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Overnight Utilization Review Social Worker Jobs (NOW HIRING)

UHS

Utilization Review Clinician

Augusta, GA

Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) Nurses with a ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN ...

UHS

Utilization Review Clinician

Augusta, GA

Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) Nurses with a ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN ...

BJC HealthCare

Clinical Social Worker

Alton, IL · On-site

$63K - $102K/yr

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 ...

Banyan

Utilization Review Specialist

Pompano Beach, FL · On-site

$50K - $65K/yr

Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Clinical licensure (LCSW, LMHC, LPC, RN, or equivalent) - valued but not required * Experience ...

GRO Community

Utilization Review Manager

Chicago, IL · On-site

Utilization Review Manager Location: Chicago Job Type: Full-Time Reports to: Director of Revenue ... Active LCSW or LCPC clinical licensure highly preferred. Skills: * Strong knowledge of insurance ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Augusta, GA

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

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

DIR - UTILIZATION REVIEW / MGMT

Augusta, GA

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

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 ...

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Overnight Utilization Review Social Worker information

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$21

$42

$68

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

As of Aug 2, 2026, the average hourly pay for overnight 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.

How does an Overnight Utilization Review Social Worker collaborate with other healthcare professionals during off-hours?

As an Overnight Utilization Review Social Worker, you will frequently coordinate with on-call physicians, nursing staff, and case managers to assess patient needs and ensure appropriate care transitions. Communication often happens through secure electronic health records and scheduled check-ins, as many team members may not be onsite overnight. You'll need to be comfortable with independent decision-making while still working as part of a multidisciplinary team, escalating urgent issues when necessary. This role requires strong organizational skills and the ability to synthesize information quickly to support timely utilization reviews, even when resources are limited during nighttime hours.

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

To thrive as an Overnight Utilization Review Social Worker, you need a master's degree in social work (MSW), clinical assessment skills, and knowledge of healthcare regulations and insurance requirements. Familiarity with utilization management software, electronic health records (EHRs), and accreditation standards such as CMS or The Joint Commission is typically required. Strong analytical thinking, effective communication, and the ability to work independently during overnight hours are key soft skills for success. These skills ensure timely and accurate evaluations of patient care needs, support compliance, and facilitate efficient resource utilization in healthcare settings.

What is the difference between Overnight Utilization Review Social Worker vs Overnight Case Manager?

AspectOvernight Utilization Review Social WorkerOvernight Case Manager
Primary FocusAssessing medical necessity and reviewing patient cases for insurance or healthcare providersCoordinating patient care plans and ensuring service delivery
Work EnvironmentHospitals, insurance companies, healthcare facilities, often overnight shiftsHospitals, clinics, insurance companies, often overnight shifts
Required CredentialsSocial Work degree, LCSW or similar, clinical experienceSocial Work or related degree, case management certification often preferred

While both roles involve social work and healthcare settings, the Overnight Utilization Review Social Worker primarily focuses on reviewing patient cases for medical necessity, whereas the Overnight Case Manager coordinates care plans and services. Both roles require social work credentials and often operate overnight shifts in healthcare environments.

What is an Overnight Utilization Review Social Worker?

An Overnight Utilization Review Social Worker is a licensed social worker who evaluates patient admissions and ongoing hospital stays during overnight hours to ensure they meet clinical and insurance criteria for medical necessity. They review medical records, collaborate with healthcare teams, and communicate with insurance providers to support appropriate care and reimbursement. This role helps hospitals manage resources efficiently while advocating for patient needs, often working in shifts that cover nights, weekends, or holidays.
What cities are hiring for Overnight Utilization Review Social Worker jobs? Cities with the most Overnight 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 Overnight Utilization Review Social Worker jobs? States with the most job openings for Overnight Utilization Review Social Worker jobs include:
Overnight Utilization Review Social Worker jobs near you
Infographic showing various Overnight Utilization Review Social Worker job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 20% Part Time, 1% Temporary, and 1% Contract. Highlights an 88% Physical, and 12% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Behavioral Health Social Worker, Utilization Review, Days

ScionHealth

Palestine, TX • On-site

Full-time

Re-posted 20 days ago

ScionHealth rating

5.6

Company rating: 5.6 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

800th of 887 rated healthcare providers

Job description

Join Palestine Regional Medical Center in Palestine, TX, a 150-bed hospital that has recently earned the prestigious Leapfrog "A" Safety Grade, the Platinum Award for quality from parent-company ScionHealth, and certification as a Chest Pain Center and Level IV Trauma facility. Palestine Regional provides a range of comprehensive care, including the latest in diagnostic, therapeutic, and rehabilitative services, both on an inpatient and outpatient basis. Palestine Regional is an integral part of the local community, giving you the chance to grow your career while making a real impact close to home.
Job Summary
The Social Worker-Utilization Review monitors adherence to the hospital's utilization review plan to ensure appropriate use of hospital services, admissions, and extended stays. The Social Worker-Utilization Review performs pre-certification, concurrent review, and discharge planning in accordance with applicable guidelines and acts as a liaison to support safe, timely, and medically necessary care.
Essential Functions
  • Ensures the medical necessity and appropriateness of all hospital admissions per established criteria
  • Performs concurrent medical record reviews to justify continued stay and documents appropriately
  • Coordinates with care team to facilitate timely and effective discharge planning
  • Communicates with third-party payers and managed care entities to provide required documentation
  • Collaborates with social services and case management to streamline patient transitions and reduce readmissions
  • Reviews and monitors patient charts in alignment with medical staff performance improvement metrics
  • Contributes to organizational quality goals and achieves performance targets in a timely manner

Knowledge/Skills/Abilities/Expectations
  • Strong clinical assessment and critical thinking skills
  • Ability to interpret medical records, criteria, and regulations
  • Knowledge of utilization review processes, discharge planning, and payer requirements
  • Proficient in communication and coordination with interdisciplinary teams
  • Skilled in documentation, confidentiality practices, and health information systems
  • Demonstrates resilience, adaptability, and the ability to manage stress effectively
  • Frequent use of computers and telephone
  • Must be able to sit or stand for prolonged periods
  • Occasional lifting of up to 25 pounds
  • Frequent walking and light movement required during audits or rounding
  • Hospital setting with exposure to general healthcare conditions
  • May involve contact with patients, families, and medical records
  • Potential exposure to communicable diseases, bloodborne pathogens, and chemicals
  • Fast-paced environment requires focus, accuracy, and confidentiality

Qualifications
Education
  • Bachelor of Social Work degree from an accredited school of social work (Required) and
  • Master of Social Work degree from an accredited school of social work (Preferred)

Licenses/Certifications
  • Licensed in the state of practice as LBSW, LMSW, or LCSW.
  • License must be current and without restrictions.

Experience
  • Two (2) years of progressive clinical experience preferred; psychiatric healthcare experience desirable

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