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Remote Utilization Review Social Worker Jobs in Virginia

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Remote Utilization Review Social Worker information

What does a remote utilization review social worker do?

A Remote Utilization Review Social Worker evaluates patient care plans and medical records to ensure that healthcare services are medically necessary, appropriate, and cost-effective. Working remotely, they collaborate with healthcare providers, insurance companies, and patients to review treatment plans and make recommendations on care approvals or alternatives. Their goal is to help manage healthcare costs while ensuring patients receive the care they need, often working within hospitals, insurance companies, or third-party review organizations.

What are the key skills and qualifications needed to thrive as a remote utilization review social worker?

To thrive as a Remote Utilization Review Social Worker, you need a background in social work (often a MSW and relevant licensure), knowledge of medical terminology, and experience in patient care coordination. Familiarity with utilization management software, electronic health records (EHRs), and certification such as ACM or CCM is typically required. Strong analytical thinking, communication skills, and the ability to work independently are vital soft skills for this position. These skills ensure effective patient advocacy, compliance with regulations, and optimal resource utilization in a remote healthcare environment.

How does a remote utilization review social worker typically collaborate with interdisciplinary teams while working off-site?

Remote Utilization Review Social Workers regularly communicate with physicians, nurses, case managers, and insurance representatives through virtual meetings, secure emails, and electronic health record systems. Despite working remotely, they play a key role in ensuring appropriate patient care by reviewing cases, discussing treatment plans, and advocating for necessary services. Collaboration often involves scheduled case conferences and prompt responses to queries, requiring strong organizational and digital communication skills. Building effective working relationships remotely is crucial for delivering coordinated, patient-centered care.

What are the most commonly searched types of Utilization Review Social Worker jobs in Virginia?

The most popular types of Utilization Review Social Worker jobs in Virginia are:

What cities in Virginia are hiring for Remote Utilization Review Social Worker jobs?

Cities in Virginia with the most Remote Utilization Review Social Worker job openings:

Infographic showing various Remote Utilization Review Social Worker job openings in Virginia as of August 2026, with employment types broken down into 80% Full Time, 10% Part Time, and 10% Contract. Highlights an 5% Hybrid, and 95% Remote job distribution.

Full-Time Licensed Clinical Social Worker (LCSW) - Remote Position

Refreshed Mind Clinic

Norfolk, VA โ€ข Remote

Full-time

Medical, Retirement, PTO

Posted 8 days ago


Job description

Position Overview

Refreshed Mind Clinic is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our innovative and growing team. This full-time remote position provides a unique opportunity to impact the lives of individuals and families by offering detailed outpatient mental health therapy. With a competitive salary range of USD 85,000 โ€“ 100,000 annually, this role is pivotal in enhancing access to high-quality mental healthcare.

About the Organization

At Refreshed Mind Clinic, we are committed to enriching the mental health landscape in Norfolk, Virginia. Our mission is to foster healing and balance for all our patients. We prioritize a safe and inclusive environment where both patients and team members feel valued and supported. By integrating diverse therapeutic approaches and evidence-based practices, we aim to empower those we serve to overcome personal challenges and improve their quality of life.

Work Environment

This position offers the flexibility of remote work, enabling you to manage your schedule while maintaining a work-life balance. Our collaborative virtual facility connects a multidisciplinary team, allowing for comprehensive patient care. In this supportive setting, youโ€™ll engage directly with peers and professionals who share a commitment to excellence and ethical practice.

Key Responsibilities
  • As an LCSW, you will provide thorough assessments and evaluations of patients to diagnose and resolve psychosocial issues that may stem from various mental or physical health conditions.
  • Document social work activities in patients' medical records according to departmental standards and ensure adherence to the NASW Code of Ethics.
  • Utilize clinical judgment to develop personalized treatment plans employing both individual and group therapy modalities.
  • Create and lead educational sessions that guide patients and families in understanding treatment protocols and recommendations, facilitating a smooth recovery process.
  • Interface regularly with medical staff to share insights into patient backgrounds, thus integrating social considerations into the overall care plan, which promotes enhanced compliance and satisfaction.
  • Conduct bio-psychosocial evaluations aimed at identifying barriers to treatment and maximizing resource utilization.
  • Provide advocacy support to patients in navigating community resources, thereby uplifting their social support networks.
  • Maintain continuous education and training pertinent to your role, ensuring that your practice remains aligned with the latest developments in the mental health field.
  • Participate actively in routine case reviews and department meetings to foster a culture of excellence and improvement.
Patient Population / Client Focus

In this position, you will work with a diverse client base that spans various age groups and backgrounds, encountering a wide range of mental health challenges. Your expertise will cater particularly to underserved populations within our community, where access to mental health services is limited. You will play a crucial role in promoting better health outcomes, self-determination, and empowerment within your practice.

Qualifications
  • A Masterโ€™s Degree in Social Work from an accredited institution.
  • A current LCSW license issued by the State Board of Social Work Licensure is mandatory.
  • Knowledge and understanding of aging processes, human development, and cultural diversity are essential.
  • At least one year of clinical experience in a healthcare or mental health setting is preferred.
Preferred Experience
  • Experience in providing therapy to a wide range of patient demographics.
  • Familiarity with various evidence-based treatment modalities, including Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT).
  • Proficiency in electronic medical records (EMR) systems and documentation practices is advantageous.
Compensation and Benefits

In addition to a competitive salary ranging from USD 85,000 to 100,000 annually, we offer a comprehensive benefits package that includes health insurance, retirement savings plans, paid time off, and a sign-on bonus. Our commitment to employee well-being includes resources for professional development and mental health services to support our team's valued members.

Career Growth Opportunities

Refreshed Mind Clinic believes in promoting from within and investing in our employeesโ€™ futures. As a member of our team, you will have access to continuing education opportunities, advanced training, and pathways to potential leadership roles within the organization. We foster an environment that encourages learning, collaboration, and innovation, allowing you to grow alongside the clinic.

Why Join Our Team

Choosing to be a part of the Refreshed Mind Clinic means becoming part of a mission-driven organization that prioritizes patient-centered care. You will work in a supportive and dynamic environment, where your contributions significantly impact the lives of individuals seeking mental health support. Our belief in the importance of comprehensive and integrated care will allow you to realize your potential to facilitate change in the community.

Application Information

Interested candidates are encouraged to submit a cover letter and resume detailing their qualifications and experiences relevant to this position. Join us at Refreshed Mind Clinic and take the next step in your professional journey while making a meaningful impact in the lives of others.