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  • AllHealth Network seeks a Utilization Review Manager (RN or Social Worker) to advocate for clients and secure timely care authorizations in behavioral...  .... The role requires an RN with BSN or MSW, licensure (LCSW/LPC preferred), at least 2 years in utilization management or... 
    Lpc

    AllHealth Network

    Littleton, CO
    4 days ago
  •  ...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
    Work at office
    Local area

    Acadia Healthcare

    Burns, TN
    4 days 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... 
    Lpc
    Full time
    Part time
    Weekend work

    Bradford Health Services

    Dallas, TX
    2 days ago
  •  ...seeking qualified applicants for a Manager of Utilization Reviewposition. Learn more about Cedar...  ...Description The Manager of Utilization Review is responsible for managing and overseeing...  .... Qualifications Requirements LMSW, LPC, RN or LVN licensure in the state of Michigan... 
    Lpc
    Local area

    Cedar Creek Hospital

    Brooklyn, NY
    1 day 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... 
    Lpc
    Monday to Friday

    Signet Health Corporation

    Midland, TX
    6 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,... 
    Lpc
    Work at office
    Local area

    Universal Health Services

    Moultrie, GA
    2 days ago
  • $27.02 - $48.55 per hour

     ...Position Purpose: Performs a clinical review and assesses care related to mental health...  ...LMHC (Licensed Mental Health Counselor), LPC (Licensed Professional Counselor), LMFT (...  ...behavioral health and/or substance abuse, utilization management, and clinical review. Candidates... 
    Lpc
    Hourly pay
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours

    Centene Corporation

    Tallahassee, FL
    5 days ago
  •  ...nurturing, family-friendly environment. We utilize a multidisciplinary team approach to...  ...the residents' stay. * Develop systems to review and respond to concerns expressed by customers...  ...or comparable entities. Licensure: LMHC, LPC, LMSW, LCSW, or RN preferred. Physical... 
    Lpc
    Local area
    Work from home
    Flexible hours

    Universal Health Services

    Danville, VA
    4 days ago
  •  ...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... 
    Lpc
    Local area

    Universal Hospital Services Inc.

    Eastmont, WA
    2 days ago
  •  ...Utilization Review Analyst Utilization Review Analyst conducts prospective, concurrent, and retrospective reviews of service authorizations...  ...'s Social Worker (LMSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Registered Nurse... 
    Lpc
    Work at office
    Remote work

    Oakland Community Health Network

    Troy, MI
    5 days ago
  •  ...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... 
    Lpc
    Full time
    Contract work
    Part time
    Work at office
    Remote work
    Shift work

    Alsos Behavioral Health

    Aurora, CO
    1 day ago
  • 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... 
    Lpc
    Contract work
    Work at office
    Local area

    Odyssey Behavioral Healthcare

    Franklin, TN
    5 days ago
  • $80.47k - $94.55k

     ...UTILIZATION REVIEW CLINICIAN  REMOTE  Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations...  ...Social Worker (LCSW)  Licensed Professional Counselor (LPC)  Licensed Marriage and Family Therapist (LMFT)  Registered... 
    Lpc
    Full time
    Work at office
    Local area
    Immediate start
    Remote work
    Monday to Friday
    Flexible hours

    Umpqua Health

    Roseburg, OR
    27 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... 
    Lpc
    Full time
    Contract work
    Work experience placement
    Work at office

    PacificSource Health Plans

    Bend, OR
    8 days ago
  •  ...Description Job Description What you will be doing?   The Utilization Review (UR) Specialist is a critical member of the administrative...  ...field required; advanced degree or licensure (e.g., RN, LCSW, LPC, LMHC, or CADC) preferred. Excellent organizational,... 
    Lpc
    Work at office
    Local area

    BriteLife Recovery

    Englewood Cliffs, NJ
    1 day 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

    Remote
    more than 2 months ago
  • $102.9k - $149.22k

     ...12 Hour Day Shift Description: Reporting to the Manager Social Services, Social Services, this position coordinates utilization review service for defined patient populations across the acute care continuum. This includes discharge planning, utilization management... 
    Part time
    Local area
    Shift work
    Day shift

    Trinity Health

    Fresno, CA
    4 days ago
  •  ...Behavioral Health Utilization Management Specialist We are seeking a detail-oriented and...  ...our team. This role is responsible for reviewing behavioral health services to ensure medical...  ...State of Michigan (e.g., LMSW/LLMSW, LPC/LLPC, LLP/TLLP) Prior experience in utilization... 
    Lpc
    Remote work
    Flexible hours

    Barry County Community Mental Health Authority

    Hastings, MI
    2 days ago
  •  ...services throughout the US. 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... 
    Lpc
    Work at office
    Local area

    Harbor Oaks

    Henderson, NV
    4 days ago
  •  ...Utilization Specialist Geisinger Behavioral Health Center Danville Join our team as a Utilization...  ...organizations to manage authorizations, reviews, appeals, and reimbursement processes,...  ...Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility... 
    Lpc
    Work at office
    Relocation package

    Acadia Healthcare

    Danville, PA
    2 days ago
  •  ...Description Utilization Manager LCSW, LPC, LMSW, LAPC As our Utilization Manager, you will coordinate Utilization Management functions for the agency...  ...needed in order to meet service guidelines, fidelity review, and licensure requirements Trains staff on proper submission... 
    Lpc
    Full time
    Work at office
    Flexible hours
    Weekday work

    Pathways

    Savannah, GA
    5 days ago
  •  ...Utilization Review Specialist - Full Time San Jose Behavioral Health is currently seeking a Utilization Review Specialist - Full Time to...  ...Licenses/Designations/Certifications: LMFT, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services;... 
    Lpc
    Full time
    Work at office

    Acadia Healthcare

    San Jose, CA
    5 days ago
  • $75k - $100k

     ...actively looking to hire a talented therapist LPC to support our growing Austin, TX offices...  ...use or . Additionally, our recruiters utilize email addresses with the @lifestance.com...  ...this email address as they will not be reviewed or responded to. To apply for a position,... 
    Lpc
    Full time
    Relocation package

    LifeStance Health

    Austin, TX
    11 days 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, NE
    3 days ago
  •  ...Director Of Utilization Management The Hughes Center is a highly-structured psychiatric...  ...Admissions, Medical Records, third party reviewers and hospital administration to help patients...  ...and case management. RN, LCSW, LPC, LMFT, or LCP in Virginia required.... 
    Lpc
    Work at office
    Local area
    Work from home

    Universal Health Services

    King of Prussia, PA
    4 days ago
  • $29.1 - $62.32 per hour

     ...Clinician position is designed to clinically review of behavioral health prior authorized...  ...but are not limited to the following: Utilizes clinical skills to coordinate, document and...  ...in your state of residence, (e.g., LISW, LPC, or comparable) OR Registered Nurse... 
    Lpc
    Full time

    Oak St. Health

    Columbus, OH
    4 days ago
  • Responsibilities Utilization Management Case Manager- Per Diem (Hybrid) Metropolitan Health (...  ...timely admission and continued stay record reviews with external payers, utilizing approved...  ...(LBSW, RN, LLMSW, LMSW, LLP, LP, LPC, LMFT, etc.) Experience: Two (2) years of... 
    Lpc
    Daily paid
    Local area

    Universal Health Services, Inc.

    Dearborn, MI
    2 days ago
  •  ...Job Description Job Description Description: Odyssey House is looking for a Full-Time Utilization Review Specialist. Summary: Odyssey House's Mission is "Empowering people to heal and build better lives. We are dedicated to helping individuals and families... 
    Full time
    Contract work
    Temporary work
    Casual work
    Local area
    Immediate start
    Flexible hours
    Shift work

    Odyssey House Inc.

    Salt Lake City, UT
    3 days ago
  •  ...pm Behavioral health/ inpatient psych/ utilization management experience preferred. Job...  ...hospital and treatment team throughout the review of patients, their placement in various...  ...Worker (LCSW), or Professional Counselor (LPC) license, or Marriage and Family Therapist... 
    Lpc
    Part time
    Work experience placement
    Work at office
    Remote work
    Monday to Friday

    Saint Francis Health System

    Carnegie, OK
    2 days ago
  • $25 - $27 per hour

     ...Utilization Specialist Opportunity We are hiring a compassionate and experienced Utilization...  ...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
    Hourly pay
    Full time
    Work at office
    Local area
    Monday to Friday
    Shift work
    Night shift

    Acadia Healthcare

    Scotts Valley, CA
    15 hours ago