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Utilization Review Lcsw Jobs in Arizona (NOW HIRING)

Licensed Clinical Social Worker (LCSW) Licensed Clinical Social Worker (LCSW) Up to $121/hour Fully Remote or In-Person Flexible Schedule Pay & Flexibility * Hourly Rate: Up to $121 per hour.

Licensed Clinical Social Worker (LCSW) Licensed Clinical Social Worker (LCSW) Up to $121/hour Fully Remote or In-Person Flexible Schedule Pay & Flexibility * Hourly Rate: Up to $121 per hour.

Licensed Clinical Social Worker (LCSW) Licensed Clinical Social Worker (LCSW) Up to $121/hour Fully Remote or In-Person Flexible Schedule Pay & Flexibility * Hourly Rate: Up to $121 per hour.

Licensed Clinical Social Worker (LCSW) Licensed Clinical Social Worker (LCSW) Up to $121/hour Fully Remote or In-Person Flexible Schedule Pay & Flexibility * Hourly Rate: Up to $121 per hour.

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Utilization Review Lcsw information

What is a utilization review LCSW?

A Utilization Review LCSW (Licensed Clinical Social Worker) is a mental health professional who evaluates the medical necessity, appropriateness, and efficiency of mental health services for patients. They review clinical documentation to ensure that treatments meet insurance and regulatory guidelines, often acting as a liaison between healthcare providers and payers. Their goal is to ensure patients receive necessary care while also reducing unnecessary costs and maintaining compliance with healthcare policies.

What are the key skills and qualifications needed to thrive as a utilization review LCSW?

To thrive as a Utilization Review LCSW, you need a master's degree in social work (MSW), LCSW licensure, and a strong understanding of clinical assessment and care coordination. Familiarity with medical necessity criteria, insurance guidelines, and electronic health record (EHR) systems is essential, and certification in case management or utilization review is often preferred. Exceptional analytical skills, attention to detail, and clear communication help you advocate effectively for patients and collaborate with healthcare teams. These competencies ensure appropriate care, cost-effectiveness, and compliance with regulatory standards in healthcare delivery.

What are the main challenges utilization review LCSWs face when balancing clinical judgment and insurance guidelines?

Utilization Review LCSWs often encounter the challenge of aligning their clinical assessments with insurance coverage criteria, which can sometimes restrict recommended care options. Navigating these situations requires strong communication skills to advocate for appropriate patient care while adhering to payer policies. Frequent collaboration with healthcare providers and insurance representatives is essential to ensure patients receive necessary services without unnecessary delays. This balancing act can be demanding but is also highly rewarding for those who value systemic impact and patient advocacy.

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

AspectUtilization Review LcswMedical Social Worker
CredentialsLicensed Clinical Social Worker (LCSW), certification in utilization review often preferredLicensed Clinical Social Worker (LCSW), with clinical social work experience in healthcare
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, clinics, patient homes, healthcare settings
Primary FocusReviewing medical necessity, insurance approvals, and utilization managementProviding psychosocial support, discharge planning, and patient advocacy

The Utilization Review Lcsw primarily focuses on insurance review and utilization management within healthcare settings, requiring knowledge of medical necessity criteria. In contrast, Medical Social Workers provide direct patient support, counseling, and discharge planning. While both roles require an LCSW license, their daily responsibilities and work environments differ significantly.

What cities in Arizona are hiring for Utilization Review Lcsw jobs?

Cities in Arizona with the most Utilization Review Lcsw job openings:

Infographic showing various Utilization Review Lcsw job openings in Arizona as of August 2026, with employment types broken down into 61% Full Time, 28% Part Time, and 11% Contract. Highlights an 72% In-person, 6% Hybrid, and 22% Remote job distribution.

Licensed Clinical Social Worker (LCSW)

Gotham Enterprises Ltd

Peoria, AZ • On-site, Remote

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

Re-posted 15 days ago


Job description

Licensed Clinical Social Worker (LCSW)
Tucson, AZ Remote Full-Time
$115,000-$120,000 per year
Monday-Friday, 9:00 AM-5:00 PM
Position
We're hiring an Arizona-licensed LCSW for a remote clinical position. The role is primarily focused on individual therapy, with additional responsibility for clinical records, risk procedures, and occasional case consultation.
You'll have a regular weekday schedule and work with clients throughout Arizona by secure video. The position also includes opportunities to contribute to clinical reviews and support the wider team when needed.
Key Duties
  • Manage a scheduled caseload of individual therapy clients
  • Conduct intake appointments and gather relevant clinical information
  • Determine treatment priorities and document clinical impressions
  • Maintain progress notes and treatment records in the EMR
  • Review cases and make appropriate changes to ongoing care
  • Follow established procedures for risk assessment and crisis situations

Requirements
  • Active Arizona license: LCSW, LPC, LMFT, or Psychologist
  • Master's degree in counseling, social work, psychology, or related field
  • Therapy experience preferred
  • Comfortable using telehealth platforms and an EMR

Benefits
  • 2 weeks PTO
  • Health Insurance
  • 401(k) Plan with 3% Company Match

Submit your CV and your preferred interview times this week, we'll coordinate directly.

Gotham Enterprises logo

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