Utilization Review Lcsw Jobs (NOW HIRING)

Job Title: Social Worker LCSW

Location: Newark Beth Israel Medical Ctr

Department Name: Case Management

Req #: 0000262964

Status: Salaried

Shift: Day

Pay Range: $73,000.00 - $90,000.00 per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Licensed Clinical Social Worker (LCSW)

The LCSW provides direct case management services to patients and their families utilizing an interdisciplinary team approach. This role requires a working knowledge of case management responsibilities and topics including, but not limited to: assessment and documentation, discharge planning, transitions of care, interdisciplinary rounds, regulatory compliance, utilization management, revenue cycle, healthcare financing, inpatient capacity, patient flow, and healthcare related social needs (social determinants of health). This role requires collaboration with the interdisciplinary team, including physicians, clinical nurses, and others as needed. The LCSWwill actively participate in initiatives that improve key performance indicators (such as length of stay, throughput) that align with RWJBH System Goals and ensure continuity of care.The LCSW will provide clinical social work interventions, including supportive counseling, crisis intervention, and psychotherapeutic approaches that address psychosocial distress arising from illness, grief and loss, trauma, or other major life events,

As a LCSW, a typical day might include the following:

• Conduct comprehensive assessments in the electronic health record,
• Develop and implement individualized clinical interventions to support safe discharge, reduce readmissions, and coordinate care,
• Participate in interdisciplinary rounds (IDR), presenting cases and communicating discharge planning updates,
• Utilize health risk assessments and Social Determinants of Health (SDOH) screenings to identify at-risk patients and coordinate appropriate referrals,
• Complete timely referrals for post-acute care services (e,g,DME, home care, facility placement) using electronic referral systems,
• Ensure compliance with CMS Conditions of Participation, HIPAA, and organizational policies,
• Collaborate with the Utilization Review team to support insurance authorization and clinical documentation needs,
• Demonstrate working knowledge of utilization management, level of care criteria, and payment models (e,g,Medicare FFS, bundled payments, managed care),
• Proactively manage patient flow by identifying discharge barriers and escalating complex issues to appropriate leaders,
• Address healthcare-related social needs by assessing and coordinating appropriate SDOH services to support safe discharges,
• Participate in ongoing professional development, quality improvement, and department-wide initiatives focused on LOS reduction, performance, and engagement,
• Conduct specialized psychosocial assessments, when indicated, including (but not limited to) hemodialysis, transplant, perinatal, and oncologic,
• Provide evidence-based clinical social work interventions, addressing the intra- and interpersonal dynamics of illness, survivorship, life transitions, and end-of-life, with attention to how identity, roles, and systems are reshaped by serious illness.

This Role Might Be For You If:

• You are deeply passionate about creating a safe, therapeutic, and welcoming environment for individuals navigating diverse mental health conditions.
• You possess a strong knowledge of human growth and development across the entire lifespan, from children to geriatric populations.
• You excel at multi-agency collaboration and can confidently advocate for your patients with external community networks.
• You set a high bar for clinical records, taking pride in thorough, accurate, and timely documentation.
• You believe that true psychological healing is optimized and strengthened when clinical expertise meets deep kindness and empathy.

To be considered for this opportunity, you must have:

• Master of Social Work (MSW)
• 2 or more years of post-licensure experience within the healthcare field (includes home health, post-acute services)State licensure required by the NJ State Board of Social Work Examiners
• Licensed Social Worker (LSW) or Licensed Clinical Social Work (LCSW)
• EARC certification is required within 6 months of hire and will be arranged by RWJBH
• Certification in Case Management (ACM or CCM) preferred