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Utilization Review Lcsw Jobs in Delaware (NOW HIRING)

Headway

Licensed Clinical Social Worker

Dover, DE · On-site +1

$117/hr

" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $117/hour Licensed Clinical Social Worker -- Are you ready to launch or expand your private practice? Headway is here to help you start accepting ...

Headway

Licensed Clinical Social Worker

Wilmington, DE · On-site +1

$117/hr

" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $117/hour Licensed Clinical Social Worker -- Are you ready to launch or expand your private practice? Headway is here to help you start accepting ...

Headway

Licensed Clinical Social Worker

Wilmington, DE

$117/hr

" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $117/hour Licensed Clinical Social Worker -- Are you ready to launch or expand your private practice? Headway is here to help you start accepting ...

Headway

Licensed Clinical Social Worker

Dover, DE

$117/hr

" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $117/hour Licensed Clinical Social Worker -- Are you ready to launch or expand your private practice? Headway is here to help you start accepting ...

Headway

Licensed Clinical Social Worker (Remote)

Dover, DE · On-site +1

$117/hr

" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $117/hour Licensed Clinical Social Worker -- Are you ready to launch or expand your private practice? Headway is here to help you start accepting ...

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All JobsUtilization Review Lcsw JobsUtilization Review Lcsw Jobs in Delaware

Utilization Review Lcsw information

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 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 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.

How to become a utilization review LCSW?

To become a utilization review LCSW, you must first earn a Master of Social Work (MSW) degree from an accredited program and obtain licensure as a Licensed Clinical Social Worker (LCSW) by meeting state-specific requirements, which typically include supervised clinical experience and passing a licensing exam. Additional training or certification in utilization review or healthcare management can enhance qualifications for this role.
What are popular job titles related to Utilization Review Lcsw jobs in Delaware? For Utilization Review Lcsw jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Utilization Review Lcsw jobs in Delaware look for? The top searched job categories for Utilization Review Lcsw jobs in Delaware are:
Utilization Review Lcsw jobs near you
Infographic showing various Utilization Review Lcsw job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Licensed Clinical Social Worker (LCSW)

Gotham Enterprises Ltd

Georgetown, DE • On-site, Remote

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

Posted 7 days ago

Job description

Licensed Clinical Social Worker (LCSW)
Delaware Full-Time Remote
Compensation: $115,000-$120,000 annually with full benefits
Hours: Monday-Friday, 9:00 AM-5:00 PM
About the Role
This position is designed for an LCSW who values direct client care and a consistent weekday schedule. You will work with clients experiencing anxiety, depression, stress, life transitions, and other behavioral health concerns.
Your role will include evaluating needs, providing therapy, tracking progress, and helping clients access appropriate clinical and community support.
What You Will Do
  • Complete intake interviews and biopsychosocial assessments
  • Establish diagnoses within your professional scope
  • Create practical, client-centered treatment goals
  • Conduct scheduled virtual therapy sessions
  • Review progress and adjust care when needed
  • Provide referrals for additional services

Requirements
  • Graduate degree in social work from a qualifying program
  • Current Delaware LCSW license
  • Direct experience providing behavioral health treatment
  • Sound clinical judgment and decision-making skills

Benefits
  • 2 weeks of paid time off
  • Health insurance coverage
  • 401(k) with a 3% company match
  • Fully remote employment

Put your Delaware LCSW license to work in a professional telehealth setting. Share your qualifications with our recruitment team.
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

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