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Utilization Review Therapist Jobs in Spring, TX (NOW HIRING)

Carrus Health

Therapist (Float)

Houston, TX · On-site

Performs various roles including Therapist, Utilization Review, and Clinic Manager. Therapist role - provides individual psychotherapy and/or case management sessions on an as-needed basis, provides ...

Carrus Health

Therapist (Float)

Houston, TX

Performs various roles including Therapist, Utilization Review, and Clinic Manager. Therapist role - provides individual psychotherapy and/or case management sessions on an as-needed basis, provides ...

Dane Street, LLC

Occupational Therapist

Houston, TX · On-site

$38.50 - $50.50/hr

... and utilization review/management expertise * Expanded credentials as an expert in Independent ... Therapist looking for a flexible opportunity to apply your expertise in an IME capacity, we ...

Dane Street, LLC

Occupational Therapist

Houston, TX · On-site

$38.50 - $50.50/hr

... and utilization review/management expertise * Expanded credentials as an expert in Independent ... Therapist looking for a flexible opportunity to apply your expertise in an IME capacity, we ...

Dane Street, LLC

Occupational Therapist

Houston, TX · On-site

$38.50 - $50.50/hr

... and utilization review/management expertise * Expanded credentials as an expert in Independent ... Therapist looking for a flexible opportunity to apply your expertise in an IME capacity, we ...

Lifepoint Health

Therapist

Richmond, TX

Therapist Job Type: Part time Schedule: 3 days/week- Monday, Tuesday, Thursday, 2- 9 pm Location ... including physicians, utilization review and nursing staff members. Demonstrates active ...

Lifepoint Health

Therapist

Richmond, TX · On-site

Therapist Job Type: Part time Schedule: 3 days/week- Monday, Tuesday, Thursday, 2- 9 pm Location ... including physicians, utilization review and nursing staff members. Demonstrates active ...

Lifepoint Health

Therapist PRN

Richmond, TX

Therapist Job Type: PRN, Full weekend availability, 2-3 weekends per month Your experience matters ... Works well with the interdisciplinary team including physicians, utilization review and nursing ...

Lifepoint Health

Therapist PRN

Richmond, TX · On-site

Therapist Job Type: PRN Your experience matters! At Westpark Springs , we are driven by a profound ... Works well with the interdisciplinary team including physicians, utilization review and nursing ...

Lifepoint Health

Therapist PRN

Richmond, TX · On-site

Therapist Job Type: PRN, Full weekend availability, 2-3 weekends per month Your experience matters ... Works well with the interdisciplinary team including physicians, utilization review and nursing ...

PACS

Full-time Occupational Therapist

Houston, TX · On-site

$33.75 - $44.50/hr

Evaluate residents to determine occupational therapy needs, functional limitations, and ... Participates in Resident Care conferences, Utilization Review meetings, and Rehabilitation meetings ...

Pacs

Full-time Occupational Therapist

North Houston, TX · On-site

$37.25 - $49/hr

Evaluate residents to determine occupational therapy needs, functional limitations, and ... Participates in Resident Care conferences, Utilization Review meetings, and Rehabilitation meetings ...

Pacs

PRN Occupational Therapist

Houston, TX

General Purpose The Staff Occupational Therapist evaluates and treats patients, communicates with ... Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ...

Pacs

PRN Occupational Therapist

North Houston, TX

Evaluate residents to determine occupational therapy needs, functional limitations, and ... Participates in Resident Care conferences, Utilization Review meetings, and Rehabilitation meetings ...

PACS

PRN Occupational Therapist

Houston, TX · On-site

Evaluate residents to determine occupational therapy needs, functional limitations, and ... Participates in Resident Care conferences, Utilization Review meetings, and Rehabilitation meetings ...

UHS

THERAPIST (PRN)

Kingwood, TX

... utilization review, assessment, discharge planning, group/individual therapy, case management, and other duties related to delivering a successful program. Job Duties/Responsibilities * Complete ...

Nexus Children's Hospital

RN Case Manager

Conroe, TX · On-site

... therapy services, and family engagement. We are committed to empowering patients and families ... Practices "minimum information necessary" when performing utilization review, case management, and ...

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All JobsUtilization Review Therapist JobsUtilization Review Therapist Jobs in Spring, TX

Utilization Review Therapist information

See Spring, TX salary details

$13

$28

$47

How much do utilization review therapist jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for utilization review therapist in Spring, TX is $28.42, according to ZipRecruiter salary data. Most workers in this role earn between $19.90 and $36.15 per hour, depending on experience, location, and employer.

What is a utilization review therapist?

A Utilization Review (UR) Therapist evaluates the medical necessity, appropriateness, and efficiency of mental health or substance use treatments. They review patient records, collaborate with providers, and ensure that care meets insurance requirements and clinical guidelines. Their goal is to balance quality patient care with cost-effective treatment, often working closely with insurance companies and healthcare teams to approve or appeal coverage decisions.

What are the typical daily responsibilities of a utilization review therapist?

As a Utilization Review Therapist, your daily duties often include reviewing clinical documentation, determining the medical necessity of treatments, and coordinating with healthcare providers to ensure appropriate levels of care. You will interact frequently with insurance companies to facilitate authorizations and manage denials or appeals. Collaboration with other clinical staff is common, as you gather information and advocate for patient care. Occasionally, you may participate in interdisciplinary meetings or provide education on documentation standards and payer requirements.

What are the key skills and qualifications needed to thrive as a utilization review therapist?

To thrive as a Utilization Review Therapist, you need strong clinical assessment skills, a background in behavioral health or social work, and a relevant license such as LCSW, LMFT, or LPC. Familiarity with insurance guidelines, electronic medical record (EMR) systems, and utilization management software is often required. Excellent critical thinking, organization, and communication skills help you succeed in this role. These competencies ensure accurate treatment evaluations, compliance with regulations, and effective collaboration across clinical and administrative teams.

What are popular job titles related to Utilization Review Therapist jobs in Spring, TX? For Utilization Review Therapist jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Utilization Review Therapist jobs in Spring, TX look for? The top searched job categories for Utilization Review Therapist jobs in Spring, TX are:
What cities near Spring, TX are hiring for Utilization Review Therapist jobs? Cities near Spring, TX with the most Utilization Review Therapist job openings:
Utilization Review Therapist jobs near you
Infographic showing various Utilization Review Therapist job openings in Spring, TX as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $59,121 per year, or $28.4 per hour.

Utilization Specialist - Hybrid

Eduvention Mentoring & Consulting

Houston, TX • On-site

Full-time, Contractor

Medical, Retirement, PTO

Posted 12 days ago

Job description

At EMC Behavioral Health, we believe mental health begins with passionate care, intentional connection and the power of evidence-based practice. Guided by our mission to deliver the highest quality, client-centered care and our vision to equip individuals with innovative tools for lasting mental wellness, we serve as a trusted partner to clients, families, and communities seeking meaningful change. If your driven by purpose, energized by advocacy, and committed to ensuring that care is both clinically sound and deeply human, you will find your calling here at EMC.
Position Summary:
The Utilization Specialist is a key driver of EMC's clinical excellence, ensuring each client receives timely, appropriate, and medically necessary care. This role seamlessly integrates care coordination, clinical assessment, and utilization management to support strong recovery outcomes, uphold regulatory and payer requirements, and strengthen overall operational efficiency. We're seeking a clinically grounded professional with sharp analytical insight, exceptional communication skills, and a genuine commitment to serving diverse populations within a dynamic behavioral health setting.

What You'll Do:
In this high-impact role, you will help ensure clients receive the right care at the right time while supporting EMC's commitment to clinical excellence. Your responsibilities will include:
Care Coordination & Client Support:

  • Coordinate appointments, therapy sessions, referrals, and supportive services
  • Monitor client progress, medication adherence, and engagement in programming
  • Partner with families, caregivers, and interdisciplinary teams to ensure continuity of care
Clinical Assessment & Treatment Planning:
  • Conduct comprehensive initial and ongoing assessments
  • Support clients with the individualized recovery plans and evidence-based coping strategies
  • Serve as an internal resource on medical necessity, utilization workflows, and clinical best practices
Utilization Review & Case Management:
  • Lead prior authorizations, concurrent reviews, and discharge planning
  • Ensure full compliance with payer guidelines, authorization limits, Medicaid/Medicare rules, and regulatory requirements
  • Coach and train team members on documentation, compliance standards, and evolving regulations
  • Review utilization trends and recommend process improvements or efficiencies
Documentation, Reporting & Compliance:
  • Maintain accurate, timely documentation in the EHR and complete required assessments (CANS/ANSA)
  • Prepare and submit monthly utilization and outcomes reports
  • Participate in monthly UM meetings, audits, and continuous quality improvement initiatives
  • Consistently uphold HIPAA and all state/federal behavioral health regulations
Additional Responsibilities:
  • Respond to call-outs, client emergencies and inquiries in alignment with protocols, including occasional after-hours support
  • Support clinic outreach through community engagement, referral coordination, and collaboration with external partners
  • Perform other duties as assigned

Minimum Qualifications:

  • Bachelor’s degree in psychology, sociology, criminal justice, education or other related field (Master’s degree preferred)
  • Active QMHP certification and HIPAA training
  • CANS/ANSA certification (or willing to obtain)
  • At least one year experience in behavioral health, case management or a clinical support role (2-3 years in a utilization management role preferred)
  • Strong understanding of managed care, medical necessity criteria, and Medicaid authorizations
  • Excellent documentation, assessment and critical-thinking skills
  • Ability to collaborate effectively across clinical and administrative teams

Who Thrives in This Role:
You'll be a strong fit for EMC if you are:

  • Mission-driven and committed to compassionate, high-quality care
  • A confident communicator who builds rapport easily
  • Detail-oriented, organized, and comfortable balancing multiple priorities
  • Skilled at blending clinical judgment and operational decision-making
  • Dedicated to ethical practice and ongoing professional development
Why Join EMC Behavioral Health:
  • Make a meaningful difference in clients' lives every day
  • Join a collaborative, supportive clinical team
  • Access opportunities for professional growth, mentorship, and certification
  • Be a part of a mission-driven organization that truly values quality, compassion, and innovation
Schedule & Work Environment:
  • Contract to Hire
  • This position begins as a full-time contract role through our company. Based on performance, business needs, and mutual fit, the role is intended to convert into a permanent, full-time position with comprehensive benefits.
  • Monday-Friday with limited on-call responsibilities
  • Hybrid clinical/administrative position in an outpatient behavioral health setting
  • 2 days onsite in our Northwest Houston office, Tuesdays and Thursdays
  • Requires regular use of EHR systems, reporting tools, and standard office equipment
Employee Benefits:
  • Group Health insurance options for full time employees, both employee and employer paid
  • Paid Time Off
  • Retirement Savings

Equal Opportunity Employer:
EMC Behavioral Health is an Equal Opportunity Employer and is committed to fostering a diverse, inclusive, and equitable work environment. We welcome applicants of all backgrounds, identities, and experiences.

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