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Senior Behavioral Health Utilization Review Jobs

UHS

Utilization Reviewer -Behavioral Health

Conway, SC · On-site

... senior adults in need of psychiatric services, as well as adults who suffer from a chemical ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...

UHS

Utilization Reviewer -Behavioral Health

Conway, SC · On-site

... senior adults in need of psychiatric services, as well as adults who suffer from a chemical ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...

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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 Jun 14, 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 June 2026, with employment types broken down into 85% Full Time, and 15% Part Time. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $79,771 per year, or $38.4 per hour.
Coord-Behavioral Health Ult Mg

Coord-Behavioral Health Ult Mg

BronxCare Health System

Bronx, NY

Full-time

Posted 20 days ago

BronxCare Health System rating

7.0

Company rating: 7.0 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients
admitted into psychiatry or substance abuse for appropriateness of admission according to nationally recognized
criteria.


The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients
admitted into psychiatry or substance abuse for appropriateness of admission according to nationally recognized
criteria. The BH-UMC will monitor discharge plan, continued stay, provide clinical information to managed care
plans or other intermediaries in order to secure certification status and reimbursement for the hospital. The BHUMC will collaborate with the physician, social worker and nursing to insure that discharge plan is implemented
timely, communicated to health plan and executed within appropriate length of stay allowances. The BH-UMC
will work under the direction of the Case Manager assigned to Behavioral Health in order to insure that all patients
are reviewed and certified. The BH-UMC will collaborate and communicate with all members of the Behavioral
Healthcare team to insure that patients designated for admission have all necessary documentation to meet
admission criteria for reimbursement purposes. The BH-UMC will facilitate discharges and assist the discharge
planning process by identifying delays/barriers to discharge.

Knowledge of Medicare, Medicaid, Managed Care and OASIS guidelines, medical
necessity criteria pertaining to psychiatry and substance abuse.

Knowledge of federal and state regulatory guidelines governing Behavioral Health


Minimum of three (3) years experience specifically in Behavioral Health Utilization review and case
management.
Managed Care or Discharge Planning experience in Behavioral Health a plus.


Bachelors/Masters 

BronxCare Health System logo

About BronxCare Health System

Sourced by ZipRecruiter

BronxCare is the largest voluntary, not-for-profit health and teaching hospital system serving the South and Central Bronx, with 859 beds and more than 4,500 employees. Its two main hospital divisions, comprehensive psychiatric and chemical dependency programs, long-term care facility, and extensive outpatient network are delivering the highest quality and accessible services to the community. BronxCare is now among the largest providers of outpatient services in New York City, with close to one million visits annually. Its ER is one of the busiest in New York.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

New York, NY, US

Year founded

1890

Social media

Twitter

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