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Temporary Utilization Review Social Worker Jobs in Indiana

SD Department of Veterans Affairs

Social Worker

Marion, IN · On-site

$62K/yr

Employees who are appointed on a temporary basis prior to the effective date of the qualification ... Social Worker Qualifications, GS-0185-09 GS-09 Social Worker - Knowledge, Skills and Abilities: In ...

ScionHealth

ZZZCase Manager II PRN

Indianapolis, IN · On-site

... utilization of resources, service delivery and compliance with external review agencies. Provides ... Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.

Goshen Health

Social Worker

Goshen, IN

The Licensed Social Worker (LSW) ensures the experience of care for the patient and family is ... The social work role is accountable for multiple performance and utilization risk components, such ...

Goshen Health

Social Worker

Goshen, IN · On-site

The Licensed Social Worker (LSW) ensures the experience of care for the patient and family is ... The social work role is accountable for multiple performance and utilization risk components, such ...

Oaklawn

Social Worker / Therapist

South Bend, IN · On-site

$60K/yr

Social Worker / Therapist - Adult Clinical Services Are you looking for a rewarding and supportive ... Candidates with or eligible for a temporary license will be considered at a pro-rated salary.

Oaklawn

Social Worker / Therapist

South Bend, IN · On-site

$60K/yr

Social Worker / Therapist - Adult Clinical Services Are you looking for a rewarding and supportive ... Candidates with or eligible for a temporary license will be considered at a pro-rated salary.

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Temporary Utilization Review Social Worker information

What is a temporary utilization review social worker?

A Temporary Utilization Review Social Worker is a licensed social worker hired on a short-term basis to assess the necessity, efficiency, and appropriateness of healthcare services provided to patients. They review patient records, coordinate with healthcare teams, and ensure that treatments meet established guidelines and insurance requirements. Their primary goal is to help manage healthcare costs while ensuring patients receive appropriate care. Temporary positions may be used to cover for staff shortages, leaves, or increased workload periods.

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

To thrive as a Temporary Utilization Review Social Worker, you need a solid background in social work, case management, and utilization review processes, typically supported by an MSW degree and relevant licensure (such as LCSW or LMSW). Experience with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines are commonly required. Strong communication, critical thinking, and organizational skills help you effectively advocate for patients and collaborate with healthcare teams. These competencies ensure appropriate care planning, resource allocation, and compliance with healthcare regulations while supporting positive patient outcomes.

What are common challenges faced by temporary utilization review social workers, and how can they be managed?

Temporary Utilization Review Social Workers often encounter challenges such as quickly adapting to new healthcare systems, managing large caseloads, and ensuring timely documentation to meet strict deadlines. Because the role is temporary, building rapport with team members and understanding organizational policies can also be demanding. Building strong communication skills, staying organized, and proactively seeking clarification on procedures can help manage these challenges effectively. Additionally, leveraging mentorship from permanent staff can ease the transition and support success in the position.

What is the difference between Temporary Utilization Review Social Worker vs Medical Social Worker?

AspectTemporary Utilization Review Social WorkerMedical Social Worker
CredentialsRelevant social work degree, licensure, and possibly utilization review certificationsSocial work degree, licensure, and clinical social work certification
Work EnvironmentHealthcare facilities, insurance companies, utilization review departmentsHospitals, clinics, mental health facilities, community agencies
Employer & IndustryInsurance companies, healthcare organizations, utilization review firmsHospitals, outpatient clinics, mental health agencies
Common Search & ComparisonYesNo

The main difference is that Temporary Utilization Review Social Workers focus on evaluating medical necessity for insurance purposes, often working in utilization review departments. Medical Social Workers provide direct patient support, counseling, and discharge planning in healthcare settings. Both roles require social work credentials but serve different functions within the healthcare industry.

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

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

What cities in Indiana are hiring for Temporary Utilization Review Social Worker jobs?

Cities in Indiana with the most Temporary Utilization Review Social Worker job openings:

Temporary Utilization Review Social Worker jobs near you

Utilization Review Coordinator PRN

Neuropsychiatric Hospitals

Indianapolis, IN

Per diem

Medical, Dental, Vision, Retirement, PTO

Re-posted 10 days ago

Job description

About UsHealing Body and Mind.

NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it's needed most.

With locations in Indiana, Michigan, Texas, and Arizona, we're expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day

Overview

NeuroPsychiatric Hospital of Indianapolis is looking for a PRN Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.

Benefits of joining NPH

  • Competitive pay rates
  • Medical, Dental, and Vision Insurance
  • NPH 401(k) plan with up to 4% Company match
  • Employee Assistance Program (EAP) Programs
  • Generous PTO and Time Off Policy
  • Special tuition offers through Capella University
  • Work/life balance with great professional growth opportunities
  • Employee Discounts through LifeMart
Responsibilities
  • Filing documents as needed.
  • Initial Precertification with payors.
  • Concurrent Clinical review with payors.
  • Document in the electronic system daily in real time.
  • Admission audit.
  • Ensures that CON's/RON's and CMS certifications are completed by provider.
  • Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
  • Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
  • Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
  • Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
  • Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
  • Complies with hospital expectations regarding ethical behavior and standards of conduct.
  • Complies with federal and hospital requirements in the areas of protected health information and patient information.
  • Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
  • Provides education to nursing staff. ;eadership team, and providers regarding documentation.
  • Actively works with the business office regarding resolution of appeals/denials and retrospective reviews. 
Qualifications

Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.

Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.

Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.

Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW

Employment Type: OTHER

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