Behavioral Health UM Review
Listed compensation
$78k-$106k
Confirm guaranteed pay, incentives and eligibility with the employer.
- Employment & setting
- Full-Time · on_site
- Call expectations
- Not specified
- Weekends
- Includes weekends
Job description
Join Amerihealth Caritas as a Behavioral Health UM Review – Hybrid, $77K-$105K in Washington, District of Columbia, United States.
Benefits & Compensation
- Salary: $77K - $105K
- Paid time off including holidays and volunteer events
- Health insurance coverage on Day 1
- 401(k)
- Tuition reimbursement
Work Schedule
- Full-Time position.
- On-site position.
- Weekend coverage may be required.
- Flexible work solutions including remote options
- Hybrid work schedules
Apply to join Amerihealth Caritas as a Behavioral Health UM Review – Hybrid, $77K-$105K.
Key Responsibilities
The Behavioral Health UM Reviewer conducts medical necessity reviews for inpatient and outpatient services using clinical knowledge and management guidelines. They coordinate care opportunities and ensure treatment is delivered in the least restrictive and most appropriate manner.
Requirements
Candidates must hold an Associate Degree in Nursing or a Master Degree in Social Work with at least 2 years of independent clinical practice experience. Active professional licensure in DC is required, with the ability to obtain additional state licenses within 12 months.
Qualifications
- Experience
- 2+ years of experience
Key Skills
Behavioral Health Career Context
The cost-of-living index for District of Columbia is 109.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$92k midpoint carries the purchasing power of roughly $84k in an average-cost state. 64.3% of District of Columbia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Amerihealth Caritas holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 71/100, 7 active listings.
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Behavioral Health UM Review at Amerihealth Caritas a 6.3 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Behavioral Health healthcare professional listings evaluated on our platform.
