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Utilization Review Lpc Jobs (NOW HIRING)

UHS

Director of Utilization Review

Gulfport, MS · On-site

Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ... and the utilization review process including concurrent reviews. Previous continuum of care ...

UHS

Director of Utilization Review

Gulfport, MS · On-site

Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ... and the utilization review process including concurrent reviews. Previous continuum of care ...

UHS

Director of Utilization Review

Gulfport, MS · On-site

Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ... and the utilization review process including concurrent reviews. Previous continuum of care ...

UHS

Utilization Review Coordinator

Scottsdale, AZ · On-site

Responsibilities Utilization Review Coordinator Full Time Via Linda Behavioral Hospital is a ... Must be a Registered Nurse or licensed as an LMSW, LCSW, LPC, MFT or similar AZ Board of Behavioral ...

UHS

Director of Utilization Review

Gulfport, MS · On-site

The Director of Utilization Review : will assume responsibility for the functioning of the ... Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Oakland Park, FL

... LPC) required. Must have 3-5 years of Utilization Management experience in a behavioral health ... Review position, such as: * Challenging and rewarding work environment * Competitive Compensation

UHS

DIR - UTILIZATION REVIEW / MGMT

Oakland Park, FL · On-site

The Director of Utilization Management is also responsible for ensuring that the utilization review ... LPC) required. Must have 3-5 years of Utilization Management experience in a behavioral health ...

UHS

Utilization Review Coordinator

Scottsdale, AZ · On-site

Responsibilities Utilization Review Coordinator Full Time Via Linda Behavioral Hospital is a ... Must be a Registered Nurse or licensed as an LMSW, LCSW, LPC, MFT or similar AZ Board of Behavioral ...

UHS

Director of Utilization Review

Blue Springs, MO · On-site

Oversee precertification, concurrent, and discharge utilization reviews. * Facility regulatory ... A valid clinical license in the State of Missouri (LPC, LCSW,or RN) required. EEO Statement All UHS ...

UHS

Director of Utilization Review

Blue Springs, MO

Oversee precertification, concurrent, and discharge utilization reviews. * Facility regulatory ... A valid clinical license in the State of Missouri (LPC, LCSW,or RN) required. EEO Statement All UHS ...

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All JobsUtilization Review Lpc Jobs

Utilization Review Lpc information

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How much do utilization review lpc jobs pay per hour?

As of Jun 5, 2026, the average hourly pay for utilization review lpc in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

What is the difference between Utilization Review Lpc vs Mental Health Counselor?

AspectUtilization Review LpcMental Health Counselor
CredentialsLicensed Professional Counselor (LPC)Licensed Professional Counselor (LPC) or similar
Work EnvironmentInsurance companies, healthcare organizations, utilization review settingsPrivate practice, clinics, hospitals, community agencies
Primary FocusReviewing medical necessity, authorizing services, ensuring complianceProviding therapy, mental health assessment, treatment planning

The Utilization Review LPC primarily focuses on evaluating healthcare services for insurance approval and compliance, often working within healthcare organizations. In contrast, a Mental Health Counselor provides direct patient care through therapy and assessments. While both roles require LPC licensure, their work environments and responsibilities differ significantly.

More about Utilization Review Lpc jobs
What cities are hiring for Utilization Review Lpc jobs? Cities with the most Utilization Review Lpc job openings:
What states have the most Utilization Review Lpc jobs? States with the most job openings for Utilization Review Lpc jobs include:
What job categories do people searching Utilization Review Lpc jobs look for? The top searched job categories for Utilization Review Lpc jobs are:
Utilization Review Lpc jobs near you

Utilization Review Specialist

Staffosaurus

Boynton Beach, FL • Hybrid

$65K - $80K/yr

Full-time

Medical, Dental, Vision

Posted 4 days ago

Job description

Utilization Review Specialist

Boynton Beach, Florida, United States Or refer someone Job Openings Utilization Review Specialist

Utilization Review Specialist

Join Our Team:

As a Utilization Review Specialist, you will play a pivotal role in managing and performing various processes related to medical records requests, retrospective review requests, and chart appeals. If you are organized, efficient, and dedicated to maintaining the highest standards of quality in medical records management, we invite you to join us in our mission.

Benefits:

  • Competitive salary commensurate with experience
  • Comprehensive health, dental, and vision insurance plans
  • Professional development opportunities
  • Supportive and positive work culture
  • Opportunities for career advancement

Utilization Review Specialist Requirements:

  • LMSW, LMHC, LPC, or other healthcare-related credentials or experience preferred.
  • Knowledge of behavioral health systems and various medical record platforms.
  • Two years of experience in a hospital or healthcare insurance setting required.
  • Bachelor's degree from an accredited college or university in social work, mental health, nursing, or a related degree required.

Utilization Review Specialist Responsibilities:

  • Manage and perform processes for medical records requests, retrospective review requests, and chart appeals.
  • Review medical records for any quality issues before submission.
  • Communicate with Supervisor and Quality Care team for assistance in meeting requests.
  • Prepare and distribute medical records to comply with payor requests, medical record reviews/requests, pre/post payment documentation requests, and chart appeals.
  • Prepare cover letters and chart appeal letters for medical necessity and claim denials.
  • Timely communicate outcomes, follow-up instructions, options, and related information to relevant administrative staff. Respond to all calls and emails within one business day unless otherwise required.
  • Document activity in Billing, UR software, and other approved locations.
  • Organize and file documents for ease of access in approved locations.
  • Communicate with Utilization Review team, Billing, Collections, and Verifications departments as needed for information relevant to medical records.
  • Assist in compiling information for data analysis.
  • Provide assistance in determining the likelihood of insurances covering treatment.
  • Maintain patient confidentiality in accordance with state and federal law.
  • Participate in internal information meetings, required in-service education and training, and company-wide performance improvement and compliance activities.
  • Perform other duties as assigned.

Pay: $65,000-$80,000 per year

Schedule: Hybrid M-F 9am-5pm

Location: Boynton Beach, Florida

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