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Remote Utilization Review Social Worker Jobs in Raleigh, NC

Red Oak Recovery Center

Clinical Director

Durham, NC · Remote

$90K - $100K/yr

This is a dually licensed position that requires full LCMHC/LCSW/LMFT supervision licensure and ... Participate in utilization review meetings, representing patient needs in both clinical and ...

Senture

Medical Director

Raleigh, NC · Remote

While this position allows remote work, the individual must reside within the state of North ... Minimum three (3) years of experience supporting policy interpretation, utilization review ...

Directive

Paid Social Manager (Remote US)

Raleigh, NC · Remote

... and utilization * Work directly with Associate Director to ensure internal and client goals are ... years experience working at a performance/digital marketing agency, with hands-on experience ...

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Remote Utilization Review Social Worker information

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$41

$67

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

As of Aug 26, 2026, the average hourly pay for remote utilization review social worker in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 per hour, depending on experience, location, and employer.

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 Raleigh, NC?

The most popular types of Utilization Review Social Worker jobs in Raleigh, NC are:

What are popular job titles related to Remote Utilization Review Social Worker jobs in Raleigh, NC?

For Remote Utilization Review Social Worker jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Social Worker jobs in Raleigh, NC look for?

The top searched job categories for Remote Utilization Review Social Worker jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Utilization Review Social Worker jobs?

Cities near Raleigh, NC with the most Remote Utilization Review Social Worker job openings:

Remote Utilization Review Social Worker jobs near you
Infographic showing various Remote Utilization Review Social Worker job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.

Remote Licensed Clinical Social Worker (LCSW)

Raleigh, NC • Remote

Gotham Enterprises Ltd
Recruiting and Staffing Services • 201 - 500 employees
Learn more about Gotham Enterprises Ltdexternal

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

Posted 28 days ago

Job description

Licensed Clinical Social Worker | North Carolina

Job Summary

As a Remote Licensed Clinical Social Worker, you will provide virtual therapy services for clients throughout North Carolina who need professional support for emotional, behavioral, and life-related challenges. The role includes completing clinical intakes, identifying treatment priorities, providing ongoing therapy, and helping clients make steady progress toward practical mental health goals.

This position calls for a clinician with sound judgment, strong documentation habits, and the ability to create a professional therapy experience through telehealth.

Role Overview

Location: North Carolina
Setting: Remote / Telehealth
Employment Type: Full-Time
Compensation: $115,000-$120,000 annually with full benefits
Schedule: Monday-Friday, 9:00 AM-5:00 PM

Responsibilities

  • Conduct scheduled therapy appointments through a secure video platform
  • Complete biopsychosocial assessments and gather relevant clinical information
  • Establish treatment goals based on client concerns and clinical presentation
  • Provide therapy for clients managing anxiety, depression, grief, trauma, adjustment issues, and interpersonal stress
  • Track client response to treatment and revise goals as needed
  • Prepare progress notes and clinical records within required timelines
  • Maintain ethical standards, privacy practices, and professional boundaries
  • Recognize when a client may need additional services or a higher level of care
  • Communicate clearly with clients and internal support teams when needed

Requirements

  • Master's degree in Social Work from an accredited program
  • Active and unrestricted LCSW license in North Carolina
  • Experience providing therapy or behavioral health services
  • Strong understanding of assessment, diagnosis, and treatment planning
  • Ability to manage a remote caseload with accuracy and professionalism
  • Comfortable using telehealth platforms and electronic health records
  • Reliable internet connection and a private workspace for virtual sessions

Benefits

  • Annual salary of $115,000-$120,000
  • 2 weeks PTO
  • Health Insurance
  • 401K Plan with 3% Company Match
  • Full-time employment
  • Remote work environment
  • Consistent weekday schedule

If your LCSW license is active in North Carolina and you are ready for a full-time telehealth role, send your resume for review by the hiring team.

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About Gotham Enterprises

Sourced by ZipRecruiter

Gotham Enterprises, Ltd., headquartered in Queens/Fresh Meadows, NY, is a healthcare and mental‑health staffing and job placement platform that connects licensed professionals (psychiatrists, nurse practitioners, therapists, medical assistants, allied health) with in‑person, contract, per‑diem, and permanent assignments across New York State. Working through its job portal and regional offices, Gotham serves outpatient clinics, home‑care agencies, schools, and community health centers, offering roles including Licensed Mental Health Counselors (LMHC), Psychiatric–Mental Health Nurse Practitioners (PMHNP), PAs, and clinic support staff. The company is actively recruiting and retains a distributed workforce with both in‑office and remote recruiters; salaries for PMHNP roles average ~$160,000/year.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Montclair, NJ, US

Year founded

2016

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