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Senior Behavioral Health Utilization Review Jobs in Raleigh, NC

Omega Solutions Inc

Pharmacist

Raleigh, NC · On-site

... Utilization Review (DUR) and pharmacy lock-in related processes, Behavioral health, and A+ kids, Preferred Drug List (PDL) and Medicaid Drug Rebate Program (MDRP), and Physicians Administered Drug ...

ODYSSEY BEHAVIORAL GROUP

Lead Therapist

Cary, NC · On-site

We are a part of Odyssey Behavioral Healthcare Network which offers a continuum of care within our ... Supports clinical team in meeting documentation and utilization review deadlines and requirements.

ODYSSEY BEHAVIORAL GROUP

Lead Therapist

Cary, NC · On-site

We are a part of Odyssey Behavioral Healthcare Network which offers a continuum of care within our ... Supports clinical team in meeting documentation and utilization review deadlines and requirements.

Kind Behavioral Health

Senior Accountant

Raleigh, NC

$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 ...

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 ...

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

Senior Behavioral Health Utilization Review information

See Raleigh, NC salary details

$30.1K

$77.5K

$113.7K

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

As of Aug 19, 2026, the average yearly pay for senior behavioral health utilization review in Raleigh, NC is $77,544.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,600.00 and $113,200.00 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 Raleigh, NC?

The most popular types of Behavioral Health Utilization Review jobs in Raleigh, NC are:

What are popular job titles related to Senior Behavioral Health Utilization Review jobs in Raleigh, NC?

For Senior Behavioral Health Utilization Review jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Senior Behavioral Health Utilization Review jobs in Raleigh, NC look for?

The top searched job categories for Senior Behavioral Health Utilization Review jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Senior Behavioral Health Utilization Review jobs?

Cities near Raleigh, NC 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 Raleigh, NC 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 $77,544 per year, or $37.3 per hour.

Mental Health Case Manager I - Behavioral Health Services

WakeMed

Raleigh, NC • On-site

Full-time

Re-posted 9 days ago

WakeMed rating

7.7

Company rating: 7.7 out of 10

Based on 135 frontline employees who took The Breakroom Quiz

159th of 888 rated healthcare providers

Job description

Overview
Supports patients and families in managing mental health and substance use concerns, assisting with discharge planning, resource navigation, and community engagement. Serves as a resource and placement specialist, ensuring timely referrals, warm handoffs, and effective communication. Provide education, advocacy, and support to enhance patient self-management and recovery. Facilitates inpatient and outpatient connections, monitors placements, conducts safety assessments, arranges transportation, and addresses social determinants of health. Acting as a liaison between patients, families, providers, and community resources. Proactively works to prevent delays in care and disposition. Reviews patient admissions and continued stays for appropriateness, monitors insurance benefits, and ensures care aligns with coverage to optimize payment. Assists with insurance appeals and utilization reviews. Supports clinical staff with coverage guidance and medical record reviews. Participates in the involuntary commitment process, including case tracking and representing the hospital in hearings. Must be able to work independently, prioritize tasks, and manage time efficiently. Demonstrates a flexibility in accepting diverse work assignments, managing stress related to change, and resolving conflicts effectively.
Department Description
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org .
EOE
Licensure
Not Applicable
Education
Master's Degree Counseling Or Marriage and Family Therapy Or Psychology Or Social Work Required
Experience
No Experience Required

What WakeMed employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About WakeMed

Sourced by ZipRecruiter

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Raleigh, NC, US

Year founded

1961

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