10 and DSM-5 familiarity
  • Multi-payer SCA experience
  • Bilingual (English/Spanish)
  • Kipu or similar EMR experience

AWA and PRC are dual behavioral health organizations operating PHP and IOP programs across South Florida. We exist to serve clients and families at their most critical moments - and this role sits at the front door of that mission.


Learn More: Adolescent Wellness Academy Principles Recovery Center

Employment Type: FULL_TIME

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