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Utilization Review Behavioral Health Care Manager Jobs

Memorial Physician Practices

... with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters How you'll contribute The ...

UHS

Utilization Review Coordinator

South Attleboro, MA · On-site

$5.0K/mo

Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health ... One (1) or more years of experience in utilization management, insurance, and/or HMO organization

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

As of Sep 13, 2026, the average yearly pay for utilization review behavioral health care manager in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.

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Infographic showing various Utilization Review Behavioral Health Care Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.

Utilization Review Specialist

North Little Rock, AR • On-site

The Wellstone Group
See more jobs at The Wellstone Groupexternal

$65K - $68K/yr

Full-time

Posted 11 days ago

Job description

Utilization Review Specialist – North Little Rock, AR (72113)

Are you an experienced healthcare professional looking for an opportunity to make a difference in patient care management? We’re seeking a Utilization Review Specialist to join our team in North Little Rock, AR, helping ensure effective resource use while maintaining high-quality care within a managed care system.

About the Role:

This position plays a key role in reviewing patient care plans, collaborating with interdisciplinary teams, and ensuring compliance with insurance and regulatory requirements. The right candidate will be detail-oriented, organized, and able to manage multiple priorities in a fast-paced, office-based environment.

Key Responsibilities:

  • Review and Update Records: Ensure patient records and care plans are accurate before submission to insurance providers.

  • Admissions & Discharges: Verify documentation for new admissions and discharges is complete and timely.

  • Daily Workflow: Prepare due lists, send update notifications, and follow up on pending authorizations.

  • Utilization Review: Conduct pre-authorizations and concurrent reviews to confirm the necessity and appropriateness of care.

  • Collaboration: Partner with providers, case managers, and other healthcare professionals to support effective care planning.

  • Compliance: Maintain adherence to state, federal, and organizational guidelines.

  • Appeals Management: Review and respond to appeals related to utilization decisions.

  • Quality Initiatives: Participate in projects aimed at improving patient outcomes and operational efficiency.

Qualifications:

  • Long-term care experience required

  • Active COTA or PTA license

  • Minimum 1 year of experience in MDS, COTA, PTA, or related field, preferably in a managed care setting

  • Strong understanding of managed care principles and clinical guidelines

  • Ability to handle a high caseload with excellent organizational skills

  • Experience or willingness to learn systems such as PCC, Care Auth, Net Health, Availity, and Home & Community services

  • Proficient in Microsoft Excel, Outlook, PDFs, and web-based platforms

Preferred Skills:

  • Experience with Electronic Health Record (EHR) systems

  • Strong multitasking abilities in a high-volume office setting

  • Effective communication and problem-solving skills

Work Environment:

  • On-site position at our North Little Rock, AR office

  • Fast-paced, team-oriented environment requiring strong time management and attention to detail

If you are looking for a role where your skills directly contribute to improving patient care and operational outcomes, we’d love to hear from you. Apply today to join our team!

#INDSAR