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- ...behavioral health and substance abuse case management through utilization reviews and care coordination. While not a member facing role, you'll... ...field ~ Active independent AZ license (LCSW, LMFT, or LPC) ~2+ years of behavioral health experience ~ AZ residency...LpcRemote workMonday to Friday
Optum
Tucson, AZ23 hours ago - ...Centene Corp. is seeking a Utilization Review Clinician - Behavioral Health for a remote role focused on clinical reviews and prior authorization... ...on BH utilization processes. Requires licensure (LCSW/LMHC/LPC/LMFT/LMHP or RN) and a master’s degree in behavioral health,...LpcRemote work
Centene Corporation
Eastern, KY3 days ago - ...Comagine Health in Oregon seeks a Clinical Reviewer to evaluate medical necessity and... ...review clinical documentation, perform utilization reviews, and document determinations in... ...requires active licensure (e.g., LCSW, LPC, LCPC), 3 years of direct clinical experience...LpcRemote work
Comagine Health
United States2 days ago - Centene is hiring a Utilization Review Clinician - Behavioral Health for a fully remote position, serving members nationwide with a focus on... ...health, and 2-4 years of relevant experience with licensure options such as LCSW/LMHC/LPC/LMFT/LMHP or RN. #J-18808-Ljbffr CenteneLpcRemote job
$27.02 - $48.55 per hour
## Utilization Review Clinician - Behavioral HealthApply: Remote-OR: Full time: Posted Today: 1666128**Position Purpose:** Performs a clinical... ...or* LMHC-Licensed Mental Health Counselor required or* LPC-Licensed Professional Counselor required or* Licensed Marital...LpcHourly payFull timeRemote workMonday to FridayCentene Corporation
Eastern, KY3 days ago- ...LLC is seeking a qualified professional to review member care and health status related to... ...for BH, analysis of data to improve utilization, and coordination with providers to ensure... ...requires licensure variation (LCSW/LMHC/LPC/LMFT/LMHP/BCBA or RN) depending on state,...LpcRemote job
- Optum is seeking a Behavioral Health Utilization Review Specialist to support case management and care coordination remotely. You will review... ...holiday on-call. AZ residency with an active independent license (LCSW/LMFT/LPC), a master's in behavioral #J-18808-Ljbffr OptumLpcRemote jobMonday to Friday
- ...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, GA3 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
- ...Behavioral Health Utilization Reviewer The Behavioral Health Utilization Reviewer is responsible for conducting clinical reviews of behavioral... ...health Must have one of the following licenses: LPC, PLPC, LCSW, LMFT, LMSW, LPN, or RN Strong clinical assessment...LpcWork at officeRemote work
Louisiana Blue
United States3 days ago - ...Responsibilities The Hughes Center is seeking a talented and dynamic Utilization Review (UR) Coordinator to join our team of dedicated healthcare... ...resources. Must have basic computer skills. Licensure LMHC, LPC, LMSW, LCSW, or RN preferred. About Universal Health Services...LpcLocal areaWork from homeMonday to FridayFlexible hoursDay shift
Talentify.io
Danville, VA3 days ago - ...What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions... ...field required; advanced degree or licensure (e.g., RN, LCSW, LPC, LMHC, or CADC) preferred. Excellent organizational, communication...LpcWork at officeLocal area
BriteLife Recovery
Englewood, NJ23 hours ago - ...Vacation Employee Wellness Program and Counseling Services The Utilization Review Coordinator acts as a liaison between the organization and... ...mental health Certification (PCMHT or CMHT) and/or license (LPC, LCSW, LMSW, LMFT, LMFTA) within 30 days of employment. Minimum...LpcFull time
Canopy
Jackson, MS2 days ago $60k - $75k
...communities for every stage of the journey. We are seeking a Utilization Review Specialist to add to our dynamic team! The Utilization... ...license or relevant certification, such as RN, LPN/LVN, LMSW, LPC, CADC, LADAC, CCM, or an equivalent credential, preferred but...LpcFull timePart timeWork at officeRemote workBradford Health Services
Birmingham, AL2 days 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, GA23 hours 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
Racing For Recovery
Holland, OH21 days ago - ...pursue this opportunity. Position Purpose The Behavioral Health Utilization Reviewer is responsible for conducting clinical reviews of behavioral... ...behavioral healing Must have one of the following licenses: LPC, PLPC, LCSW, LMFT, LMSW, LPN, or RN Strong clinical...LpcH1bWork at officeLocal areaRelocationVisa sponsorship
Bcbsla
Louisiana, MO23 hours ago - ...Job Description Job Description The Director of Utilization Review manages the day-to-day operations of our Utilization Review (UR) department... ...Requirements Active clinical license (RN, LCSW, LMFT, LPC) required. Minimum five (5) years of experience in...LpcTemporary workLocal area
Desert Parkway Behavioral Healthcare Hospital
Las Vegas, NV12 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, TXa month ago $27.02 - $48.55 per hour
About This Role The Utilization Review Clinician - Behavioral Health performs clinical reviews and assessments related to mental health and substance... ...required LMHC (Licensed Mental Health Counselor) - required LPC (Licensed Professional Counselor) - required LMFT (Licensed...LpcFull timeWork at officeRemote workFlexible hoursDay shift- ...success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description The Utilization Manager is... ...Management Required. License: State of Michigan licensure as LLP, LPC, LLPC LMSW, LLMSW, or Registered Nurse RN. About Universal...LpcLocal area
- ...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
Oakland Community Health Network
Troy, MI17 days ago - ...Job TitleProactively monitor utilization of services for patients to optimize reimbursement for... ...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
Acadiana Treatment Center
Wesley Chapel, FL3 days ago - 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
$28 - $30 per hour
...Fairfax, is currently seeking an experienced Utilization Specialist. Our facility has a... ...professional clinical staff. ~ Conduct reviews, in accordance with certification... ...Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility...LpcHourly payWork at officeLocal areaRemote workAcadia Healthcare- Lakeland Behavioral
Forest Knolls, CA3 days ago- ...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, WI2 days ago - ...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 $31.73 per hour
...Clinician III-Clinical Records Reviewer - 43426 Pay rate: $31.73 Hours/Shift: Monday through... ..., social work) and five (5) years utilizing the required knowledge, skills, and abilities... ...(LCSW), Licensed Professional Counselor (LPC), Licensed Clinical Psychologist (LCP),...LpcMonday to FridayShift work- Comagine Health is seeking a Clinical Reviewer for a remote-based role in Salem, Oregon. The... ...requires clinical licensure (LCSW/LPC/LCPC) and at least 3 years of direct patient... ...adults, while working within an EMR and utilizing standardized criteria. #J-18808-Ljbffr Comagine...LpcRemote job
- ...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
