This role facilitates and directs the Utilization Review Department, Case Management and Reception ... Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW) * 1 ...
This role facilitates and directs the Utilization Review Department, Case Management and Reception ... Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW) * 1 ...
This role facilitates and directs the Utilization Review Department, Case Management and Reception ... Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW) * 1 ...
This role facilitates and directs the Utilization Review Department, Case Management and Reception ... Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW) * 1 ...
This role facilitates and directs the Utilization Review Department, Case Management and Reception ... Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW) * 1 ...
This role facilitates and directs the Utilization Review Department, Case Management and Reception ... Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW) * 1 ...
Job Title Reviews planned, in process, or completed health care services to ensure medical ... Health Professional LPC - Licensed Professional Counselor LMFT - Licensed Marital and Family ...
Job Title Reviews planned, in process, or completed health care services to ensure medical ... Health Professional LPC - Licensed Professional Counselor LMFT - Licensed Marital and Family ...
Group Therapist
Saint Louis, MO · On-site
LMSW, LSW, LSCSW, LCSW, LPC, LCPC, LMFT, LCMFT or other professional license issued/approved by the ... May participate in Utilization Review functions and reporting to insurance companies and payors.
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Group Therapist
Saint Louis, MO · On-site
LMSW, LSW, LSCSW, LCSW, LPC, LCPC, LMFT, LCMFT or other professional license issued/approved by the ... May participate in Utilization Review functions and reporting to insurance companies and payors.
Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives ... Licensed Clinical Social Worker (LCSW), or Licensed Professional Counselor (LPC) must be obtained ...
Performs utilization review as assigned. * Helps with Process and Quality Improvement initiatives ... Licensed Clinical Social Worker (LCSW), or Licensed Professional Counselor (LPC) must be obtained ...
Telehealth Therapist
Webster Groves, MO · On-site
May participate in Utilization Review functions and reporting to insurance companies and payors ... LMSW, LSW, LSCSW, LCSW, LPC, LCPC, LMFT, LCMFT or other professional license issued/approved by the ...
Telehealth Therapist
Webster Groves, MO · On-site
May participate in Utilization Review functions and reporting to insurance companies and payors ... LMSW, LSW, LSCSW, LCSW, LPC, LCPC, LMFT, LCMFT or other professional license issued/approved by the ...
Refers members to the appropriate level care and reviews and authorizes care services using ... Conducts all necessary direct utilization management activities for behavioral health plan members ...
Refers members to the appropriate level care and reviews and authorizes care services using ... Conducts all necessary direct utilization management activities for behavioral health plan members ...
Clinical Director
Marshall, MO · On-site
$80K - $95K/yr
Lead clinical chart audits, utilization reviews, and documentation quality monitoring. Prepare for ... Active Missouri clinical licensure required (LPC, LCSW, LMFT, or equivalent). Approved clinical ...
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Clinical Director
Marshall, MO · On-site
$80K - $95K/yr
Lead clinical chart audits, utilization reviews, and documentation quality monitoring. Prepare for ... Active Missouri clinical licensure required (LPC, LCSW, LMFT, or equivalent). Approved clinical ...
... LPC's, LCSW's, & LMFT's (provide supervision) • Continuing Education - 3 days leave following ... utilization reviews, and responsible management of program resources. • Respond to client crises ...
... LPC's, LCSW's, & LMFT's (provide supervision) • Continuing Education - 3 days leave following ... utilization reviews, and responsible management of program resources. • Respond to client crises ...
... LPC's, LCSW's, & LMFT's (provide supervision) Continuing Education - 3 days leave following your ... utilization reviews, and responsible management of program resources. Respond to client crises ...
... LPC's, LCSW's, & LMFT's (provide supervision) Continuing Education - 3 days leave following your ... utilization reviews, and responsible management of program resources. Respond to client crises ...
Complete assessments and develop, review, and update individualized Wellness Plans * Serve as ... Ensure timely, compliant clinical documentation and adherence to utilization management standards
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Complete assessments and develop, review, and update individualized Wellness Plans * Serve as ... Ensure timely, compliant clinical documentation and adherence to utilization management standards
... reviews, and collaborating with internal teams and external partners to ensure effective and ... PLPC, LPC, LMFT, LMSW, LCSW, PhD, or PsyD * At least one (1) year of professional experience in ...
... reviews, and collaborating with internal teams and external partners to ensure effective and ... PLPC, LPC, LMFT, LMSW, LCSW, PhD, or PsyD * At least one (1) year of professional experience in ...
Supervisor Healthy Families
Kirksville, MO · On-site
$50K/yr
... review of parent educator's documentation/ reports, timely submission of payment information to ... Monitors the utilization and outcomes of the program and ensures the obtainment of program goals in ...
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Supervisor Healthy Families
Kirksville, MO · On-site
$50K/yr
... review of parent educator's documentation/ reports, timely submission of payment information to ... Monitors the utilization and outcomes of the program and ensures the obtainment of program goals in ...
... reviews, and collaborating with internal teams and external partners to ensure effective and ... PLPC, LPC, LMFT, LMSW, LCSW, PhD, or PsyD * At least one (1) year of professional experience in ...
... reviews, and collaborating with internal teams and external partners to ensure effective and ... PLPC, LPC, LMFT, LMSW, LCSW, PhD, or PsyD * At least one (1) year of professional experience in ...
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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Supervisor Behavioral Health Utilization Review
Kansas City, MO • On-site
Full-time
Re-posted 18 days ago
Saint Luke's Health System (Kansas City) rating
7.1
Based on 109 frontline employees who took The Breakroom Quiz
379th of 887 rated healthcare providers
Job description
Saint Luke's Crittenton Children's Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team.
This role facilitates and directs the Utilization Review Department, Case Management and Reception teams of a 24/7 inpatient residential and hospital program. Additionally, ensures compliance with all pertinent regulations, analyzes trends related to denials & authorizations, builds strong relationships with third party payers. Positive relationships with physicians, nursing supervisors and senior administration are required to ensure empathic and timely response to individual patient and community needs.
Job Details:
- Monday - Friday, dayshift, 9am -5pm. Remote work not preferred, but occasional opportunity, must be primarily onsite. No weekend or holiday rotations.
- Supervises and completes daily operations as assigned by Manager of Intake and Utilizations Review.
- Oversees resources and functions related to utilization review and regulatory compliance adherence.
- Responsible for training of staff, discipline and evaluations.
- Monitors and maintains data to achieve quality outcomes and progression with the departmental strategic plan.
- Collaborates and communicates with the multidisciplinary team to ensure communication of patient's treatment to the managed care provider.
- Review clinical charts in order to file appeals on denied accounts.
- Oversees scheduling and supervision needs for the Reception team.
- Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW)
- 1-3 years in a leadership or team lead role preferred
Applicable Experience:
2 yearsLicensed Professional Counselor - VariousMaster's DegreeJob DetailsFull TimeDay (United States of America)The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
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About Saint Luke's
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Kansas City, MO, US
Year founded
1882