Utilization Review Clinician
Augusta, GA · On-site
Utilization Review Clinician Opportunity Lighthouse Care Center of Augusta has been providing ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.
Utilization Review Clinician
Augusta, GA · On-site
Utilization Review Clinician Opportunity Lighthouse Care Center of Augusta has been providing ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred EEO Statement: All UHS subsidiaries ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred EEO Statement: All UHS subsidiaries ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred EEO Statement: All UHS subsidiaries ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred EEO Statement: All UHS subsidiaries ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred EEO Statement: All UHS subsidiaries ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred EEO Statement: All UHS subsidiaries ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred EEO Statement: All UHS subsidiaries ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred EEO Statement: All UHS subsidiaries ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred EEO Statement: All UHS subsidiaries ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred EEO Statement: All UHS subsidiaries ...
BSN, MSN, LCSW, LPC, or LMFT preferred * Three years' experience in chart analysis, utilization review, medical/clinical terminology, and acuity of illness * Knowledge and understanding of a variety ...
BSN, MSN, LCSW, LPC, or LMFT preferred * Three years' experience in chart analysis, utilization review, medical/clinical terminology, and acuity of illness * Knowledge and understanding of a variety ...
BSN, MSN, LCSW, LPC, or LMFT preferred * Three years' experience in chart analysis, utilization review, medical/clinical terminology, and acuity of illness * Knowledge and understanding of a variety ...
New
BSN, MSN, LCSW, LPC, or LMFT preferred * Three years' experience in chart analysis, utilization review, medical/clinical terminology, and acuity of illness * Knowledge and understanding of a variety ...
New
Utilization Specialist
Valdosta, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Utilization Specialist
Valdosta, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Utilization Specialist
Riverdale, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Utilization Specialist
Riverdale, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Utilization Specialist
Valdosta, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Utilization Specialist
Valdosta, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Utilization Specialist
Valdosta, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Utilization Specialist
Valdosta, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Utilization Specialist
Riverdale, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Utilization Specialist
Riverdale, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Utilization Specialist
Riverdale, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Utilization Specialist
Riverdale, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Manager Utilization Management-Behavioral Health
Atlanta, GA · On-site
$120 - $160/hr
... Review (UR) and Utilization Management (UM) processes across two hospital campuses and multiple ... LPC-Licensed Professional Counselor Required or * LMSW - Licensed Medical Social Worker - State ...
Manager Utilization Management-Behavioral Health
Atlanta, GA · On-site
$120 - $160/hr
... Review (UR) and Utilization Management (UM) processes across two hospital campuses and multiple ... LPC-Licensed Professional Counselor Required or * LMSW - Licensed Medical Social Worker - State ...
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.
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For Utilization Review Lpc jobs in Georgia, the most frequently searched job titles are:
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Other
Medical, Dental, Vision, Retirement, PTO
Posted 20 days ago
Job description
Utilization Review Clinician Opportunity
Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15 years. Located in Augusta, GA, our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.
The Utilization Review Clinician opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing, and accreditation requirements. Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued stay reviews.
Job duties/responsibilities include reviewing clinical content of medical records, participating in treatment team meetings, and collaborating with physicians, therapists, nurses, and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved. Ensure input of pre-certifications and continued stay reviews into Midas, follow-up on unfinished pre-certifications from the day before, coordinate with the treatment team on any follow-ups necessary, verify insurance coverage at the first of the month, and post patient payments into MS4. Trained in all aspects relative to timely gathering of clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer-based systems, in addition to other job duties.
Benefit highlights include a referral bonus program, challenging and rewarding work environment, competitive compensation & generous paid time off, excellent medical, dental, vision, and prescription drug plans, 401(k) with company match and discounted stock plan, and career development opportunities within UHS and its 300+ subsidiaries!
Qualifications include a masters level education in social science field (social work, counseling, sociology, psychology). Must be license-eligible or licensed in Georgia (LAPC, LPC, LMSW, LCSW, LMFT, LMHC). Nurses with a current GA or multistate license encouraged to apply (LPN, RN). Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review. LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.
About Wellington Regional Medical Center
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Wellington, FL, US
Year founded
1986