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  •  .... This role involves conducting clinical reviews and assessments for mental health and substance...  .... Candidates must hold licenses such as LPC, LCSW, LMFT, or RN and possess relevant...  ...healthcare providers, and performing utilization reviews. Competitive compensation and comprehensive... 
    Lpc
    Remote job
    Flexible hours

    Centene Corporation

    Phoenix, AZ
    4 days ago
  • $25 - $28 per hour

    Burkwood Treatment Center is seeking a Full Time Utilization Review Specialist and Aftercare Coordinator. Hourly Rate: $25.00 - $28.00 Purpose...  .../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
    Local area

    Acadia Healthcare

    Hudson, WI
    3 days ago
  •  ...tenured team includes seasoned medical staff. Website: The Utilization Review Coordinator opportunity is a key member of the Lighthouse...  ...review. Certifications, Licenses, Registration LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN preferred. #J-18808-Ljbffr Universal... 
    Lpc

    Universal Hospital Services Inc.

    New York, NY
    3 days ago
  • Utilization Review Coordinator Weekend Shifts Via Linda Behavioral Hospital is a behavioral health provider serving Scottsdale and the greater...  .... Must be a Registered Nurse or licensed as an LMSW, LCSW, LPC, MFT or similar AZ Board of Behavioral Health licensure required... 
    Lpc
    Work at office
    Local area
    Shift work
    Weekend work

    Via Linda Behavioral Hospital

    Scottsdale, AZ
    5 hours agonew
  • 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... 
    Lpc
    Work at office
    Local area

    Briteliferecovery

    Englewood Cliffs, NJ
    3 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
    14 hours ago
  •  ...Behavioral Health UR Clinical Team. This role involves conducting clinical reviews for mental health and substance abuse, ensuring care is appropriate. Candidates must hold a valid license (LCSW, LPC, LMFT, or RN) and have 2-4 years of relevant experience. The position... 
    Lpc
    Remote job
    Flexible hours

    Centene Corporation

    Albuquerque, NM
    1 day ago
  • $50.84k

     ...Work hours prescribed and any additional hours deemed necessary for the responsibilities assigned. # Provide managed care and utilization review support for inpatient and outpatient adolescent or adult services. # Provide financial case management support in... 
    Suggested
    Daily paid
    Shift work
    Day shift

    Rosecrance Inc.

    Rockford, IL
    4 days ago
  • $27.02 - $48.55 per hour

     ...treatment plans related to mental health and substance abuse. The ideal candidate should possess a master's degree and licensure as a LPC, LCSW, LMFT, or RN, along with relevant experience. This position offers flexible work schedules and competitive pay within a range... 
    Lpc
    Remote job
    Hourly pay
    Flexible hours

    Centene Corporation

    Chicago, IL
    14 hours ago
  •  ...patients—we invest in our people. About the Role: The Utilization Review Coordinator plays a critical role in ensuring that patients...  ...dependency setting. Licensure: Current RN, LCSW, or LPC license preferred. Skills and Competencies: In-depth understanding... 
    Lpc
    Full time
    Part time
    Weekend work

    ADDICTION AND MENTAL HEALTH SERVICES, LLC

    Dallas, TX
    20 days ago
  •  ...Job Description POSITION SUMMARY: Oversee utilization management including, but not limited to: utilization review, case documentation, payer relationships,...  ...Therapist, Professional Counselor (i.e. LMSW, LMFT, LPC, LP), or Registered Nurse ~8-10 years of experience... 
    Lpc

    Havenwyck Hospital

    Auburn Hills, MI
    9 days ago
  •  ...Job Description Job Description Description: The Assistant Director, Utilization Review is responsible for assisting the Director, Utilization Review with the leadership, supervision and training of the Utilization Review and Quality Departments, as well as for... 
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    Nexus

    Schertz, TX
    11 days 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
    2 days ago
  • $75k - $95k

     ...Utilization Review Manager Reports to: CEO Job Category: Salaried Exempt Full-Time Starting Salary: $75000-$95000/year (DOE)...  ...required. Active clinical license required (RN LCSW LMFT LPC or equivalent); DORA registered. Minimum of 3 years of utilization... 
    Lpc
    Hourly pay
    Full time
    Remote work

    NRT |Foundry Treatment Center

    Broomfield, CO
    10 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
    Work experience placement
    Work at office
    Remote work

    Molina Healthcare

    United States
    21 hours ago
  •  ...Medical Claims Review Supervisor Oversees the accurate processing of claims that have been deferred for medical necessity review...  ...Bachelor's degree in a job-related field. ~5 years clinical and utilization review to include 2 years supervisory or team lead experience... 
    Full time
    For contractors
    Work at office
    Local area
    Remote work
    Monday to Friday

    CGS Administrators, LLC

    Nashville, TN
    4 days ago
  • $63.1k - $83.65k

     ...Position : Utilization Review Specialist Req.# : 26-61 FTE : Full-time, Exempt Unit : UAW Department/Location : Utilization...  ...Family Therapist (LMFT), fully licensed Professional Counselor (LPC); or limited licensed Psychologist (LLP), with at least five... 
    Lpc
    Full time
    Temporary work
    Remote work
    Monday to Friday

    Network 180

    Grand Rapids, MI
    9 days ago
  • $39.28 per hour

    Remote Behavioral Health Utilization Management RN Location: Remote (Must reside in Arizona)...  ...quality outcomes, conducting high-level reviews within a supportive, sedentary desk-based...  ...consider candidates with active AZ LCSW, LPC, or LMFT licenses. Residency: Must currently... 
    Lpc
    Remote job
    Hourly pay
    Temporary work
    Local area
    Home office
    Monday to Friday

    Adecco US, Inc.

    Phoenix, AZ
    1 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,... 
    Lpc
    Full time
    Work experience placement
    Local area
    Shift work
    Day shift

    Arkansas Children's Hospital

    Little Rock, AR
    2 days ago
  • $80k - $101k

     ...Therapists that are: Fully licensed as an LPC in the State of Missouri. We are not...  ...only 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
    Flexible hours
    Weekend work

    LifeStance Health

    Auxvasse, MO
    3 days ago
  •  .../or child and adolescent populations. LPC-MHSP, LCSW or LMFT About LifeStance Health...  ...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
    Flexible hours

    LifeStance Health

    Flag Pond, TN
    3 days ago
  • $75k - $100k

     ...talented Licensed Professional Counselors (LPC) in our Kingwood office, who are...  ...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

    LifeStance Health

    Kingwood, TX
    2 days ago
  • $75k - $100k

     ...clinicians that are: Fully licensed as an LPC in the State of Texas. We are unable to...  ...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

    LifeStance Health

    Round Rock, TX
    2 days ago
  •  ...taxpayers. Job Summary Bureau Behavioral Health Utilization Manager will assist the overall...  ...Program for Community Health Choice by reviewing telephonic and faxed clinical information...  ...Unrestricted Texas license: LCSW, LMFT, LPC or RN Two (2) years of clinical practice... 
    Lpc
    Contract work
    Work at office
    Remote work

    Harris Health

    Houston, TX
    3 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

    Boulder, CO
    1 day 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
    1 day ago
  • $90k - $100k

     ...Picture Yourself at Gaudenzia as a Clinical Review Clinician at our R.A.P. Program located...  ...clinician, with documented experience in utilization review, management, and quality assurance...  ...clinical licensure (e.g. LICSW, LPC, LMFT, or licensed psychologist). Scheduling... 
    Lpc
    Full time
    Flexible hours
    Weekend work

    Gaudenzia, Inc.

    Washington DC
    4 days ago
  • A health services provider is seeking a Utilization Review Specialist in Malibu, CA. This part-time remote role requires effective communication skills and knowledge of medical terminology. Responsibilities include managing cases for clients in treatment and ensuring compliance... 
    Remote job
    Part time

    MALIBU GROUP LLC

    Malibu, CA
    14 hours ago
  • $75k - $87k

     ...LISW-CP), Licensed Professional Counselor (LPC), or Licensed Marriage and Family...  ...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
    Local area
    Work from home
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work
    Afternoon shift

    LifeStance Health

    Huntersville, NC
    3 days ago
  •  ...at (***) ***-****. POSITION SUMMARY: The Utilization Management Case Manager has a responsibility...  ...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

    Universal Hospital Services Inc.

    Auburn Hills, MI
    3 days ago