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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
Phoenix, AZ4 days ago - ...Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical... ...required. • Current unrestricted State of Michigan clinical license (RN, LMSW, LP, LPC, or LLP) required....LpcFull timeRemote workWork from homeShift workWeekend workAfternoon shift
MRINetwork
United States23 hours ago - ...About the job Utilization Review Specialist Join Our Team: As a Utilization Review Specialist, you will play a pivotal role in managing and... ...work culture Opportunities for career advancement LMSW, LMHC, LPC, or other healthcare-related credentials or experience preferred...Lpc
Staffosaurus
Boynton Beach, FL1 day ago $27.02 - $48.55 per hour
...appropriate Performs prior authorization reviews related to mental health and substance abuse... ...data to improve quality and appropriate utilization of services Provides education to... ...Licensed Mental Health Counselor required or LPC-Licensed Professional Counselor required...LpcHourly payFull timePart timeWork at officeRemote workFlexible hoursCentene Corporation
Wausau, WI3 days ago- ...meaningful, engaged lives in their communities. Job Summary The Utilization Review (UR) Specialist is responsible for ensuring that clients... .../Abilities Master’s degree or clinical licensure (e.g., LSW, LPC, LCSW, RN) preferred. 3 years in a supervisory or management...LpcLocal area
Lighthouse Behavioral Health Solutions
Columbus, OH3 days ago - ...Healthcare Utilization Management Specialist Proactively monitor utilization of services 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 officeLocal area
- ...seeking recovery. The Role Itself Position Summary: The Utilization Review Specialist is responsible for the authorizations and... ...behavioral healthcare facility preferred. License : LPN, RN, LSW, LPC, LCDC or applicable license preferred Skills Ability to...LpcWork at officeFlexible hoursShift work
- ...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...LpcWork at officeLocal area
- ...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
- Overview The Vice President of Utilization Review (VP of UR) provides strategic and operational leadership for the enterprise-wide Utilization... ...field preferred. Clinical licensure preferred (RN, LCSW, LPC, LMFT, or comparable behavioral health licensure). Requires a...LpcContract workWork at officeLocal area
- ...Health Services team. The position involves performing clinical reviews and evaluations related to mental health and substance abuse, ensuring... ...will have relevant experience and licensing, including LCSW, LPC, or RN certifications. This role offers competitive pay,...LpcRemote jobFlexible hours
$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;...LpcHourly payFull timeWork at officeHarbor Oaks
Sacramento, CA1 day ago- ...guidelines Required Previous experience in Utilization Management and/or Appeals Required... ...authorization process Required Utilization Review or Care Management experience Preferred Licenses... ..., in the state of Georgia. Required or LPC/LMFT also acceptable Required Additional...LpcWork experience placementRelief
Piedmont
Macon, GA1 day ago $63k - $85k
...Job Description Job Description Description: Utilization Review Coordinator Reports to: Utilization Review Manager Job Category... ...Professional clinical or nursing license strongly preferred (LPC, LCSW, LMFT, LPN, RN). Experience in utilization review, care...LpcHourly payFull timeRemote workWeekend work- ...appropriateness. The ideal candidate will have a background in nursing or behavioral health, along with necessary licensures like LCSW, LMHC, or LPC. Centene offers competitive pay, comprehensive benefits, and flexible work schedules including remote and hybrid options. #J-18808-...LpcRemote jobFlexible hours
- ...Utilization Manager LCSW, LPC, LMSW, LAPC As our Utilization Manager, you will coordinate Utilization Management functions for the agency. Key Responsibilities... ...changes needed to meet service guidelines, fidelity review, and licensure requirements Trains staff on proper...LpcFull timeWork at officeFlexible hoursWeekday work
EMA
Savannah, GA2 days ago - ...disorders PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize... ...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 officeLocal area
Acadia Healthcare
Fort Myers, FL1 day ago - ...adolescent populations. LCSW or LMFT LPC-MHSP About LifeStance Health... ...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,...LpcFull timeRelocation packageFlexible hours
LifeStance Health
Arrington, TN1 day 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,...LpcFull timeWork experience placementLocal areaShift workDay shift
Arkansas Children's Hospital
Little Rock, AR4 days ago $58.47k
...and clinically skilled Behavioral Health Utilization Management (UM) Specialist to join our team. This role is responsible for reviewing behavioral health services to ensure medical... ...the State of Michigan (e.g., LMSW/LLMSW, LPC/LLPC, LLP/TLLP) Prior experience in utilization...LpcFull timeRemote workFlexible hours- ...Utilization Review Specialist - PRN San Jose Behavioral Health is currently seeking a Utilization Review Specialist - PRN to assist the Utilization... ...Licenses/Designations/Certifications: LMFT, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services...LpcReliefWork at office
$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,...LpcFull timeWork at officeRelocation packageFlexible hoursLifeStance Health
Morrison, CO3 days ago- ...Behavioral Health Services Reviewer Are you passionate about improving access to behavioral... ...; apply evidence-based criteria to utilization management reviews; document clinical determinations... ...health licensure such as LCSW, LPC, LCPC, LPA, PsyD, PhD) ~ Master's in...LpcFull timeContract workRemote workWork from home
Comagine
United States2 days ago $27 - $34 per hour
...Utilization Management Coordinator Kids Thrive is currently recruiting a Utilization Management... ...recertification process, peer to peer reviews, and appeal. The UM Coordinator will... ...comparable entities. License: LPN, RN, LMSW, LPC or applicable license preferred....LpcWork at officeLocal areaFlexible hoursAfternoon shift$75.04k - $95.63k
...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, TX1 day ago- ...nurturing, family-friendly environment. We utilize a multidisciplinary team approach to... ...Admissions, Medical Records, third party reviewers and hospital administration to help patients... ...utilization review and case management. RN, LCSW, LPC, LMFT, or LCP in Virginia required....LpcWork at officeLocal areaWork from home
Universal Health Services
Danville, VA4 days ago - ...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...LpcWork at officeShift workWeekend work
- ...adolescent populations. LCSW or LMFT LPC-MHSP About LifeStance Health... ...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,...LpcFull timeRelocation packageFlexible hours
LifeStance Health
Rutledge, TN1 day ago $123k - $141k
...licensed and credentialed in Oregon (LCSW/LPC/LMFT). May consider unlicensed associates... ...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,...LpcFull timeLocal areaFlexible hoursLifeStance Health
Sandy, OR2 days ago$29.1 - $62.32 per hour
...Clinician position is designed to clinically review behavioral health prior authorized... ...limited to the following: Responsibilities Utilizes clinical skills to coordinate, document and... ...Health license in OHIO (e.g., LISW, LPC, or comparable) OR Registered Nurse licensure...LpcHourly payFull timeTemporary workLocal area
