Morrisville, NC · On-site
$110 - $150/hr
Collaborate with the Director of Behavioral Health Utilization Management Requirements * Bachelors in Nursing with 7 years' post-degree experience * At least 2 years of supervisory experience * At ...
Morrisville, NC · On-site
$110 - $150/hr
Collaborate with the Director of Behavioral Health Utilization Management Requirements * Bachelors in Nursing with 7 years' post-degree experience * At least 2 years of supervisory experience * At ...
Oxford, NC · On-site
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
Oxford, NC · On-site
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
Oxford, NC · On-site
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
Oxford, NC · On-site
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
Join a dedicated healthcare team as a Registered Nurse specializing in Utilization Review and Coordination of Care. This role involves evaluating patient admissions and ongoing care to ensure medical ...
Join a dedicated healthcare team as a Registered Nurse specializing in Utilization Review and Coordination of Care. This role involves evaluating patient admissions and ongoing care to ensure medical ...
Raleigh, NC · On-site
Utilization Review Nurse (RN) A Few Words About Us - Integrated Resources, Inc is a premier ... health, discharge planning, or Concurrent review. Qualifications · RN Diploma, RN Associate ...
New
Raleigh, NC · On-site
Utilization Review Nurse (RN) A Few Words About Us - Integrated Resources, Inc is a premier ... health, discharge planning, or Concurrent review. Qualifications · RN Diploma, RN Associate ...
New
The Utilization Management Nurse performs medical necessity and benefit review requests in ... Experience with both inpatient and outpatient reviews including Behavioral Health, DME, Genetic ...
Quick apply
The Utilization Management Nurse performs medical necessity and benefit review requests in ... Experience with both inpatient and outpatient reviews including Behavioral Health, DME, Genetic ...
The Utilization Management Nurse performs medical necessity and benefit review requests in ... reviews including Behavioral Health, DME, Genetic Testing, Clinical Trials, Oncology, and/or ...
The Utilization Management Nurse performs medical necessity and benefit review requests in ... reviews including Behavioral Health, DME, Genetic Testing, Clinical Trials, Oncology, and/or ...
Oxford, NC · On-site
Medical
Dental
Vision
Life
Retirement
Case Manager - Utilization Review Location ... Granville Health System, Oxford NC About Granville Health System: For over a century, Granville ...
Oxford, NC · On-site
Medical
Dental
Vision
Life
Retirement
Case Manager - Utilization Review Location ... Granville Health System, Oxford NC About Granville Health System: For over a century, Granville ...
Oxford, NC · Hybrid
Medical
Dental
Vision
Life
Retirement
Case Manager - Utilization Review Location ... Granville Health System, Oxford NC About Granville Health System: For over a century, Granville ...
Oxford, NC · Hybrid
Medical
Dental
Vision
Life
Retirement
Case Manager - Utilization Review Location ... Granville Health System, Oxford NC About Granville Health System: For over a century, Granville ...
Chapel Hill, NC · On-site +1
The Utilization Management Nurse performs medical necessity and benefit review requests in ... reviews including Behavioral Health, DME, Genetic Testing, Clinical Trials, Oncology, and/or ...
Chapel Hill, NC · On-site +1
The Utilization Management Nurse performs medical necessity and benefit review requests in ... reviews including Behavioral Health, DME, Genetic Testing, Clinical Trials, Oncology, and/or ...
Oxford, NC · Hybrid
Medical
Dental
Vision
Life
Retirement
Case Manager - Utilization Review Location ... Granville Health System, Oxford NC About Granville Health System: For over a century, Granville ...
Oxford, NC · Hybrid
Medical
Dental
Vision
Life
Retirement
Case Manager - Utilization Review Location ... Granville Health System, Oxford NC About Granville Health System: For over a century, Granville ...
Raleigh, NC · On-site
Utilization and Quality Management/Outcomes experience preferred. Previous work experience with a ... Prior experience in case management, home health, discharge planning, or Concurrent review.
Raleigh, NC · On-site
Utilization and Quality Management/Outcomes experience preferred. Previous work experience with a ... Prior experience in case management, home health, discharge planning, or Concurrent review.
Document reviews and ensure compliance with state, federal, and health-plan requirements ... Utilization Review Pharmacist opening.
New
Document reviews and ensure compliance with state, federal, and health-plan requirements ... Utilization Review Pharmacist opening.
New
Medical
Dental
Vision
Life
Retirement
PTO
Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ... review the education and awareness resources at HB531 | Florida Agency for Health Care ...
Medical
Dental
Vision
Life
Retirement
PTO
Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ... review the education and awareness resources at HB531 | Florida Agency for Health Care ...
Morrisville, NC · Remote
Medical
Dental
Vision
Life
Retirement
PTO
Conduct utilization reviews to monitor for over/under utilization Program Operation and Management * Identify high risk consumers and those with special health care needs for referral to Care ...
Morrisville, NC · Remote
Medical
Dental
Vision
Life
Retirement
PTO
Conduct utilization reviews to monitor for over/under utilization Program Operation and Management * Identify high risk consumers and those with special health care needs for referral to Care ...
Durham, NC · On-site
Provides formal and informal education to physicians and the healthcare team to improve processes and outcomes related to utilization review and compliance with utilization management plan. * Gives ...
Durham, NC · On-site
Provides formal and informal education to physicians and the healthcare team to improve processes and outcomes related to utilization review and compliance with utilization management plan. * Gives ...
Durham, NC · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ... review the education and awareness resources at HB531 | Florida Agency for Health Care ...
Durham, NC · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ... review the education and awareness resources at HB531 | Florida Agency for Health Care ...
Durham, NC · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ... review the education and awareness resources at HB531 | Florida Agency for Health Care ...
Durham, NC · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Our values and behaviors are the root of our culture. They are how we achieve our strategy, power ... review the education and awareness resources at HB531 | Florida Agency for Health Care ...
Morrisville, NC · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Conduct utilization reviews to monitor for over/under utilization Program Operation and Management * Identify high risk consumers and those with special health care needs for referral to Care ...
Morrisville, NC · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Conduct utilization reviews to monitor for over/under utilization Program Operation and Management * Identify high risk consumers and those with special health care needs for referral to Care ...
$30.1K - $37.7K
3% of jobs
$37.7K - $45.3K
11% of jobs
$48.8K is the 25th percentile. Wages below this are outliers.
$45.3K - $52.9K
23% of jobs
The median wage is $59.4K / yr.
$52.9K - $60.5K
15% of jobs
$60.5K - $68.1K
5% of jobs
$68.1K - $75.7K
3% of jobs
$75.7K - $83.3K
3% of jobs
$83.3K - $90.9K
2% of jobs
$90.9K - $98.5K
0% of jobs
$98.5K - $106.1K
0% of jobs
$108.2K is the 75th percentile. Wages above this are outliers.
$106.1K - $113.7K
34% of jobs
$30.1K
$77.5K
$113.7K
| 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.
$110 - $150/hr
Other
Posted 7 days ago
