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Utilization Review Assistant Jobs in Mississippi

Acadia Healthcare

Utilization Specialist

Magee, MS

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...

Millcreek of Magee

Utilization Specialist

Magee, MS · On-site

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...

Millcreek of Magee

Utilization Specialist

Magee, MS · On-site

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...

Acadia Healthcare

Utilization Specialist

Magee, MS · On-site

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...

Millcreek of Magee

Utilization Assistant

Magee, MS · On-site

Overview PURPOSE STATEMENT: Provide administrative support to the Utilization department ... reviews and discharge planning. * Assist physician in peer review by serving as information ...

MDB Health Services

Care Management Director

Flowood, MS · On-site

$80 - $100/hr

... * Assist with policy development, staff education, and process standardization Qualifications ... Strong knowledge of healthcare regulations, utilization review, discharge planning, and quality ...

Forrest General Hospital

CASE MANAGER

Hattiesburg, MS · On-site

$16.75 - $21.50/hr

Case managers also play a key role in discharge planning and utilization review, helping patients ... to assist in validating appropriateness of admission, services, and continued stay and, if ...

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All JobsUtilization Review JobsUtilization Review Assistant JobsUtilization Review Assistant Jobs in Mississippi

Utilization Review Assistant information

See Mississippi salary details

$9

$26

$54

How much do utilization review assistant jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for utilization review assistant in Mississippi is $26.80, according to ZipRecruiter salary data. Most workers in this role earn between $15.20 and $32.89 per hour, depending on experience, location, and employer.

What is a utilization review assistant?

A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.

What does a utilization review assistant do?

A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.

What skills and qualifications are needed to be a utilization review assistant?

To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.

How do I get into a utilization review assistant?

To become a utilization review assistant, candidates typically need a high school diploma or equivalent, with some roles preferring healthcare-related certifications or experience. Strong organizational skills, attention to detail, and familiarity with medical records and insurance processes are important; some positions may require knowledge of healthcare management software. Gaining relevant experience or certifications can improve job prospects in this field.

What are the most commonly searched types of Utilization Review jobs in Mississippi?

The most popular types of Utilization Review jobs in Mississippi are:

What are popular job titles related to Utilization Review Assistant jobs in Mississippi?

For Utilization Review Assistant jobs in Mississippi, the most frequently searched job titles are:

What job categories do people searching Utilization Review Assistant jobs in Mississippi look for?

The top searched job categories for Utilization Review Assistant jobs in Mississippi are:

What cities in Mississippi are hiring for Utilization Review Assistant jobs?

Cities in Mississippi with the most Utilization Review Assistant job openings:

Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in Mississippi as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $55,737 per year, or $26.8 per hour.

CASE MANAGEMENT: UTILIZATION REVIEW AND DISCHARGE PLANNER

Freedom Behavioral Hospital of Greenville

Greenville, MS • On-site

Full-time

Re-posted 2 days ago

Job description

NOTICE TO APPLICANTS

Thank you for your interest in employment with our organization. This position is currently filled. However, we maintain ongoing recruitment efforts, and should this position become available, applications and résumés on file may be considered for future openings.


Position Summary

Freedom Behavioral Hospital is seeking a highly organized and patient-focused professional to serve as our Case Management: Utilization Review and Discharge Planner. This position is responsible for coordinating utilization review activities, obtaining insurance authorizations, managing discharge planning, facilitating continuity of care, and ensuring patients receive appropriate services throughout their hospitalization and transition back into the community.

The Case Management: Utilization Review and Discharge Planner serve as a liaison between patients, families, referral sources, insurance providers, physicians, and treatment team members to promote positive treatment outcomes and regulatory compliance.

Essential Responsibilities

Utilization Review

  • Verify insurance eligibility and benefits for all admissions.
  • Obtain and maintain authorizations for inpatient psychiatric treatment.
  • Conduct admission, concurrent, and continued-stay reviews with insurance companies.
  • Coordinate peer-to-peer reviews between physicians and payors when necessary.
  • Submit clinical documentation required for authorization and reimbursement.
  • Monitor length of stay and communicate authorization status to treatment team members.

Discharge Planning

  • Coordinate comprehensive discharge plans beginning at admission.
  • Arrange follow-up appointments, outpatient services, community resources, and referrals.
  • Communicate with patients, families, referral sources, and outside providers regarding discharge needs.
  • Ensure all discharge documentation and continuing care plans are completed timely.
  • Facilitate transfers to appropriate levels of care when indicated.
  • Coordinate Level I and Level II screenings as required.

Case Management

  • Participate in multidisciplinary treatment team meetings.
  • Maintain accurate and timely documentation in the electronic medical record.
  • Serve as a liaison between patients, families, physicians, referral sources, and insurance providers.
  • Track patient progress and assist in identifying barriers to successful discharge.
  • Support quality improvement initiatives and regulatory compliance activities.
  • Assist with audits, surveys, and accreditation requirements.

Qualifications

Education

  • Bachelor's Degree in Social Work, Psychology, Counseling, Nursing, Human Services, Healthcare Administration, or related field required.
  • Master's Degree preferred.

Experience

  • Minimum one (1) year experience in case management, discharge planning, utilization review, behavioral health, social services, or healthcare coordination preferred.
  • Experience in an inpatient psychiatric or behavioral health setting strongly preferred.

Knowledge, Skills, and Abilities

  • Knowledge of behavioral health diagnoses and treatment planning.
  • Understanding of insurance authorization and utilization review processes.
  • Knowledge of discharge planning and community resource coordination.
  • Strong communication, documentation, and organizational skills.
  • Ability to work effectively within a multidisciplinary treatment team.
  • Proficiency with electronic medical records and Microsoft Office applications.

Certifications

  • CPR Certification (or ability to obtain upon hire)
  • CPI/Behavioral Management Training (or ability to obtain upon hire)
  • Valid Driver's License (if applicable)

Apply Today

Join Freedom Behavioral Hospital and become part of a team dedicated to providing exceptional behavioral healthcare while ensuring patients receive the support and resources needed for successful recovery and continuity of care.


Freedom Behavioral Hospital is an Equal Opportunity Employer.