Peer Review Clinical Specialist

Lighthouse Behavioral Health Solutions · Columbus, Ohio

Posted 12 days ago

or apply directly on Lighthouse Behavioral Health Solutions's site. We never take the application ourselves.

Is this posting real?

This role has been open: 12 days
Reposted: No
Salary listed: No
Ghost-job risk at Lighthouse Behavioral Health Solutions: high
Hiring momentum: 47 roles opened in the last 90 days
Last confirmed on the employer's board: 2026-09-17

Measured from postings appearing on and disappearing from Lighthouse Behavioral Health Solutions's own greenhouse board since 2026-08-03. Full hiring picture for Lighthouse Behavioral Health Solutions.

About this role

The Peer Review Clinical Specialist at Lighthouse Behavioral Health Solutions is responsible for representing the organization in peer-to-peer clinical reviews with various payers. This role involves reviewing clinical documentation, evaluating medical necessity, and collaborating with clinical teams to support authorization requests. Additionally, the Specialist monitors authorization outcomes and identifies trends to improve clinical performance and documentation standards.

Our read on this posting3.2out of 5

benefits: 4/5
freshness: 4/5
career value: 4/5
role clarity: 4/5
pay transparency: 0/5

Scored from the posting itself — how clearly the role is described, how much it says about pay and benefits, and how recently it was listed. Not a judgement of Lighthouse Behavioral Health Solutions as an employer.

What you need

Master's degree in Social Work, Counseling, Behavioral Health, or related clinical field
Active and unrestricted Ohio independent behavioral health license (LISW or LPCC)
Minimum of three (3) years of behavioral health clinical experience
Strong knowledge of ASAM Criteria and level-of-care decision making
Ability to assess medical necessity and interpret complex clinical information
Strong clinical judgment and critical-thinking skills

Nice to have

LISW-S or LPCC-S designation
Experience conducting peer-to-peer reviews
Prior utilization management, utilization review, or managed care experience
Experience working with Medicaid Managed Care Organizations, Medicare, and commercial insurance plans
Knowledge of payer medical necessity criteria and authorization processes

What you get

Paid time off (PTO and sick time)
Paid holidays
Medical/dental/vision
401(k)
Life insurance
Paid continuing education with supervision

Worth weighing

Role focuses heavily on peer-to-peer reviews and may not involve direct patient care
No salary listed in the posting
Position does not include responsibility for authorization submission, billing, claims processing, or reimbursement

Summarised from Lighthouse Behavioral Health Solutions's posting. Read the full original.

Listed by Lighthouse Behavioral Health Solutions on their greenhouse job board, last confirmed open on 2026-09-17. PitchMeAI is not the employer.