1

Utilization Review Lpc Jobs in Georgia (NOW HIRING)

Description Position at Clarvida - Georgia Utilization Manager LCSW, LPC, LMSW, LAPC As our ... Performs Utilization Management reviews, to include On Hold reports, and coordinates resolution of ...

Utilization Manager LCSW, LPC, LMSW, LAPC As our Utilization Manager, you will coordinate ... Performs Utilization Management reviews, to include On Hold reports, and coordinates resolution of ...

Description Utilization Manager LCSW, LPC, LMSW, LAPC As our Utilization Manager, you will ... Performs Utilization Management reviews, to include On Hold reports, and coordinates resolution of ...

Utilization Manager LCSW, LPC, LMSW, LAPC As our Utilization Manager, you will coordinate ... Performs Utilization Management reviews, to include On Hold reports, and coordinates resolution of ...

Utilization Manager LCSW, LPC, LMSW, LAPC As our Utilization Manager, you will coordinate ... Performs Utilization Management reviews, to include On Hold reports, and coordinates resolution of ...

Outpatient Navigator

Riverdale, GA · On-site

$18 - $24.75/hr

... , LCSW, LPC, LMHC, LMFT) * Peer support specialist certification * Experience with PHP and IOP levels of care, discharge planning, and/or utilization review We are committed to providing equal ...

Outpatient Navigator

Riverdale, GA · On-site

$18 - $24.75/hr

... , LCSW, LPC, LMHC, LMFT) * Peer support specialist certification * Experience with PHP and IOP levels of care, discharge planning, and/or utilization review We are committed to providing equal ...

New

Outpatient Navigator

Riverdale, GA · On-site

$18 - $24.75/hr

... , LCSW, LPC, LMHC, LMFT) * Peer support specialist certification * Experience with PHP and IOP levels of care, discharge planning, and/or utilization review We are committed to providing equal ...

New

Showing results 21-40

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 Georgia look for?

The top searched job categories for Utilization Review Lpc jobs in Georgia are:

What cities in Georgia are hiring for Utilization Review Lpc jobs?

Cities in Georgia with the most Utilization Review Lpc job openings:

Infographic showing various Utilization Review Lpc job openings in Georgia as of August 2026, with employment types broken down into 7% As Needed, 79% Full Time, and 14% Part Time. Highlights an 86% In-person, 7% Hybrid, and 7% Remote job distribution.

Manager Utilization Management-Behavioral Health

Piedmont-Healthcare

Atlanta, GA • On-site

$120 - $160/hr

Other

Posted 23 days ago


Job description

Responsibilities

Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and multiple Behavioral Health programs, including inpatient, ED-based, and specialty BH services. Responsible for ensuring consistent, compliant, and effective UR operations that support appropriate level-of-care determination, medical necessity, denial prevention, and financial performance. Serves as a primary point of contact and collaborative partner with multiple system teams, including but not limited to Revenue Cycle, Case Management, Compliance, Finance, HIM, Epic, Physician Advisors, and Executive Leadership, to align utilization practices with regulatory, payer, and organizational expectations.


Qualifications
Education

  • Bachelor’s Degree in Nursing, Business Administration, Health Administration, Social Work, or a closely related field Required


Work Experience

  • 5 years of experience in Behavioral Health Utilization Management and Utilization Review processes using medical necessity criteria (InterQual and/or Milliman).

  • 2 years Experience requirement above, to include, 2 years of demonstrated leadership or management experience in a hospital, medical practice, or other healthcare setting Required

  • Experience working in a system-level or multi-site environment Preferred


Licenses and Certifications

  • RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required or

  • LPC-Licensed Professional Counselor Required or

  • LMSW - Licensed Medical Social Worker - State Licensure Required or

  • LCSW- License Clinical Social Worker Required or

  • Licensed Marriage and Family Therapist (LMFT) Required

  • IQCI Certification Required


Business Unit : Company Name

Piedmont Healthcare Corporate

#J-18808-Ljbffr