Top 26 Utilization review behavioral health Jobs in Columbus

Clinical Case Manager Behavioral Health - Transition of Care - Must live in Columbus, Ohio area
CVS Health —Columbus, OH
- $60,522 - $129,615 a year
- Full-time
- Hybrid work
- LMFT
- LPC
- Psychology
- Health insurance
- Dental insurance
1d
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Customer service
- Writing skills
- Mid-level
- Work from home
8d
Appeals Nurse Consultant (Remote)
CVS Health —Columbus, OH
- $60,522 - $129,615 a year
- Weekends as needed
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
2d
Community Behavioral Health Worker
Integrated Services for Behavioral Health —Columbus, OH
- $19.00 - $22.26 an hour
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Disability insurance
- Health insurance
Quick Apply
10d
Inpatient Therapist, Behavioral Health
Columbus Springs Dublin —Dublin, OH
- Full-time
- Addiction Medicine
- Licensed Clinical Social Worker
- Inpatient
- Disability insurance
- Health insurance
Quick Apply
Outpatient Navigator
Mount Carmel Behavioral Health —Columbus, OH
- Full-time
- LMFT
- Psychiatry
- Hospital
Engagement Coordinator
The Buckeye Ranch —Columbus, OH
- $40,664 - $54,745 a year
- Full-time
- Customer service
- Pass drug screening
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
1d
Clinician (Counselor) - Franklinton
Basecamp Recovery Center —Columbus, OH
- $26 - $38 an hour
- Weekends as needed
- LMFT
- Spanish
- CPR Certification
- Paid holidays
- Loan repayment program
Quick Apply
Care Coordinator
ST VINCENT FAMILY SERVICES —Columbus, OH
- $18 - $22 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Microsoft Outlook
- Mid-level
- Paid time off
- 401(k) matching
Quick Apply
Inpatient Therapist, PRN
Columbus Springs East —Columbus, OH
- Part-time
- Addiction Medicine
- Inpatient
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Inpatient Therapist, PRN
Columbus Springs Dublin —Dublin, OH
- Part-time
- Addiction Medicine
- Licensed Clinical Social Worker
- Inpatient
- Disability insurance
- Health insurance
Quick Apply
Hiring – Mental Health Nurse Practitioner / LSW / Psychologist (Remote - Ohio)
Wave 2.0 Pvt Ltd —Columbus, OH
- $150,000 - $190,000 a year
- Full-time
- Nursing
- Vital signs
- HIPAA
- Health insurance
- Paid time off
Quick Apply
12d
Case Manager
Phoenix Group Home, LLC —Lancaster, OH
- Full-time
- Writing skills
- HIPAA
- Mid-level
Quick Apply
Family Preservation Clinical Supervisor
Mentor Behavioral Health —Columbus, OH
- $75,000 a year
- Full-time
- Outpatient experience
- Master's degree
- Children
Clinical Supervisor
RESOLVE WELLNESS LLC —Columbus, OH
- $30 - $35 an hour
- Full-time
- Outpatient experience
- 3 years
- Master's degree
- Paid holidays
- Paid time off
Quick Apply
Medical Social Worker (LISW) - Psychotherapist
Ohio State University Physicians —Columbus, OH
- $66,002 - $99,004 a year
- Full-time
- Psychiatry
- Addiction Medicine
- Mid-level
- Wellness program
- Paid holidays
5d
IHBT Program Manager
Integrated Services for Behavioral Health —Columbus, OH
- $73,000 - $93,000 a year
- On call
- Up to 50% travel
- Residential
- 3 years
- Disability insurance
- Health insurance
Quick Apply
Licensed Counselor or Social Worker
Integrated Services for Behavioral Health —Columbus, OH
- $22.29 - $29.20 an hour
- Full-time
- Adults
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
County Supervisor
Integrated Services for Behavioral Health —Circleville, OH
- $48,596.66 - $79,175.95 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Disability insurance
- Health insurance
Quick Apply
Primary Therapist
ABHS —Lancaster, OH
- $60,000 - $70,000 a year
- Full-time
- LMFT
- Licensed Clinical Social Worker
- LPC
Quick Apply

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utilization review behavioral health jobs near columbus

Clinical Case Manager Behavioral Health - Transition of Care - Must live in Columbus, Ohio area

CVS Health -
Columbus, OH

Apply Now

Job Details

Full-time
$60,522 - $129,615 a year
1 day ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Interdisciplinary collaboration in health services social work
Health education for healthcare providers
Coaching
Employee relationship building
Care documentation
Incident Escalation
Community resource coordination in health services social work
Transitional care planning in clinical case management
Mental health resources facilitation
Overseeing care coordination
Care coordination meetings experience
Compliance documentation
Clinical documentation
Resource utilization in healthcare
Multidisciplinary team collaboration for treatment planning
Community relationship building
Managing patients as a clinical case manager
Escalation handling
Interdisciplinary behavioral health coordination experience
Stakeholder relationship building
Healthcare consultation

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

**Must live in Columbus, Ohio area**

*This role is in the Sun Behavioral Hospital Columbus, Ohio Monday - Friday*

Utilizes advanced clinical expertise, critical thinking, and behavioral health knowledge to provide consultation, coaching, and support to healthcare professionals, care coordination teams, and community partners serving complex behavioral health populations. Facilitates collaboration among providers, hospitals, care management teams, and community stakeholders to promote quality care delivery, appropriate resource utilization, successful transitions of care, and adherence to clinical and organizational standards. Functions as a clinical liaison and subject matter expert, supporting care teams through education, case consultation, problem-solving, and relationship management. This position operates in a hybrid work environment, including both remote work and regular onsite presence at a designated behavioral health hospital.

Required Qualifications

Serve as a clinical consultant and subject matter expert for hospital staff, care coordinators, and community-based professionals supporting members with complex behavioral health needs.
Provides coaching, guidance, and education related to behavioral health best practices, care coordination processes, discharge planning, community resources, and care transitions.
Collaborates with hospital treatment teams, care management staff, providers, and community partners to identify and address barriers impacting successful care coordination and discharge planning.
Supports multidisciplinary teams through case consultation, clinical problem-solving, and recommendations designed to improve care outcomes and continuity of care.
Facilitates communication and collaboration between healthcare providers, health plan teams, and community organizations to promote integrated care delivery.
Utilizes clinical expertise to review complex behavioral health cases, identify potential gaps in care, and recommend appropriate interventions, resources, or escalation pathways.
Assists care teams in understanding and applying clinical guidelines, regulatory requirements, organizational policies, and established care management practices.
Provides education and support regarding available behavioral health services, community resources, and care coordination tools.
Identifies trends, barriers, and system-level opportunities impacting member care and communicates findings to leadership and operational partners.
Develops and maintains collaborative relationships with hospital leadership, clinical teams, community providers, and internal stakeholders.
Participates in interdisciplinary meetings, case conferences, and care coordination discussions to support quality outcomes and effective service delivery.
Supports quality improvement initiatives, process enhancement efforts, and organizational goals related to behavioral health care coordination and transitions of care.
Identifies and escalates quality-of-care concerns through established organizational channels.
Maintains accurate documentation and reporting in accordance with organizational, regulatory, and accreditation requirements.
Represents the organization as a clinical liaison within designated behavioral health facilities

Preferred Qualifications

3–5 years of post-master's clinical experience in behavioral health, preferably in inpatient psychiatric, hospital-based, care management, care coordination, or community behavioral health settings.
Experience providing consultation, coaching, education, or support to healthcare professionals preferred.
Experience working collaboratively with hospitals, behavioral health providers, managed care organizations, or multidisciplinary care teams preferred.
Knowledge of care transitions, discharge planning, crisis services, and community behavioral health resources preferred.
Managed care experience preferred.
Strong relationship-building, facilitation, and communication skills required.

Education

Master's degree in Behavioral Health, Mental Health, Social Work, Counseling, Psychology, or a related field.
Current, unrestricted behavioral health licensure in the State of Ohio (e.g., LSW, LPC, MFT, or equivalent).

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,522.00 - $129,615.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

utilization review behavioral health jobs in columbus

Clinical Case Manager Behavioral Health - Transition of Care - Must live in Columbus, Ohio area

Utilization Review Specialist - Autism

Appeals Nurse Consultant (Remote)

Community Behavioral Health Worker

Inpatient Therapist, Behavioral Health

Outpatient Navigator

Engagement Coordinator

Clinician (Counselor) - Franklinton

Care Coordinator

Inpatient Therapist, PRN

Inpatient Therapist, PRN

Hiring – Mental Health Nurse Practitioner / LSW / Psychologist (Remote - Ohio)

Case Manager

Family Preservation Clinical Supervisor

Clinical Supervisor

Medical Social Worker (LISW) - Psychotherapist

IHBT Program Manager

Licensed Counselor or Social Worker

County Supervisor

Primary Therapist

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