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Utilization Management Clinical Assistant Jobs (NOW HIRING)

Alignment Health

The Utilization Management Clinical Trainer plays a vital role in onboarding and developing clinical staff to ensure high-quality, consistent, and compliant utilization review services. This position ...

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Utilization Management Clinical Assistant information

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How much do utilization management clinical assistant jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for utilization management clinical assistant in the United States is $20.23, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $23.32 per hour, depending on experience, location, and employer.

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Infographic showing various Utilization Management Clinical Assistant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $42,079 per year, or $20.2 per hour.

Utilization Management Clinical Specialist

Towson, MD

Sheppard Pratt
Offices of Mental Health Practitioners • 5 - 10K employees
Learn more about Sheppard Prattexternal

$67K - $108K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 5 days ago

Sheppard Pratt rating

6.2

Company rating: 6.2 out of 10

Based on 43 frontline employees who took The Breakroom Quiz

700th of 898 rated healthcare providers

Job description

What to expect:

  • Provides timely, comprehensive utilization reviews for behavioral health services for Sheppard Pratt patients.
  • Conducts medical reviews for inpatient and partial hospitalization programs, maintains accurate documentation within hospital data systems, and communicates effectively with internal stakeholders and external agencies.
  • Coordinates with Medicare, Medicaid, and Commercial Health Plans to ensure compliance with CMS (Centers for Medicare & Medicaid Services), Maryland Medicaid, and payer-specific requirements.
  • Leads the appeals process through data-driven analysis, optimized workflows, and strengthened clinical documentation to support medical necessity decisions and successful appeal outcomes.

What you’ll get from Us:

At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer: 

  • A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation 
  • Comprehensive medical, dental and vision benefits for benefit eligible positions 
  • 403b retirement match 
  • Generous paid-time-off for benefit eligible positions 
  • Complimentary Employee Assistance Program (EAP) 
  • Generous mileage reimbursement program 

Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience. 

What we need from You:

  • Associate or Bachelor’s degree in nursing, Bachelor’s or Master’s degree in Clinical Counseling, Healthcare Administration, or related clinical field. 
  • Active RN license, Licensed Clinical Professional Counselor (LCPC), or Licensed Certified Social Worker-Clinical (LCSW-C).
  • Minimum of 3-5 years of experience in utilization management, or behavioral health.  
  • Strong knowledge of payer requirements, clinical criteria and behavioral health diagnosis. 

#LI-SM1

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About Sheppard Pratt

Sourced by ZipRecruiter

Sheppard Pratt is the nation's largest private, nonprofit provider of mental health, substance use, special education, developmental disability, and social services. We serve over 70,000 people every year and have over 160 programs in 16 counties throughout the State of Maryland. Our mission is to improve the quality of life of individuals and families by compassionately serving their mental health, addiction, special education, and community support needs. U.S. News & World Report has ranked Sheppard Pratt as one of the top psychiatric hospitals in the nation for the past thirty years. ! Sheppard Pratt is committed to fostering a safe, welcoming, and diverse environment for employees and patients, and recently earned the "LGBTQ Health Care Equality Top Performer" designation from the Human Rights Campaign Foundation. Sheppard Pratt currently has 5,000 employees, and we are always looking to add compassionate and caring members to our team. If you are someone who is interested in behavioral health, psychology, education, nursing, or social work, Sheppard Pratt is the right fit for you."

Industry

Offices of mental health practitioners

Company size

5,001 - 10,000 Employees

Headquarters location

Baltimore, MD, US

Year founded

1853

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