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Utilization Review Lpc Jobs in Florida (NOW HIRING)

... 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

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 ...

The Utilization Review Coordinator (UR Coordinator) is responsible to perform the process of ... LMSW, LMHC, LPC, or other healthcare related licensure preferred SPECIFIC AREAS OF RESPONSIBILITY ...

UR COORDINATOR

Delray Beach, FL ยท On-site +1

$60K - $75K/yr

The Utilization Review Coordinator (UR Coordinator) is responsible to perform the process of ... LMSW, LMHC, LPC, or other healthcare related licensure preferred SPECIFIC AREAS OF RESPONSIBILITY ...

... LPC, LMSW Skills : Excellent communication skills. Ability to relate to those emotionally disturbed and in crisis. Case Management and demonstrated knowledge of managed care and utilization review ...

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Utilization Review Lpc information

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.

What job categories do people searching Utilization Review Lpc jobs in Florida look for? The top searched job categories for Utilization Review Lpc jobs in Florida are:
What cities in Florida are hiring for Utilization Review Lpc jobs? Cities in Florida with the most Utilization Review Lpc job openings:
Infographic showing various Utilization Review Lpc job openings in Florida as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Utilization Review Specialist

Banyan Treatment Centers - Texas

Pompano Beach, FL โ€ข Remote

$45K - $65K/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


Job description

Utilization Review Specialist | Remote | Full-Time
$50,000 โ€“ $65,000 Annually | Weekdays (Weekend Availability as Needed)

Banyan Treatment Centers is seeking an experienced and detail-driven Utilization Review Specialist to join our corporate team. In this remote role, you'll manage a caseload of 50โ€“75 patients, conducting admission and continuing-stay reviews, coordinating authorizations, and serving as a key liaison between Banyan's clinical operations and the managed care organizations that fund patient treatment. Your work directly protects patient access to care and keeps the business running.

This is a high-volume, relationship-driven role for someone who thrives on precision, knows how to navigate managed care, and understands the stakes on both sides of the authorization process.

About Banyan Treatment Centers

Banyan Treatment Centersย is a leading national provider of intensive treatment for individuals facing substance use and mental health disorders. Backed byย TPG, one of the nationโ€™s largest private equity investors, Banyan is rapidly expanding access to high-quality, compassionate care.

Why Join Our Team?

  • Mission-driven work with real business impact โ€” your authorizations directly determine whether patients stay in treatment. Few roles sit closer to the intersection of clinical care and organizational sustainability.
  • Nationally recognized organization โ€” Joint Commissionโ€“accredited, with 18 locations and telehealth services nationwide, and the infrastructure to support your work at scale.
  • Remote flexibility โ€” work from anywhere while collaborating with clinical, billing, and operations teams across the country.
  • Collaborative environment โ€” partner closely with clinical, operational, and billing teams to resolve outstanding case issues, support discharge planning, and ensure timely reimbursement.
  • Room to grow โ€” join a rapidly expanding organization where UR professionals have visibility across the enterprise and opportunities to advance.
  • Comprehensive benefits including medical, dental, and vision insurance; whole and term life insurance; short- and long-term disability; 401(k) with employer match; paid time off and holidays; wellness incentives; and employee assistance and referral programs.

Key Responsibilities

  • Manage a caseload of 50โ€“75 patients, authorizing 15โ€“25 cases daily and ensuring timely utilization reviews and appropriate level of care determinations
  • Conduct admission and continuing-stay reviews to assess medical necessity and ensure compliance with treatment standards
  • Verify insurance benefits, coordinate authorizations, and communicate effectively with external case managers and managed care organizations
  • Establish and maintain contracts with managed care companies and request rate increases when appropriate
  • Collaborate with clinical and billing departments to support discharge planning, documentation, and timely reimbursement
  • Identify and address over- and underutilization trends
  • Assist in resolving outstanding case issues with insurers

Qualifications

Required:

  • High school diploma or equivalent
  • Minimum one year of utilization review experience in a psychiatric or chemical dependency setting
  • Strong organizational, documentation, and communication skills
  • Ability to manage high caseloads with accuracy and efficiency
  • Comfortable working independently in a remote environment

Preferred:

  • Graduate degree in a health or behavioral health related field
  • Clinical licensure (LCSW, LMHC, LPC, RN, or equivalent) โ€” valued but not required
  • Experience working with managed care organizations, insurance authorization, and level of care criteria
  • Familiarity with Joint Commission standards and behavioral health regulatory requirements

Apply Now

If you're experienced in utilization review, thrive in a fast-paced and high-volume environment, and want your work to matter beyond the spreadsheet, we'd like to meet you. Apply today to join the Banyan Treatment Centers corporate team.

Banyan Treatment Centers is an equal opportunity employer.