PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
For LCSWs or LPCs- 26-30/hr For RNs- 33/hr Qualifications * LCSW, LPC, or RN * 3+ years of behavioral health experience * Experience with utilization review is preferred Additional Information ...
For LCSWs or LPCs- 26-30/hr For RNs- 33/hr Qualifications * LCSW, LPC, or RN * 3+ years of behavioral health experience * Experience with utilization review is preferred Additional Information ...
Clinical Reviewer
Phoenix, AZ · On-site
$40 - $42/hr
Has an active behavioral health license in their state (LPC, LCSW, LAC, MAC or equivalent). * Has ... Experience with Utilization Review/Utilization management, InterQual experience. Skills
Clinical Reviewer
Phoenix, AZ · On-site
$40 - $42/hr
Has an active behavioral health license in their state (LPC, LCSW, LAC, MAC or equivalent). * Has ... Experience with Utilization Review/Utilization management, InterQual experience. Skills
BH UM Clinical Reviewer- Remote AZ
Phoenix, AZ · On-site +1
... LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and ... Knowledge of managed care, utilization management, and quality management * Working knowledge of ...
BH UM Clinical Reviewer- Remote AZ
Phoenix, AZ · On-site +1
... LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and ... Knowledge of managed care, utilization management, and quality management * Working knowledge of ...
... LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and ... Knowledge of managed care, utilization management, and quality management * Working knowledge of ...
... LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and ... Knowledge of managed care, utilization management, and quality management * Working knowledge of ...
DISCHARGE PLANNER
Phoenix, AZ · On-site
Schedule: FT (Tuesday - Saturday 8-5) The Discharge Planner works with the Utilization Review ... W., LAC, LCSW, LPC, LISAC or other healthcare related licensure required.
DISCHARGE PLANNER
Phoenix, AZ · On-site
Schedule: FT (Tuesday - Saturday 8-5) The Discharge Planner works with the Utilization Review ... W., LAC, LCSW, LPC, LISAC or other healthcare related licensure required.
... utilization review. Full Time Position Applicants must possess at least one of the following ... LAC, LPC, LASAC, LISAC, LMSC, LCSW, or Psychologist. Duties/Responsibilities * Provide high-quality ...
... utilization review. Full Time Position Applicants must possess at least one of the following ... LAC, LPC, LASAC, LISAC, LMSC, LCSW, or Psychologist. Duties/Responsibilities * Provide high-quality ...
Clinician - LPC, LISAC, LCSW, LMFT, LAC
Phoenix, AZ · On-site
$56K - $76K/yr
... utilization review. Full Time Position Applicants must possess at least one of the following ... LAC, LPC, LASAC, LISAC, LMSC, LCSW, or Psychologist. Duties/Responsibilities * Provide high-quality ...
Clinician - LPC, LISAC, LCSW, LMFT, LAC
Phoenix, AZ · On-site
$56K - $76K/yr
... utilization review. Full Time Position Applicants must possess at least one of the following ... LAC, LPC, LASAC, LISAC, LMSC, LCSW, or Psychologist. Duties/Responsibilities * Provide high-quality ...
Licensed Therapist
Tempe, AZ · On-site
$55K - $70K/yr
... billing department for utilization review. Essential Functions and Duties Include: Duties ... LSAT, LASAC, or LISAC Or LAC or LPC, and LMSW or LCSW. Clinical supervision is available for ...
Quick apply
Licensed Therapist
Tempe, AZ · On-site
$55K - $70K/yr
... billing department for utilization review. Essential Functions and Duties Include: Duties ... LSAT, LASAC, or LISAC Or LAC or LPC, and LMSW or LCSW. Clinical supervision is available for ...
... utilization review to ensure quality and efficiency. What We're Looking For * Master's degree in Counseling, Social Work, Psychology, or related field required. * Independent clinical licensure (LPC ...
... utilization review to ensure quality and efficiency. What We're Looking For * Master's degree in Counseling, Social Work, Psychology, or related field required. * Independent clinical licensure (LPC ...
Licensed Therapist
Tempe, AZ · On-site
$55K - $70K/yr
... billing department for utilization review. Essential Functions and Duties Include: Duties ... LSAT, LASAC, or LISAC Or LAC or LPC, and LMSW or LCSW. Clinical supervision is available for ...
Quick apply
Licensed Therapist
Tempe, AZ · On-site
$55K - $70K/yr
... billing department for utilization review. Essential Functions and Duties Include: Duties ... LSAT, LASAC, or LISAC Or LAC or LPC, and LMSW or LCSW. Clinical supervision is available for ...
Clinician
$51K - $67K/yr
... utilization review. Applicants must possess at least one of the following licenses in Arizona: LAC, LPC, LASAC, LISAC, LMSC, LCSW, or Psychologist. Full Time/Salary- Exempt Schedule: Monday - Friday ...
Clinician
$51K - $67K/yr
... utilization review. Applicants must possess at least one of the following licenses in Arizona: LAC, LPC, LASAC, LISAC, LMSC, LCSW, or Psychologist. Full Time/Salary- Exempt Schedule: Monday - Friday ...
Clinician
Apache Junction, AZ · On-site
$51K - $67K/yr
... utilization review. Applicants must possess at least one of the following licenses in Arizona: LAC, LPC, LASAC, LISAC, LMSC, LCSW, or Psychologist. Full Time/Salary- Exempt Schedule: Monday - Friday ...
Clinician
Apache Junction, AZ · On-site
$51K - $67K/yr
... utilization review. Applicants must possess at least one of the following licenses in Arizona: LAC, LPC, LASAC, LISAC, LMSC, LCSW, or Psychologist. Full Time/Salary- Exempt Schedule: Monday - Friday ...
Therapist, OP
Avondale, AZ · On-site
Works well with the interdisciplinary team including physicians, utilization review and nursing ... What we're looking for Applicants should have a current state LCSW, LMFT, LPC, LPCC, MFT, LMSW ...
Therapist, OP
Avondale, AZ · On-site
Works well with the interdisciplinary team including physicians, utilization review and nursing ... What we're looking for Applicants should have a current state LCSW, LMFT, LPC, LPCC, MFT, LMSW ...
Therapist, OP
Avondale, AZ · On-site
Works well with the interdisciplinary team including physicians, utilization review and nursing ... What we're looking for Applicants should have a current state LCSW, LMFT, LPC, LPCC, MFT, LMSW ...
Therapist, OP
Avondale, AZ · On-site
Works well with the interdisciplinary team including physicians, utilization review and nursing ... What we're looking for Applicants should have a current state LCSW, LMFT, LPC, LPCC, MFT, LMSW ...
Therapist, OP
Avondale, AZ · On-site
Works well with the interdisciplinary team including physicians, utilization review and nursing ... What we're looking for Applicants should have a current state LCSW, LMFT, LPC, LPCC, MFT, LMSW ...
Therapist, OP
Avondale, AZ · On-site
Works well with the interdisciplinary team including physicians, utilization review and nursing ... What we're looking for Applicants should have a current state LCSW, LMFT, LPC, LPCC, MFT, LMSW ...
Works well with the interdisciplinary team including physicians, utilization review and nursing ... What we're looking for Applicants should have a current state LCSW, LMFT, LPC, LPCC, MFT, LMSW ...
Works well with the interdisciplinary team including physicians, utilization review and nursing ... What we're looking for Applicants should have a current state LCSW, LMFT, LPC, LPCC, MFT, LMSW ...
Therapist, OP (Avondale)
Avondale, AZ · On-site
Works well with the interdisciplinary team including physicians, utilization review and nursing ... What we're looking for Applicants should have a current state LCSW, LMFT, LPC, LPCC, MFT, LMSW ...
Therapist, OP (Avondale)
Avondale, AZ · On-site
Works well with the interdisciplinary team including physicians, utilization review and nursing ... What we're looking for Applicants should have a current state LCSW, LMFT, LPC, LPCC, MFT, LMSW ...
Utilization Review Lpc information
What is the difference between Utilization Review Lpc vs Mental Health Counselor?
| Aspect | Utilization Review Lpc | Mental Health Counselor |
|---|---|---|
| Credentials | Licensed Professional Counselor (LPC) | Licensed Professional Counselor (LPC) or similar |
| Work Environment | Insurance companies, healthcare organizations, utilization review settings | Private practice, clinics, hospitals, community agencies |
| Primary Focus | Reviewing medical necessity, authorizing services, ensuring compliance | Providing 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.
What are popular job titles related to Utilization Review Lpc jobs in Arizona? For Utilization Review Lpc jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Utilization Review Lpc jobs in Arizona look for? The top searched job categories for Utilization Review Lpc jobs in Arizona are:
What cities in Arizona are hiring for Utilization Review Lpc jobs? Cities in Arizona with the most Utilization Review Lpc job openings:
Acadia Healthcare rating
6.2
Based on 190 frontline employees who took The Breakroom Quiz
701st of 890 rated healthcare providers
Job description
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
ESSENTIAL FUNCTIONS:
- Act as liaison between managed care organizations and the facility professional clinical staff.
- Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
- Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
- Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
- Conduct quality reviews for medical necessity and services provided.
- Facilitate peer review calls between facility and external organizations.
- Initiate and complete the formal appeal process for denied admissions or continued stay.
- Assist the admissions department with pre-certifications of care.
- Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Required Education: High school diploma or equivalent.
- Preferred Education: Associate's, Bachelor's, or Master’s degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
- Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
- CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
- First aid may be required based on state or facility requirements.
ADDITIONAL REGULATORY REQUIREMENTS:
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
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About Acadia Healthcare
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Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Franklin, TN, US
Year founded
2005