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CommonSpirit Health

Social Worker LCSW

Lakewood, CO

The Licensed Clinical Social Worker is responsible for performing social work assessments and interventions as needed for inpatients, outpatients and emergency department patients. The functions of ...

CommonSpirit Health

Social Worker LCSW

Lakewood, CO · On-site

The Licensed Clinical Social Worker is responsible for performing social work assessments and interventions as needed for inpatients, outpatients and emergency department patients. The functions of ...

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$167.5K

How much do utilization management lcsw jobs pay per year?

As of May 28, 2026, the average yearly pay for utilization management lcsw in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.

What is the difference between Utilization Management Lcsw vs Medical Social Worker?

AspectUtilization Management LcswMedical Social Worker
CredentialsLCSW, often with additional certifications in utilization reviewLCSW, sometimes with clinical or medical social work certifications
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, clinics, patient homes, healthcare settings
Employer & IndustryInsurance providers, healthcare management firmsHospitals, medical facilities, outpatient clinics
Primary FocusReviewing medical necessity, authorizing services, ensuring appropriate careProviding psychosocial support, care planning, patient advocacy

The Utilization Management Lcsw primarily focuses on reviewing medical necessity and authorizing healthcare services within insurance and healthcare organizations. In contrast, a Medical Social Worker provides direct psychosocial support and patient advocacy in clinical settings. While both roles require an LCSW credential, their work environments and primary responsibilities differ significantly.

More about Utilization Management Lcsw jobs
What cities are hiring for Utilization Management Lcsw jobs? Cities with the most Utilization Management Lcsw job openings:
What states have the most Utilization Management Lcsw jobs? States with the most job openings for Utilization Management Lcsw jobs include:
What job categories do people searching Utilization Management Lcsw jobs look for? The top searched job categories for Utilization Management Lcsw jobs are:
Utilization Management Lcsw jobs near you
Infographic showing various Utilization Management Lcsw job openings in the United States as of May 2026, with employment types broken down into 78% Full Time, 11% Part Time, and 11% Contract. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.
Clinical Social Worker- Inpatient Trauma

Clinical Social Worker- Inpatient Trauma

Duke Clinical Research Institute

Durham, NC

Other

Posted 15 days ago

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Job Summary

The Licensed Clinical Social Worker (LCSW) is responsible for managing a designated caseload to support timely assessment, planning, implementation, and evaluation of discharge plans and care transitions across the continuum of care. This role ensures optimal utilization of patient and Health System resources while maintaining compliance with CMS guidelines and all applicable regulatory agencies. The LCSW provides care coordination, psychosocial assessments, crisis intervention, and discharge planning to support safe, effective transitions of care.

Key Responsibilities

Care Coordination & Discharge Planning

  • Complete comprehensive assessments to identify patient needs related to care transitions, psychosocial factors, support systems, and discharge planning.
  • Develop and implement individualized discharge plans in collaboration with the multidisciplinary care team.
  • Coordinate arrangements for Home Health, DME, Transportation, Skilled Nursing Facility (SNF) or Acute Rehab placement, Substance Abuse Treatment, and outpatient follow-up appointments.
  • Provide patient and family education on benefits, community resources, and discharge processes.
  • Maintain effective communication with physicians, nursing, Utilization Management, and other partners to support safe, efficient care transitions.

Regulatory Compliance & Documentation

  • Ensure all work is completed in accordance with CMS regulations and external review agency requirements.
  • Maintain current knowledge of federal, state, and local regulations, benefits, reimbursement guidelines, and discharge planning standards.
  • Document assessments, interventions, and discharge plans in a timely manner per departmental guidelines.
  • Prepare reports and maintain required records as requested.

Inpatient Case Management Responsibilities

  • Complete initial psychosocial assessment within 72 hours, including evaluation of strengths, needs, and support systems.
  • Engage with patient support systems to understand dynamics and care needs.
  • Conduct family/support system therapy sessions to promote healthy functioning and successful community living.
  • Facilitate patient skillbuilding groups and assist in developing individualized safety plans.
  • Collaborate with the treatment team to assess discharge needs and provide insight into family/support functioning.
  • Participate in multidisciplinary rounds and update InterQual.
  • Typical caseload: ~10 patients.

Consult/Liaison Responsibilities

  • Complete behavioral health assessments in the Emergency Department and inpatient medical units to determine level of care and discharge needs.
  • Provide secondary support for discharge planning for patients receiving treatment primarily for medical conditions.
  • Conduct crisis assessments addressing presenting concerns, symptom severity, treatment engagement, safety, history, supports, and psychiatric diagnostic impressions.
  • Plan postdischarge psychiatric followup or referral to appropriate nextlevel facilities.
  • Manage tracking of IVC paperwork for patients awaiting psychiatric facility transfer.
  • Collaborate with multidisciplinary teams to provide psychosocial insights and discharge planning recommendations.
  • Update InterQual for observation or other non-medical-treatment patients.
  • Expected workload: approximately 3 initial assessments plus discharge planning for up to 6 patients per 8hour shift (adjusted for pediatric cases).
  • Serve as a community liaison for one mental health workgroup.

Knowledge, Skills, and Abilities

  • Ability to work effectively in a selfdirected, autonomous role.
  • Strong critical thinking and complex problemsolving abilities.
  • Excellent written and verbal communication skills.
  • Ability to multitask and manage competing priorities in a fastpaced environment.
  • Basic computer proficiency.

Minimum Qualifications

Education

  • Master's degree in Social Work from an accredited school of social work.

Experience

  • Minimum of 3 years of relevant clinical or healthcare experience.

Licensure/Certification

  • Current North Carolina licensure as a Licensed Clinical Social Worker (LCSW) through the NC Social Work Certification and Licensure Board.
  • Consult/Liaison roles also require Notary certification.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.


Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.


Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.


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