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Temporary Utilization Review Social Worker Jobs in Indiana

... Social Worker to join our team and be a powerful advocate for individuals, families, and ... For further information, please review the Know Your Rights notice from the Department of Labor.

Accountable for multiple performance and utilization risk components such as: * patient flows ... For further information, please review the Know Your Rights notice from the Department of Labor.

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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:

Social Worker (Program Coordinator - Suicide Prevention)

SD Department of Veterans Affairs

Fort Wayne, IN โ€ข On-site

$92K/yr

Full-time

Posted 3 days ago

New


Job description

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.Qualifications:Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
Basic Requirements:
  • Citizenship: Be a citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g this part).
  • English Language Proficiency: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. 7403(f).
  • Education: Have a master's degree in social work from a school of social work fully accredited by the Council on Social Work Education (CSWE). Graduates of schools of social work that are in candidacy status do not meet this requirement until the School of Social Work is fully accredited. A doctoral degree in social work may not be substituted for the master's degree in social work. Verification of the degree can be made by going to http://www.cswe.org/Accreditation to verify that the social work degree meets the 4 accreditation standards for a masters of social work.
  • Licensure: Persons hired or reassigned to social worker positions in the GS-0185 series in VHA must be licensed or certified by a state to independently practice social work at the master's degree level. Current state requirements may be found by going to http://vaww.va.gov/OHRM/T38Hybrid/.
May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).
Grandfathering Provision: The following is the standard grandfathering policy for all title 38 hybrid qualification standards. Please carefully review the qualification standard to determine the specific education and/or licensure/certification/registration requirements that apply to this occupation.
  1. All persons employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and licensure or certification that are part of the basic requirements of the occupation. For employees who do not meet all of the basic requirements in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply:
  2. Such employees in an occupation that requires a licensure or certification, may be reassigned, promoted up to and including the full performance (journey) level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions.
  3. Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard.
  4. Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration that meet all of the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation.
  5. If an employee who was retained in an occupation listed in 38 U.S.C. 7401(3) under this provision leaves that occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation.
NOTE: If social workers covered under the grandfathering provision of the 1991 Federal law regarding licensure or certification of VHA social workers leave the GS-0185 social work series, they lose the grandfathering protection. If they choose to return at a later date to the GS-0185 series, they must be licensed or certified to qualify for employment as a social worker.
Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.
Senior Social Worker, GS-12
Experience/Education: The candidate must have at least two years of experience 9 post advanced practice clinical licensure and should be in a specialized area of social work practice of which, one year must be equivalent to the GS-11 grade level. Senior social workers have experience that demonstrates possession of advanced practice skills and judgment. Senior social workers are experts in their specialized area of practice. Senior social workers may have certification or other post-masters training from a nationally recognized professional organization or university that includes a defined curriculum/course of study and internship or equivalent supervised professional experience in a specialty.
Licensure/Certification: Senior social workers must be licensed or certified by a state at the advanced practice level which included an advanced generalist or clinical examination, unless they are grandfathered by the state in which they are licensed to practice at the advanced practice level (except for licenses issued in California, which administers its own clinical examination for advanced practice) and they must be able to provide supervision for licensure.
Demonstrated Knowledge, Skills, and Abilities: In addition to the experience above, candidates must demonstrate all of the following KSAs:
  1. Skill in a range of specialized interventions and treatment modalities used in specialty treatment programs or with special patient populations. This includes individual, group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management.
  2. Ability to incorporate complex multiple causation in differential diagnosis and treatment within approved clinical privileges or scope of practice.
  3. Knowledge in developing and implementing methods for measuring effectiveness of social work practice and services in the specialty area, utilizing outcome evaluations to improve treatment services and to design system changes.
  4. Ability to provide specialized consultation to colleagues and students on the psychosocial treatment of patients in the service delivery area, as well as role modeling effective social work practice skills.
  5. Ability to expand clinical knowledge in the social work profession, and to write policies, procedures, and/or practice guidelines pertaining to the service delivery area.

Preferred Experience: Experience providing Mental Health Crisis Intervention. Experience working in mental health with Veteran population is preferred.
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. VA Handbook 5005/120, Part II, Appendix G39 Social Worker Qualification Standard.
The full performance level of this vacancy is GS-12.
Physical Requirements:
The work is sedentary. It occasionally requires carrying of light objects such as files, books, and
papers. Some walking, standing , and bending is required. No special physical qualifications are
required. See VA Directive and Handbook 5019.Education:Transcripts must be official or unofficial college transcripts. A copy of your certificate/degree or screenshot of your current classes are not a replacement of your transcript and they will not be used in the qualifying process. Your transcript must include your name and the name and full address of the institution.
If the position has an education requirement or you are qualifying based on education, you need to list your education history including the type of degree and your major of study. If the position requires a certain number of credit hours, you are strongly encouraged to list the relevant courses in your resume.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.Employment Type: OTHER