Top 6 Clinical documentation & utilization review nurses Jobs in Orem, Ut

Behavioral Health Utilization Management Specialist
Row Partners —Draper, UT
- $60,000 - $70,000 a year
- Full-time
- Hybrid work
- Mid-level
- Residential
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
MDS Coordinator
Aspen Ridge of Utah Valley —Orem, UT
- Weekends as needed
- Nursing
- Skilled nursing facility
- RN License
Quick Apply
5d
Appeal Analyst RN | Remote | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply

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Behavioral Health Utilization Management Specialist
Row Partners —Draper, UT
Comfort with utilization management tools (ASAM, MCG, InterQual). Support evidence-based treatment by applying clinical criteria and guidelines to approve and…
$60,000 - $70,000 a year
Quick Apply
Utilization Review Nurse - Medication Access
University of Utah Health —Murray, UT
Must maintain current Interstate Compact (multi-state) license if residency is not being changed to Utah. Current license to practice as a Registered Nurse in…

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Clinical Quality Assurance Specialist, RN
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An active, unrestricted RN, NP, LPN, or LCSW license (a multi-state or compact license is preferred). You can pull, sort, and understand QA data on your own.
$80,000 - $95,000 a year
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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
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clinical documentation & utilization review nurses jobs near orem, ut

Behavioral Health Utilization Management Specialist

Row Partners
Draper, UT

Quick Apply

Job Details

Full-time
$60,000 - $70,000 a year

Benefits

Paid holidays
Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Employee relationship building
Stakeholder relationship building

Full Job Description

Behavioral Health Utilization Management Specialist

Location: Utah (Hybrid & Remote Options Available)

Job Type: Full-time

Department: Behavioral Health / Utilization Management

Who We Are

At Row Partners, we’re more than a healthcare support organization — we’re a passionate team dedicated to empowering behavioral health facilities and their patients. We believe that compassionate, accessible, and high-quality care starts with the right people on our team.

Our Behavioral Health division is growing, and we’re looking for a Behavioral Health Utilization Management Specialist who shares our commitment to improving access, ensuring appropriate care, and supporting patient success stories every day.

If you’re driven by purpose, thrive in a collaborative environment, and want your work to make a real difference, this role is for you.

The Role

As a Behavioral Health Utilization Management Specialist, you will be the bridge between clinical care and insurance coverage — ensuring patients receive the right services, at the right time, for the right reasons. Your expertise will help providers, patients, and payers work together toward the shared goal of better behavioral health outcomes.

What You’ll Do

Champion patient care by reviewing medical records and clinical documentation to determine medical necessity and appropriateness of behavioral health services.
Collaborate and connect with clinicians, medical staff, and insurance providers to make sure patients get timely access to the services they need.
Conduct clinical reviews for inpatient, outpatient, and residential behavioral health services.
Ensure quality of care by reviewing treatment plans, discharge plans, and progress toward goals.
Support evidence-based treatment by applying clinical criteria and guidelines to approve and recommend necessary care.
Stay ahead of industry standards, insurance requirements, and treatment protocols.
Advocate for patients by facilitating communication and resolving barriers between providers, patients, and payers.
Document with precision for utilization reviews, audits, and compliance needs.

What You Bring

Proven Success

A history of professional growth, creative problem-solving, and a commitment to excellence.
Integrity, accountability, and a collaborative spirit that uplifts your team and patients alike.

Preferred Experience

2+ years in utilization management, case management, or behavioral health services
Familiarity with mental health and substance use disorder diagnoses.
Understanding of insurance coding, billing, and behavioral health authorization procedures.

Preferred Skills

Strong knowledge of Behavioral Health diagnosis, Treatments, and evidence-based practices.
Comfort with utilization management tools (ASAM, MCG, InterQual).
Excellent communication and relationship-building skills.
Ability to multitask in a fast-paced environment.
EHR system proficiency.

(If you don’t have all the experience listed, but have the passion and potential to succeed, we’re willing to train the right candidate.)

Work Location

Based in Sandy, Utah — remote work available for those living more than 50 miles from the office.

Why You’ll Love Working With Us

Competitive salary & comprehensive benefits (health, dental, vision).
Paid time off, sick leave, and paid holidays.
Opportunities for growth, training, and continuing education.
Supportive, team-first culture where your contributions matter.
The chance to impact lives and improve care outcomes every single day.

If you’re ready to use your skills to make a lasting difference in behavioral health care, we’d love to hear from you. Apply today and join a team thats shaping the future of patient care.

Quick Apply

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clinical documentation & utilization review nurses jobs in orem, ut

Behavioral Health Utilization Management Specialist

MDS Coordinator

Appeal Analyst RN | Remote | Contract

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