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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... 
    Lpc
    Remote work
    Monday to Friday

    Optum

    Tucson, AZ
    4 days ago
  •  ...Utilization Management Specialist Proactively monitor utilization of services for patients...  ...professional clinical staff. Conduct reviews in accordance with certification requirements...  ...Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility... 
    Lpc
    Work at office

    Acadia Healthcare

    Chandler, AZ
    2 days ago
  • $27.02 - $48.55 per hour

     ...flexibility. Position Purpose Performs a clinical review and assesses care related to mental...  ...data to improve quality and appropriate utilization of services Provides education to...  ...contract requirements e.g., LCSW, LMHC, LPC, LMFT, LMHP and RN with BH experience Strong... 
    Lpc
    Hourly pay
    Full time
    Contract work
    Part time
    Work at office
    Remote work
    Flexible hours

    Centene Corporation

    California, MO
    1 day ago
  • About the job Utilization Review Specialist Join Our Team: As a Utilization Review Specialist, you will play a pivotal role in managing and performing...  ...culture Opportunities for career advancement LMSW, LMHC, LPC, or other healthcare-related credentials or experience... 
    Lpc

    Staffosaurus

    Boynton Beach, FL
    4 days ago
  •  ...the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews....  ...unencumbered professional licensure/independent licensure in Ohio: LPC, LCSW, LICSW, LISW, LCMHC, LMFT Must have ability to... 
    Lpc
    Work at office
    Remote work
    Monday to Friday
    Flexible hours
    Weekend work

    AmeriHealth Caritas

    Newtown Square, PA
    3 days ago
  •  ...Utilization Management Coordinator Via Linda Behavioral Hospital is a behavioral health...  ...with managed care organizations, external reviewers, and other payors for initial reviews, continued...  ...Nurse or licensed as an LMSW, LCSW, LPC, MFT or similar AZ Board of Behavioral... 
    Lpc
    Work at office
    Local area

    Alan B. Miller Medical Center

    Scottsdale, AZ
    4 days ago
  • Overview The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible...  ...required; advanced degree or licensure (e.g., RN, LCSW, LPC, LMHC, or CADC) preferred. Excellent organizational, communication... 
    Lpc
    Work at office
    Local area

    BriteLife Recovery

    Englewood, NJ
    1 day ago
  •  ...Utilization Review Coordinator This is a PRN position About Company: We're officially a Great Place To Work! We've always believed that...  ...chemical dependency setting. Licensure: Current RN, LCSW, or LPC license preferred. Skills and Competencies: In-depth... 
    Lpc
    Full time
    Part time
    Relief
    Weekend work

    Bradford at Warrior

    Dallas, TX
    4 days ago
  •  ...Utilization Management Specialist Must be licensed RN or Social Worker in CT Position Purpose...  ...is responsible for acute care concurrent review authorizations, denials tracking &...  ...level Licensed professional (LCSW, LMFT, LPC) or RN (Masters not required) State of... 
    Lpc
    Daily paid
    Local area
    Work from home

    Trinity Health

    Waterbury, CT
    9 days ago
  • $40 per hour

     ...Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone...  ...seeking a Utilization Management Nurse to review provider-submitted service authorization...  ...~ Active, unrestricted RN, LPN, LCSW, or LPC license Required Education and Experience... 
    Lpc
    Hourly pay
    Permanent employment
    Temporary work
    Work at office
    Remote work

    Morgan Stephens

    United States
    3 days ago
  • $33 - $38 per hour

    Overview Serenity Knolls is seeking a Full Time On‑Site Utilization Review Specialist at our substance use facility. Proactively monitor utilization...  .../CERTIFICATIONS: Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC‑I within the state where the facility provides services;... 
    Lpc
    Hourly pay
    Full time
    Work at office

    Harboroaks

    Sacramento, CA
    13 hours ago
  •  ...Job Title Reviews planned, in process, or completed health care services to ensure medical...  ...in Care Coordination team and utilization management activities, including collaboration...  ...LMHP - Licensed Mental Health Professional LPC - Licensed Professional Counselor LMFT -... 
    Lpc

    Saviance

    Saint Louis, MO
    3 days ago
  • Harboroaks in Riverside, CA, seeks a Utilization Review (UR) Specialist for their inpatient psychiatric facility. You will monitor service utilization...  ...experience and preferred licenses (LPN, RN, LMSW, LCSW, LPC). Benefits include flexible scheduling, competitive pay, and... 
    Lpc
    Flexible hours

    Harboroaks

    Riverside, CA
    13 hours ago
  •  ...guidelines Required Previous experience in Utilization Management and/or Appeals Required...  ...authorization process Required Utilization Review or Care Management experience Preferred...  ...LCSW, in the state of Georgia. Required or LPC/LMFT also acceptable Required Additional... 
    Lpc
    Work experience placement
    Relief

    Piedmont Healthcare

    New York, NY
    3 days ago
  •  ...Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN for Substance Abuse Sentara Health Plans is hiring a Behavioral Health Utilization...  ...Utilization Management clinician is responsible for review of clinical information received from providers ensuring... 
    Lpc
    Remote job
    Permanent employment
    Full time
    Flexible hours
    Shift work
    Weekend work
    Day shift

    Sentara Healthcare

    Norfolk, VA
    2 days ago
  •  ...Utilization Management Professional Client: Magellan Health Job Location: FL Job Duration...  ...to the company P&P's procedures. Reviews planned, in process, or completed health...  ...LMHP - Licensed Mental Health Professional, LPC - Licensed Professional Counselor, LMFT -... 
    Lpc

    Saviance

    Pensacola, FL
    2 days ago
  • $26.41 - $51.49 per hour

     ...Provides support for member clinical service review processes specific to behavioral health....  ...Molina care model. • Adheres to utilization management (UM) policies and procedures....  ...(LMSW), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor... 
    Lpc
    Hourly pay
    Full time
    Work experience placement
    Work at office

    Molina Healthcare

    Saint Petersburg, FL
    13 hours ago
  •  ...Utilization Management Case Manager Havenwyck Hospital (a UHS facility) is a Joint Commission...  ...admission and continues stay record reviews with external payers, utilizing approved...  ...fully licensed (LBSW, RN, LLMSW, LLP, TLLP, LPC, LMFT, etc.). A minimum of 2 years of post... 
    Lpc
    Local area

    Alan B. Miller Medical Center

    Auburn Hills, MI
    3 days ago
  •  ...8a-5p Additional Information: The Utilization Manager improves overall quality of clinical...  ...medically necessary and timely. RN or LPC Required Masters Degree Required 3...  ...concurrent and retrospective medical record reviews to ensure services are appropriate,... 
    Lpc
    Full time
    Work experience placement
    Local area
    Shift work
    Day shift

    Arkansas Children's Hospital

    Little Rock, AR
    3 days ago
  • $26.41 - $51.49 per hour

     ...Provides support for member clinical service review processes specific to behavioral health....  ...to promote Molina care model. Adheres to utilization management (UM) policies and procedures....  ...(LMSW), Licensed Professional Counselor (LPC), Licensed Professional Clinical... 
    Lpc
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    Florida, NY
    4 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... 
    Lpc
    Contract work

    Comagine Health

    Albuquerque, NM
    7 days ago
  • $54.1k - $116.76k

     ...This is an authorization/precertification (utilization management) role focused on behavioral...  ...The Behavioral Health Precert/UM clinician reviews incoming authorization/Precert requests...  ...state of residence (e.g., LMSW, LCSW, LISW, LPC, or comparable), or Registered Nurse... 
    Lpc
    Hourly pay
    Full time
    Temporary work
    Local area

    CVS Health

    Salt Lake City, UT
    1 day ago
  • $26.41 - $51.49 per hour

    Molina Healthcare is seeking a professional in Jacksonville, Florida, to provide support for member clinical service review processes specifically in behavioral health. This role ensures that services are medically necessary while adhering to established guidelines and... 
    Lpc
    Hourly pay

    Molina Healthcare

    Jacksonville, FL
    4 days ago
  •  ...Employment Type: Full time Shift: Day Shift Description: Full Time Day Shift 40 hours weekly Position Purpose: The Utilization Review (UR) Assistant supports utilization management activities and serves as the central coordinator for postacute prior... 
    16 hours
    Full time
    Contract work
    Work at office
    Local area
    Shift work
    Night shift
    Day shift

    Trinity Health

    Mason City, IA
    3 days ago
  •  ...Join Our Team as an RN - Case Manager/Utilization Review/Clinical Documentation Specialist Are you a dedicated registered nurse passionate about optimizing patient care and healthcare delivery? We are seeking a motivated and skilled RN-Case Manager/Utilization Review... 
    Day shift

    VieMed

    Syracuse, NY
    2 days ago
  • $31 - $50 per hour

     ...PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement...  ...professional clinical staff. Conduct reviews, in accordance with certification...  ...Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility... 
    Lpc
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area

    Harboroaks

    Riverside, CA
    13 hours ago
  •  ...Utilization Review Nurse (RN) A Few Words About Us - Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its... 
    Work experience placement

    Careers Integrated Resources Inc

    Raleigh, NC
    3 days ago
  • Community Health Network is seeking a Supervisor Utilization Review in Indianapolis, Indiana. This role is responsible for managing daily operations, overseeing workflows, and leading a high-performing team. Candidates should have at least 3 years of experience in Utilization... 

    Community Health Network

    Indianapolis, IN
    1 day ago
  •  ...the right time? In this role, you will review clinical documentation to determine medical...  ...system; apply evidence‑based criteria to utilization management reviews; document clinical...  ...behavioral health licensure such as LCSW, LPC, LCPC, LPA, PsyD, PhD) Master’s in physical... 
    Lpc
    Full time
    Contract work
    Remote work
    Work from home

    COMAGINE HEALTH

    Portland, OR
    2 days ago
  • $72k - $115k

     ...ramp up What we offer Therapists (LCSW, LPC, LMFT) ~ Flexible work schedules ~...  ...only use or  . Additionally, our recruiters utilize email addresses with the @lifestance.com...  ...to this email address as they will not be reviewed or responded to. To apply for a position,... 
    Lpc
    Full time
    Work at office
    Relocation package
    Flexible hours

    LifeStance Health

    Broomfield, CO
    13 hours ago