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Full Time Utilization Review Social Worker Jobs (NOW HIRING)

Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time ... License: LCSW, LMHC, or LICSW preferred EEO Statement All UHS subsidiaries are committed to ...

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Boca Raton, FL Job Type: Full-time, In-Person Pay: $60,000 - $70,000 per year, based on experience ... Multitask effectively while working as part of a team * Handle reviews after standard business ...

Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... W, LPN or RN preferred. Education:UNAVAILABLEEmployment Type: FULL_TIME

Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... W, LPN or RN preferred. Education:UNAVAILABLEEmployment Type: FULL_TIME

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health ... social work) or RN licensure within Illinois required. Previous professional experience in a ...

Clinical Social Worker

Alton, IL · On-site

$63K - $102K/yr

... LCSW. Position Details: * Full-time * 8am-430pm * Emergency Department * LCSW Required ... Case Management, Utilization Review, Social Services: Provides admission and continued stay reviews ...

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health ... Master's degree in the human services field (counseling, psychology, social work) or RN licensure ...

Chicago Job Type: Full-Time Reports to: Director of Revenue Cycle Manager; In Direct Reporting to ... Active LCSW or LCPC clinical licensure highly preferred. Skills: * Strong knowledge of insurance ...

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Full Time Utilization Review Social Worker information

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How much do full time utilization review social worker jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for full time utilization review social worker in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Full Time Utilization Review Social Worker, and why are they important?

To thrive as a Full Time Utilization Review Social Worker, you need a solid background in social work, case management, and healthcare regulations, typically with a relevant degree and state licensure (e.g., LCSW or LMSW). Familiarity with utilization review software, electronic medical records (EMRs), and knowledge of insurance guidelines such as Medicare/Medicaid are essential. Strong analytical, communication, and advocacy skills help you effectively assess patient needs and interact with healthcare teams and payers. These skills ensure appropriate resource utilization, compliance with policies, and optimal patient care outcomes.

How does a Full Time Utilization Review Social Worker typically collaborate with healthcare providers and insurance representatives?

A Full Time Utilization Review Social Worker regularly communicates with physicians, nurses, and insurance representatives to ensure that patients receive appropriate and cost-effective care. They review medical records, participate in interdisciplinary team meetings, and advocate for patients’ needs while adhering to insurance guidelines. This role requires balancing clinical judgment with policy requirements, and effective collaboration is essential to resolving care authorization issues and facilitating smooth discharge planning.

What does a Full Time Utilization Review Social Worker do?

A Full Time Utilization Review Social Worker evaluates patients’ medical records to ensure that the care provided is necessary and appropriate, based on insurance guidelines and clinical standards. They work with healthcare teams, insurance companies, and patients to coordinate services, advocate for needed care, and help manage healthcare costs. Their role is crucial in ensuring that patients receive the right level of care without unnecessary treatments, while also supporting the hospital or healthcare facility's compliance and reimbursement processes.

What is the difference between Full Time Utilization Review Social Worker vs Utilization Review Nurse?

AspectFull Time Utilization Review Social WorkerUtilization Review Nurse
CredentialsSocial Work degree, LCSW or equivalent, certification in utilization review often preferredNursing degree, RN license, certification in utilization review (e.g., URAC)
Work EnvironmentHealthcare facilities, insurance companies, government agenciesHospitals, insurance companies, healthcare organizations
Primary ResponsibilitiesAssess patient needs, coordinate care, review medical necessity from a social work perspectiveReview medical records, evaluate treatment plans, ensure appropriate resource utilization

While both roles focus on reviewing healthcare utilization, the Full Time Utilization Review Social Worker emphasizes social work assessments and care coordination, whereas the Utilization Review Nurse concentrates on medical record evaluation and clinical review. Both positions require relevant certifications and work within healthcare or insurance settings, but their core functions differ based on professional background and focus areas.

What cities are hiring for Full Time Utilization Review Social Worker jobs? Cities with the most Full Time Utilization Review Social Worker job openings:
What are the most commonly searched types of Utilization Review Social Worker jobs? The most popular types of Utilization Review Social Worker jobs are:
What states have the most Full Time Utilization Review Social Worker jobs? States with the most job openings for Full Time Utilization Review Social Worker jobs include:
Utilization Review Coordinator

Utilization Review Coordinator

UHS

Brookline, MA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago


Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

494th of 890 rated healthcare providers


Job description

Responsibilities
Utilization Review Coordinator Opportunity -
HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals, who provide service excellence to our patients in a range of inpatient and partial programs and services. This is a 40 hour per week, salaried position.
About Us
HRI Hospital is 66-bed psychiatric facility with adult inpatient services and several partial hospitalization programs. We are part of the largest private mental health system in Massachusetts and can therefore provide competitive salaries, benefits, and opportunities for growth and development. At the same time, the smaller size of our facility allows us to provide personalized attention and training to all our employees. Employees are part of a multi-disciplinary team of dynamic professionals providing high quality care to a diverse inpatient and outpatient group of individuals. We are located in Brookline - right near Boston University and Coolidge Corner - and provide easy access to public transportation and free parking. Employees are our most valued asset and we encourage qualified individuals to apply.
Website: https://www.hrihospital.com
As the Utilization Review Coordinator, you will:
  • Complete initial precertification and concurrent reviews for patients in the inpatient and partial hospital settings
  • Collaborate with members of multi-disciplinary treatment teams to formulate justification for continued treatment using medical necessity criteria
Benefit Highlights
  • Tuition Reimbursement
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off (31 days per year + roll over)
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies™ and in 2025, was listed in Forbes ranking of America's Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.
From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Qualifications
Requirements
  • Education: Master's in psychology, social work or related field
  • Experience: 3 years of Utilization Management / Utilization Review experience required; 5 years of experience preferred
  • License: LCSW, LMHC, or LICSW preferred
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US