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Part Time Utilization Review Lcsw Jobs (NOW HIRING)

Responsible for utilization review calls within BHS, including precertification, continued stay ... BSN with RN License. CERT BLS, CERT CADC, CERT CSADC, LIC CPC, LIC LCSW, LIC MSW, LIC RN. Equal ...

Current license as Licensed Clinical Social Worker (LCSW) SOUTH CAROLINA * Current state licensure ... Serves as Utilization Review and/or Advisory Board Member as requested by Administrator/Director of ...

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Part Time Utilization Review Lcsw information

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$15

$31

$53

How much do part time utilization review lcsw jobs pay per hour?

As of Jul 7, 2026, the average hourly pay for part time utilization review lcsw in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

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

To thrive as a Part Time Utilization Review LCSW, you need a master's degree in social work, active LCSW licensure, and a solid foundation in clinical assessment and case management. Familiarity with utilization review software, electronic health records, and knowledge of insurance guidelines and medical necessity criteria like InterQual or MCG is essential. Strong analytical thinking, attention to detail, and effective communication skills help you collaborate with providers and advocate for appropriate patient care. These competencies ensure accurate reviews, compliance with regulations, and optimal patient outcomes while managing healthcare resources efficiently.

What are some common challenges faced by part-time Utilization Review LCSWs, and how can they effectively manage their workload?

Part-time Utilization Review LCSWs often face challenges balancing caseloads within limited hours, staying updated on payer guidelines, and communicating efficiently with interdisciplinary teams. Effective time management and prioritization are key, as is maintaining clear and concise documentation. Building strong relationships with medical staff and proactively seeking clarification on complex cases can help streamline the review process and ensure timely authorizations.

What is the difference between Part Time Utilization Review Lcsw vs Part Time Medical Social Worker?

AspectPart Time Utilization Review LcswPart Time Medical Social Worker
CredentialsLCSW requiredMSW or LCSW often required
Work EnvironmentUtilization review departments, insurance companies, healthcare facilitiesHospitals, clinics, patient homes
Employer & IndustryInsurance companies, healthcare organizationsHospitals, outpatient clinics, community health agencies
Primary FocusReviewing medical necessity, insurance authorizationProviding psychosocial support, discharge planning

While both roles require social work credentials and involve healthcare settings, the Part Time Utilization Review Lcsw focuses on insurance review and medical necessity assessments, whereas the Part Time Medical Social Worker provides direct patient support and discharge planning. The roles differ mainly in their focus and daily tasks, though both are vital in healthcare environments.

More about Part Time Utilization Review Lcsw jobs
What cities are hiring for Part Time Utilization Review Lcsw jobs? Cities with the most Part Time Utilization Review Lcsw job openings:
What states have the most Part Time Utilization Review Lcsw jobs? States with the most job openings for Part Time Utilization Review Lcsw jobs include:
What job categories do people searching Part Time Utilization Review Lcsw jobs look for? The top searched job categories for Part Time Utilization Review Lcsw jobs are:
Infographic showing various Part Time Utilization Review Lcsw job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 81% Full Time, 13% Part Time, and 4% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.

Utilization Reviewer PRN-Behavioral Health

Woodstock Hospital

Woodstock, IL โ€ข On-site

Part-time

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Remote work from Illinois, Wisconsin, Indiana, and Iowa

Description

*Shifts are weekdays.

The Utilization Reviewer reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

Responsibilities:

  • Responsible for utilization review calls within BHS, including precertification, continued stay review, discharge reviews, and retrospective reviews and appeals.
  • Under the direction of the Utilization Review Coordinator, works closely with business office staff, clinical staff, and physicians to advocate for BHS patients with insurance and managed care companies.
  • Familiar with and understands DSM diagnoses and ASAM patient placement criteria to communicate patient status to external managed care.
  • Communicates insurance input to physicians and clinical staff making discharge plans for patients. Assists clinical staff with assessments as needed, primarily as in a back-up capacity.
  • Communicates daily with Utilization Review Coordinator, and as needed with business office and admissions staff to understand admissions and transfers, patient benefit information, and precertification status, including making precertification or notice of admission calls on patients directly to minimize financial risk to patient and facility.
  • Understands health care benefit plan provisions and managed care contracting, and communicates benefits and approval status of patients to clinical staff and physicians, and to patients and family members when needed.
  • Serves as professional representative of BHS when interacting with reviewers from insurance companies, employers, and managed care plans, and contributes to BHS marketing strategies.
  • Communicates and coordinates efforts at appealing unfavorable utilization review decisions, scheduling physician reviews, and monitoring denials and appeals, reporting to Utilization Review Coordinator. EOE Minorities/Women/Disabled/Veterans. VEVRAA Federal Contractor.

Qualifications

Required:

  • 2+ years of experience.
  • Master's Degree in Social Work or Psychology or BSN with RN License.

Preferred:

  • BSN with RN License. CERT BLS, CERT CADC, CERT CSADC, LIC CPC, LIC LCSW, LIC MSW, LIC RN.

Equal Opportunity

Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Background Check

Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check.ย  Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.ย 

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit ourย Benefitsย section to learn more.

Sign-on Bonus Eligibility (if sign-on bonus offered for position):ย Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.ย 

Qualifications:

Required:

  • 2+ years of experience.
  • Master's Degree in Social Work or Psychology or BSN with RN License.

Preferred:

  • BSN with RN License. CERT BLS, CERT CADC, CERT CSADC, LIC CPC, LIC LCSW, LIC MSW, LIC RN.
Education:Not in Patient Care Giver RoleEmployment Type: Part-time