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Senior Behavioral Health Utilization Review Jobs

Umpqua Health

Utilization Review Clinician

Roseburg, OR · On-site

UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR ... Evaluate behavioral health and substance use disorder services to determine medical necessity ...

New

Umpqua Health

Utilization Review Clinician

Roseburg, OR · On-site +1

$80K - $94K/yr

UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR ... Evaluate behavioral health and substance use disorder services to determine medical necessity ...

Umpqua Health

Utilization Review Clinician

Roseburg, OR · Remote

$80K - $94K/yr

UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR ... Evaluate behavioral health and substance use disorder services to determine medical necessity ...

New

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Senior Behavioral Health Utilization Review information

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$31K

$79.8K

$117K

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

As of Aug 8, 2026, the average yearly pay for senior behavioral health utilization review in the United States is $79,771.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $116,500.00 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.

More about Senior Behavioral Health Utilization Review jobs
What cities are hiring for Senior Behavioral Health Utilization Review jobs? Cities with the most Senior Behavioral Health Utilization Review job openings:
What are the most commonly searched types of Behavioral Health Utilization Review jobs? The most popular types of Behavioral Health Utilization Review jobs are:
What states have the most Senior Behavioral Health Utilization Review jobs? States with the most job openings for Senior Behavioral Health Utilization Review jobs include:
What job categories do people searching Senior Behavioral Health Utilization Review jobs look for? The top searched job categories for Senior Behavioral Health Utilization Review jobs are:
Senior Behavioral Health Utilization Review jobs near you
Infographic showing various Senior Behavioral Health Utilization Review job openings in the United States as of August 2026, with employment types broken down into 45% Full Time, 33% Part Time, and 22% Contract. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $79,771 per year, or $38.4 per hour.

Utilization Review Coordinator - Behavioral Health

Avenues Recovery

Toms River, NJ • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Avenues Recovery Center is Now Hiring: Utilization Review Specialists

Avenues Recovery Center is a nationwide network of drug and alcohol rehabilitation centers with eighteen locations across seven states. We provide highly individualized, evidence-based treatment in clean, modern settings across all levels of care including detox, residential, PHP, IOP, and outpatient services.

Our success is driven by our people and a strong clinical model that has helped transform thousands of lives. We are seeking a Utilization Review Specialist to join our corporate team in New Jersey and support authorization, clinical documentation integrity, and continued stay coordination across our network.

Position Overview

Location: Corporate office - New Jersey
Schedule: Full-time

The Utilization Review Specialist ensures timely authorization of client services, supports appropriate level-of-care determinations, and partners closely with clinical and billing teams to maintain accurate documentation and continuity of care across facilities.

This role requires strong communication, attention to detail, and the ability to collaborate across clinical, administrative, and billing departments.

Key ResponsibilitiesUtilization Review & Authorization Management
  • Field incoming calls, emails, and documentation requests related to client authorizations
  • Ensure timely approval and continuation of services at the appropriate level of care
  • Manage client caseloads and support authorization workflows across facilities
  • Advocate for continued stay based on clinical documentation and treatment needs
Clinical & Billing Collaboration
  • Work closely with billing and clinical teams to identify and resolve authorization issues
  • Communicate with facility leadership regarding UR status and documentation needs
  • Support coordination between treatment teams and administrative departments
Documentation & Compliance
  • Maintain accurate electronic records of all UR activity and authorization communications
  • Ensure documentation meets internal standards and payer requirements
  • Assist in identifying gaps in charting and supporting improvements in documentation workflows
Systems & Process Improvement
  • Assist in creating standardized templates and UR workflows across facilities
  • Work with site leaders to ensure consistent implementation of processes
  • Support improvement of internal UR systems and efficiency initiatives
QualificationsRequired / Preferred Education
  • High school diploma or GED required
  • Bachelor's degree preferred
  • Nursing background, clinical background or healthcare knowledge strongly preferred
Experience
  • Minimum 1 year of experience in behavioral health, healthcare, or treatment setting preferred
  • Experience with utilization review, insurance authorization, or medical billing strongly preferred
Core Skills
  • Strong communication (written and verbal)
  • Excellent interpersonal and collaboration skills
  • Strong attention to detail and documentation accuracy
  • Ability to manage multiple cases and deadlines
  • Sound judgment and critical thinking
  • Flexible, team-oriented, and adaptable in a fast-paced environment

Willing to train

Why Join Avenues?

At Avenues, our people are our greatest strength. We foster a culture of support, collaboration, and purpose-driven work, where every team member is valued and empowered to make an impact.

We provide the tools, resources, and benefits needed to help you succeed both personally and professionally.

Comprehensive Benefits
  • 401(k) with employer match
  • Medical, Dental, and Vision Insurance
  • Accident, Critical Illness, and Hospital Indemnity coverage
  • Employer-paid Life and AD&D Insurance
  • Short- and Long-Term Disability options
  • Legal coverage and Identity Theft Protection
  • Pet Insurance
  • Employee Assistance Program (EAP)
  • Flexible Spending Accounts (Medical & Dependent Care)

Join our growing team and discover the magic here at Avenues! Apply today!

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