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Hourly Utilization Review Social Worker Jobs (NOW HIRING)

UHS

DIR - UTILIZATION REVIEW / MGMT

Augusta, GA · On-site

The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... LMSW, LCSW, etc) EXPERIENCE: A minimum of five (5) years direct clinical experience in a ...

UHS

Utilization Review Coordinator

Brookline, MA · On-site

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 ...

UHS

Utilization Review Coordinator

Brookline, MA · On-site

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 ...

BJC HealthCare

Clinical Social Worker

Alton, IL

Case Management, Utilization Review, Social Services: Provides admission and continued stay reviews ... Lic Clinical Social Worker Preferred Requirements Experience * 2-5 years Benefits and Legal ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Oakland Park, FL · On-site

The Director of Utilization Management is also responsible for ensuring that the utilization review ... Masters degree in social work, counseling or related field with respective licensure (LSW, LCSW, ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Oakland Park, FL · On-site

Masters degree in social work, counseling or related field with respective licensure (LSW, LCSW, ... Utilization Review position, such as: * Challenging and rewarding work environment * Competitive ...

MedStar Health

RN Team Lead Utilization Review

Clinton, MD · On-site

$89K - $162K/yr

Collaborates with the physician nurse case manager social worker and other members of the health ... Acts as a resource and mentor to the Utilization Review staff. Primary Duties and Responsibilities

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

As of Aug 7, 2026, the average hourly pay for hourly 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 is an hourly utilization review social worker?

An Hourly Utilization Review Social Worker is a licensed social work professional who evaluates patient care records and clinical information to ensure that healthcare services provided are necessary, appropriate, and efficient. They typically work on an hourly basis, often as consultants or part-time employees, and focus on reviewing cases for compliance with insurance and regulatory guidelines. Their assessments help determine the level of care required and facilitate communication between healthcare providers, patients, and payers. This role is essential in controlling healthcare costs, improving patient outcomes, and ensuring that resources are used responsibly.

What are the key skills and qualifications needed to thrive as an hourly utilization review social worker, and why are they important?

To excel as an Hourly Utilization Review Social Worker, you need a background in social work (often requiring an MSW and state licensure), strong knowledge of clinical assessment, and experience with healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and insurance authorization systems is crucial. Outstanding communication, critical thinking, and organizational skills help you advocate effectively for patients and collaborate with healthcare teams. These skills are vital to ensure patients receive appropriate care, maximize resource use, and maintain compliance with healthcare policies.

How does an hourly utilization review social worker typically collaborate with healthcare providers to ensure appropriate patient care?

As an Hourly Utilization Review Social Worker, you will regularly communicate with physicians, nurses, and case managers to assess patient needs and verify that treatment plans align with payer guidelines. This often involves participating in interdisciplinary team meetings, reviewing patient records, and providing recommendations for care transitions or discharge planning. Effective collaboration is essential to advocate for patients while ensuring compliance with insurance requirements and hospital policies. Strong communication and negotiation skills are key to navigating these interactions and supporting optimal outcomes.
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Hourly Utilization Review Social Worker jobs near you

DIR - UTILIZATION REVIEW / MGMT

UHS

Augusta, GA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 14 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

492nd of 887 rated healthcare providers

Job description

Responsibilities

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 Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical content; 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.  The Director of Utilization Review is responsible for the collection, analysis and articulation of required clinical data to insurance providers to obtain authorizations and ensure coordination with treatment services. The population served are patients' whose lives are disrupted or complicated by mental illness, behavioral disturbance, substance issues or inability to function or maintain in the community. 

Job Duties/Responsibilities: 

  • Working manager who oversees the Utilization Review coordinators
  • Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff
  • Authorizing entities to ensure initial precertification and continued authorization is achieved
  • Responsible for aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems (Midas)

Benefit Highlights 

  • Referral Bonus Program
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website: 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. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.


Qualifications

EDUCATION:

Masters Degree in nursing, social work, mental health counseling, or related field required with licensure. (RN, APRN, LPC, LMSW, LCSW, etc)

EXPERIENCE: 

A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities.

Qualifications:

EDUCATION:

Masters Degree in nursing, social work, mental health counseling, or related field required with licensure. (RN, APRN, LPC, LMSW, LCSW, etc)

EXPERIENCE: 

A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities.

Education:UNAVAILABLEEmployment Type: FULL_TIME

What Universal Health Services employees say

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Benefits

Hours and flexibility

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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

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