Utilization Review Clinician
Augusta, GA · On-site
LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ... UNAVAILABLEEmployment Type: FULL_TIME
Augusta, GA · On-site
LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ... UNAVAILABLEEmployment Type: FULL_TIME
Augusta, GA · On-site
LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ... UNAVAILABLEEmployment Type: FULL_TIME
... utilization review, we help treatment centers optimize revenue cycle management while focusing on ... Experience in the Mental Health/Addiction space, May be a fully licensed SUDC, CAC,LADC, LCSW, CMHC ...
... utilization review, we help treatment centers optimize revenue cycle management while focusing on ... Experience in the Mental Health/Addiction space, May be a fully licensed SUDC, CAC,LADC, LCSW, CMHC ...
Work closely with utilization review staff, care managers and social workers to assist with any administrative responsibilities or needs. * Documentation entry * Phone and Voicemail retrieval * Mail ...
Work closely with utilization review staff, care managers and social workers to assist with any administrative responsibilities or needs. * Documentation entry * Phone and Voicemail retrieval * Mail ...
Work closely with utilization review staff, care managers and social workers to assist with any administrative responsibilities or needs. * Documentation entry * Phone and Voicemail retrieval * Mail ...
Work closely with utilization review staff, care managers and social workers to assist with any administrative responsibilities or needs. * Documentation entry * Phone and Voicemail retrieval * Mail ...
Malvern Health is currently seeking a full time Utilization Review Manager at our new state of the art building located at 3905 Ford Road. The Utilization Review Manager has supervisory ...
Malvern Health is currently seeking a full time Utilization Review Manager at our new state of the art building located at 3905 Ford Road. The Utilization Review Manager has supervisory ...
Malvern Health is currently seeking a full time Utilization Review Manager at our new state of the art building located at 3905 Ford Road. The Utilization Review Manager has supervisory ...
Malvern Health is currently seeking a full time Utilization Review Manager at our new state of the art building located at 3905 Ford Road. The Utilization Review Manager has supervisory ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) * Must have 2 ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) * Must have 2 ...
Malvern Health is currently seeking a full time Utilization Review Manager at our new state of the art building located at 3905 Ford Road. The Utilization Review Manager has supervisory ...
Malvern Health is currently seeking a full time Utilization Review Manager at our new state of the art building located at 3905 Ford Road. The Utilization Review Manager has supervisory ...
Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) * Must have 2 ... UNAVAILABLEEmployment Type: FULL_TIME
New
Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) * Must have 2 ... UNAVAILABLEEmployment Type: FULL_TIME
New
Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) * Must have 2 ... UNAVAILABLEEmployment Type: FULL_TIME
New
Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) * Must have 2 ... UNAVAILABLEEmployment Type: FULL_TIME
New
Los Angeles, CA · Remote
$80K - $90K/yr
LPC, LCSW, LMFT, RD, RN, LVN, LPN, or PsyD * Experience in utilization review or case management preferred * Experience in a business/corporate setting or similar environment preferred * Experience ...
Los Angeles, CA · Remote
$80K - $90K/yr
LPC, LCSW, LMFT, RD, RN, LVN, LPN, or PsyD * Experience in utilization review or case management preferred * Experience in a business/corporate setting or similar environment preferred * Experience ...
Bakersfield, CA · On-site
$43.51 - $68.56/hr
Utilization Review Nurse - Full Time Shift: 8:00am - 4:30pm with rotating weekend coverage ... working knowledge of applicable regulations and to develop knowledge of outside agencies and ...
Bakersfield, CA · On-site
$43.51 - $68.56/hr
Utilization Review Nurse - Full Time Shift: 8:00am - 4:30pm with rotating weekend coverage ... working knowledge of applicable regulations and to develop knowledge of outside agencies and ...
Malvern Health is currently seeking a full time Utilization Review Manager at our new state of the art building located at 3905 Ford Road. The Utilization Review Manager has supervisory ...
Malvern Health is currently seeking a full time Utilization Review Manager at our new state of the art building located at 3905 Ford Road. The Utilization Review Manager has supervisory ...
Experience working with children and youth through the adoption process. Experience with ... social work or related field is preferred. Experience Requirements: A minimum of three years of ...
Quick apply
Experience working with children and youth through the adoption process. Experience with ... social work or related field is preferred. Experience Requirements: A minimum of three years of ...
Experience working with children and youth through the adoption process. Experience with ... social work or related field is preferred. Experience Requirements: A minimum of three years of ...
Experience working with children and youth through the adoption process. Experience with ... social work or related field is preferred. Experience Requirements: A minimum of three years of ...
Bakersfield, CA · On-site
$43.51 - $68.56/hr
Utilization Review Nurse - Full Time Shift: 8:00am - 4:30pm with rotating weekend coverage ... working knowledge of applicable regulations and to develop knowledge of outside agencies and ...
Bakersfield, CA · On-site
$43.51 - $68.56/hr
Utilization Review Nurse - Full Time Shift: 8:00am - 4:30pm with rotating weekend coverage ... working knowledge of applicable regulations and to develop knowledge of outside agencies and ...
Job Type Full-time Description The UR Coordinator's primary responsibility is managing, reviewing ... Psychological and social aspects and characteristics of mental illness and chemical dependency.
Job Type Full-time Description The UR Coordinator's primary responsibility is managing, reviewing ... Psychological and social aspects and characteristics of mental illness and chemical dependency.
TO CONDUCT UTILIZATION REVIEW FOR ALL INPATIENTS BASED ON COLLABORATIVELY DEVELOPED STANDARDS FOR ... Social Worker, or a Licensed Mental Health Counselor. Experienced: A minimum of one years ...
TO CONDUCT UTILIZATION REVIEW FOR ALL INPATIENTS BASED ON COLLABORATIVELY DEVELOPED STANDARDS FOR ... Social Worker, or a Licensed Mental Health Counselor. Experienced: A minimum of one years ...
Las Vegas, NV · On-site
$41 - $60/hr (+ commission)
- Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing ... Working Conditions This position is primarily office-based within an acute care hospital ...
Quick apply
Las Vegas, NV · On-site
$41 - $60/hr (+ commission)
- Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing ... Working Conditions This position is primarily office-based within an acute care hospital ...
TO CONDUCT UTILIZATION REVIEW FOR ALL INPATIENTS BASED ON COLLABORATIVELY DEVELOPED STANDARDS FOR ... Social Worker, or a Licensed Mental Health Counselor. Experienced: A minimum of one years ...
TO CONDUCT UTILIZATION REVIEW FOR ALL INPATIENTS BASED ON COLLABORATIVELY DEVELOPED STANDARDS FOR ... Social Worker, or a Licensed Mental Health Counselor. Experienced: A minimum of one years ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
| Aspect | Full Time Utilization Review Social Worker | Utilization Review Nurse |
|---|---|---|
| Credentials | Social Work degree, LCSW or equivalent, certification in utilization review often preferred | Nursing degree, RN license, certification in utilization review (e.g., URAC) |
| Work Environment | Healthcare facilities, insurance companies, government agencies | Hospitals, insurance companies, healthcare organizations |
| Primary Responsibilities | Assess patient needs, coordinate care, review medical necessity from a social work perspective | Review 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.
Cities with the most Full Time Utilization Review Social Worker job openings:
The most popular types of Utilization Review Social Worker jobs are:
States with the most job openings for Full Time Utilization Review Social Worker jobs include:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 16 days ago
Review clinical content of medical records and participate in treatment team meetings to gather data for insurance authorization.
Coordinate with the treatment team to ensure timely input of pre-certifications and continued stay reviews into the system, verify insurance coverage, and follow up on pending authorizations.
Communicate clinical criteria and support documentation for pre-certification and continued stay reviews to insurance companies and authorizing entities.
6.8
Based on 255 frontline employees who took The Breakroom Quiz
495th of 898 rated healthcare providers
Lighthouse Care Center of Augusta is seeking a dedicated, compassionate Utilization Review Clinician to add to our growing team.
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.
Website: https://www.LighthouseCareCenters.com
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 Clinician is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued stay reviews.
Job Duties/ Responsibilities:
Benefit Highlights:
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.
Education and Experience:
Certifications, License, Registration:
LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN 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.
Qualifications:Education and Experience:
Certifications, License, Registration:
LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN 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.
Education:UNAVAILABLEEmployment Type: FULL_TIMEGet the full story on Breakroom
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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.
Health care and social assistance
10,000+ Employees
King of Prussia, PA, US