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- ...Utilization Management SpecialistProactively monitor utilization of services for patients to... ...facility professional clinical staff.Conduct reviews, in accordance with certification... ...Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility...LpcWork at office
Acadia Healthcare
Nashville, TN4 days ago - Comagine Health is seeking a Clinical Reviewer with LCSW/LPC/LCPC licensure for a remote, Oregon-based role requiring travel to Salem and surrounding... ...care for diverse populations. The position emphasizes utilization review, documentation, and collaboration with stakeholders...LpcRemote jobWork from home
- ...Utilization Review CoordinatorLighthouse Care Center of Augusta is seeking a dedicated, compassionate Utilization Review Coordinator to add... ...)Must be license-eligible or licensed in Georgia (APC, LAPC, LPC, LMSW, LCSW, LMFT, LMHC)Must have 2 years of experience in a...LpcLocal area
Universal Health Services
Augusta, GA1 day ago - ...Responsibilities The Hughes Center is seeking a talented and dynamic Utilization Review (UR) Coordinator to join our team of dedicated healthcare... .... Must have basic computer skills. Licensure: LMHC, LPC, LMSW, LCSW, or RN preferred. About Universal Health...LpcLocal areaWork from homeMonday to FridayFlexible hoursDay shift
Universal Health Services
Danville, VA1 day ago - ...What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions... ...required; advanced degree or licensure (e.g., RN, LCSW, LPC, LMHC, or CADC) preferred. Excellent organizational, communication...LpcWork at officeLocal area
BriteLife Recovery
Englewood Cliffs, NJ1 day ago - ...About the Role The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level... ...chemical dependency setting. Licensure: Current RN, LCSW, or LPC license preferred. Skills and Competencies: In-depth...LpcFull timePart timeWeekend work
Bradford Health Services
Dallas, TX2 days ago $27.02 - $48.55 per hour
...Position Purpose Performs a clinical review and assesses care related to mental health... ...data to improve quality and appropriate utilization of services Provides education to providers... ...contract requirements e.g., LCSW, LMHC, LPC, LMFT, LMHP and RN with BH experience...LpcHourly payFull timeContract workPart timeWork at officeRemote workFlexible hoursCentene Corporation
California, MO15 hours ago- ...Care Center of Augusta is seeking a dedicated, compassionate Utilization Review Coordinator to add to our growing team. Lighthouse Care... ...Must be license-eligible or licensed in Georgia. (APC, LAPC, LPC, LMSW, LCSW, LMFT, LMHC) Must have 2 years of experience in...LpcLocal area
Universal Health Services
Augusta, GA4 days ago - ...Utilization Review Specialist Bradford Health Services provides addiction treatment programs, resources, and community for every aspect of... ...license or relevant certification, such as RN, LPN/LVN, LMSW, LPC, CADC, LADAC, CCM, or an equivalent credential, preferred but...LpcPart timeWork at officeRemote work
Bradford at Warrior
United States3 days ago - ...Job Description Job Description Overview Director of Utilization Review - Permian Basin Behavioral Health Center Signet Health is... ...also accept advanced behavioral health licenses like LCSW or LPC depending on scope). Clinical Experience: Minimum of 2 years...LpcMonday to Friday
Signet Health Corporation
Midland, TX26 days ago $27.02 - $48.55 per hour
...Position Purpose: Performs reviews of member's care and health status of Applied Behavioral... ...LMHC (Licensed Mental Health Counselor), LPC (Licensed Professional Counselor), LMFT (... ...data to improve quality and appropriate utilization of services Interacts with BH healthcare...LpcHourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hoursCentene Corporation
Wausau, WI4 days ago$62k - $70k
...purpose of this position is to ensure that the utilization process is thorough, organized and... ...timely manner Completes peer to peer reviews with insurance MDs to advocate for treatment... ...Master's-Level Clinicians: LCSW, LMFT, LPC, or LCPC. ~2+ years of experience...LpcFull timeLocal areaRemote workCharlie Health Outreach
United States3 days ago- ...Utilization Review / Utilization Management Coordinator OpportunityTurning Point Care Center provides comprehensive behavioral health care for... .../Therapy RN, LMSW, LAPC, or LAMFT required; BSN, MSN, LCSW, LPC, or LMFT preferredThree years' experience in chart analysis,...LpcWork at officeLocal area
Universal Health Services
Moultrie, GA2 days ago $64k
...each patient's episode of care. Reporting to the Director of Utilization Review with a dotted-line relationship to the Director of Revenue... ...unrestricted clinical license in good standing (RN, LPN, LCSW, LPC, LMFT, LCDC/LADC, or equivalent behavioral health license) OR...LpcFull timeContract workPart timeWork at officeRemote workShift workAlsos Behavioral Health
Aurora, CO1 day ago- ...Description Description: Position Summary The Assessment & Utilization Review (UR) Clinician is responsible for completing comprehensive... ...Qualifications Current Ohio LISW or LPCC license preferred LSW or LPC may be considered based on experience and scope of...LpcImmediate start
$70.95k - $106.42k
...is seeking a health services professional to coordinate care, review utilization, and support members with complex health needs. You will work... ...quality and cost-effective outcomes. Requires an active RN, LPC, LMFT, LCSW, or PMHNP license and 3+ years in nursing or behavioral...LpcPacificSource
Montana15 hours ago- ...seeking a strategic leader to join our team. The Director of Utilization Review manages the day-to-day operations of our Utilization Review (... ...Requirements Active clinical license (RN, LCSW, LMFT, LPC) required. Minimum five (5) years of experience in healthcare...LpcTemporary workLocal area
$90.9k - $129.9k
...patient interactions for this role, rather you will provide utilization review and quality assurance.Your role in our missionReview and evaluate... ...minimum of 5 years clinical work experienceCurrent LPC, LCSW, or LMFT license in the state of WI (or license from another...LpcFull timeRemote workHome officeFlexible hours- ...Job Description Job Description Job Summary Utilization Review Analyst conducts prospective, concurrent, and retrospective reviews... ...Master's Social Worker (LMSW) Licensed Professional Counselor (LPC) Licensed Marriage and Family Therapist (LMFT) Registered...LpcWork at officeRemote work
- Integral Care is seeking a dedicated Utilization Manager to oversee utilization management, conduct reviews, grant authorizations, and monitor contract compliance with... ...and relevant professional licensure (RN/PA/LCSW/LPC/LMFT). Full-time, on-site with a variable work schedule...LpcFull timeContract work
- ...Job Responsibilities: Review clinical information and apply medical necessity criteria... ...Identify opportunities to optimize resource utilization, reduce unnecessary services, and promote... ...for behavioral health clinicians (LCSW, LPC, LMFT). Associate’s degree required...Lpc
SGS Consulting
Remotemore than 2 months ago - ...Description Job Description Job Summary The Supervisor of Utilization Review (UR) oversees the development, implementation, and... ...Master's Social Worker (LMSW) Licensed Professional Counselor (LPC) Licensed Marriage and Family Therapist (LMFT) Registered...LpcWork at officeRemote work
- ...Utilization SpecialistOn-site Madison, WIFull timeWhy JoinCompetitive compensation with industry... ...professional clinical staff.Conduct reviews in accordance with certification requirements... ...Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility...LpcWork at office
Acadia Healthcare
Madison, WI1 day ago - ...Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Utilization Review Specialist in Omaha to join its Medical Management team. The individual ensures that medical treatment requests from providers are medically appropriate and...Work at office
Berkshire Hathaway Homestate Companies
Omaha, NE3 days ago - ...Utilization Manager Position at Clarvida - Georgia LCSW, LPC, LMSW, L APC As our Utilization Manager, you will coordinate Utilization Management functions... ...changes needed to meet service guidelines, fidelity review, and licensure requirements Training staff on...LpcFull timeWork at officeFlexible hoursWeekday work
Clarvida Maine
Savannah, GA4 days ago $55k - $70k
...Billing Solutions delivers hands-on, process-driven operational support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $55,000 - $70,000 a year - (Based on experience) Full-time Why Join...Full timeWork at officeLocal areaRemote workQuadrant Health Group
Greenacres, FL3 days ago$78.01k - $99.46k
...Summary: The primary functions of this position are utilization management, conducting utilization reviews, granting authorizations, and monitoring compliance... ...license and a clean driving record. RN, RN-APN, PA, LCSW, LPC, or LMFT licensed in the state of Texas. Hours: Full...LpcFull timeContract workTemporary workWork at officeFlexible hoursintegratedliving Australia Ltd
Austin, TX3 days ago$70.95k - $106.42k
...responded to in ways that fully develop and utilize each person's talents and strengths.... ...of legal records. Perform concurrent review of members admitted to inpatient facilities... ...license, Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist...LpcFull timeContract workWork experience placementWork at officePacificSource
Bend, OR5 days ago- ...Utilization Manager Under the general supervision of the Director of Utilization Management... ...responsibility will be to provide clinical review and case record evaluations of all... ...clinical licensure: RN, LMSW, LMHC, LMFT, LPC, LLP or PhD. A valid State of Michigan...LpcWork at officeRemote work
Community Mental Health Partnership of Southeast Michigan
United States3 days ago - ...based in Alabama. The Supervisor, Clinical Review plays a critical role in providing... ...supervision of clinical staff who conduct utilization review and/or specialty reviews. The Clinical... .... Preferred Qualifications: LCSW, LPC licensure or equivalent clinical certification...LpcContract workRemote work
