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Utilization Review Lcsw Jobs in Indiana (NOW HIRING)

Powers Health

Social Worker MSW - LCSW

East Chicago, IN · On-site

$30.05 - $47.32/hr

A Masters Degree in Social Work (MSW) and Licensure as a Clinical Social Worker (LCSW) is required. If not yet licensed, successful passing of the licensure examination within six months of hire is ...

Elara Caring

PRN Social Worker (LCSW)

Lafayette, IN

PRN Home Health Licensed Clinical Social Worker At Elara Caring, we believe the best place for care is where patients feel most comfortable--at home. Every day, our teams provide high-quality home ...

Elara Caring

PRN Social Worker (LCSW)

Lafayette, IN

PRN Home Health Licensed Clinical Social Worker At Elara Caring, we believe the best place for care is where patients feel most comfortable-at home. Every day, our teams provide high-quality home ...

Elara Caring

PRN Social Worker (LCSW)

Lafayette, IN · On-site

PRN Home Health Licensed Clinical Social Worker At Elara Caring, we believe the best place for care is where patients feel most comfortable-at home. Every day, our teams provide high-quality home ...

Elara Caring

PRN Social Worker (LCSW)

Lafayette, IN · On-site

PRN Home Health Licensed Clinical Social Worker At Elara Caring, we believe the best place for care is where patients feel most comfortable-at home. Every day, our teams provide high-quality home ...

ScionHealth

ZZZCase Manager II PRN

Indianapolis, IN · On-site

... utilization of resources, service delivery and compliance with external review agencies. Provides ... Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.

Ethos Care, Inc.

LCSW LISW - IN

Columbus, IN

Licensed LCSW LISW in the state of IN * Tech-savvy, team player * Must have a reliable internet connection and quiet space to see patients * Patient visit documentation must be detailed and on time

Ethos Care, Inc.

LCSW LISW - IN

Columbus, IN · On-site

Licensed LCSW LISW in the state of IN * Tech-savvy, team player * Must have a reliable internet connection and quiet space to see patients * Patient visit documentation must be detailed and on time

Ethos Care Inc

LCSW LISW - IN

Columbus, IN · On-site

Licensed LCSW LISW in the state of IN * Tech-savvy, team player * Must have a reliable internet connection and quiet space to see patients * Patient visit documentation must be detailed and on time

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All JobsUtilization Review Lcsw JobsUtilization Review Lcsw Jobs in Indiana

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 Indiana are hiring for Utilization Review Lcsw jobs?

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

Utilization Review Lcsw jobs near you
Infographic showing various Utilization Review Lcsw job openings in Indiana as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution.

Social Worker MSW - LCSW

Powers Health

East Chicago, IN • On-site

$30.05 - $47.32/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Powers Health rating

6.5

Company rating: 6.5 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

607th of 893 rated healthcare providers

Job description

Position Summary
The BHS Licensed Social Worker is a professional position with the primary responsibility of providing direct patient care in the form of psychotherapeutic services, group psychotherapy, family meetings, and discharge planning.
Job Responsibilities
  • Conducts diagnostic interviews with patients and families to determine and evaluate the patient's support system in preparation for discharge from the inpatient psychiatric units, or to optimally live in the community as an outpatient.
  • Obtains and records a complete psychosocial history (i.e. physical, emotional, psychological and spiritual components as well as the patient's current needs) through clinical interviewing the patient and significant other(s).
  • Conducts family meetings with the psychiatric inpatient and her/his significant others/family members as ordered by the Attending Psychiatrist.
  • Maintains appropriate departmental records and statistics.

Education/Experience
  • A Masters Degree in Social Work (MSW) and Licensure as a Clinical Social Worker (LCSW) is required. If not yet licensed, successful passing of the licensure examination within six months of hire is required.
  • Appropriate clinical psychiatric experience as indicated in the intern's clinical training program.
  • Clinical knowledge of DSM-V diagnoses pertaining to a young adult through geriatric population.
  • Analytical ability to participate in the development of effective treatment goals, plans, guidelines, policies, procedures, and outcome measures.
  • Clinical ability to assess inpatient needs and potential for psychological improvement.
  • Ability to interact with physicians, social service providers, clerical and other member of the BHS healthcare team in addition to various community agencies.
  • Demonstrated knowledge and understanding of the principles of growth and development over the lifespan.
  • Work experience on an inpatient psychiatric unit and acquired experience in diagnostic interviewing, various recreational therapeutic modalities and discharge planning, familiarity with local agencies and facilities, and personal maturity to deliver quality clinical services according to the mission and directives of the Community Healthcare System.
  • Ability to function effectively in a multi-lingual patient care environment.

Comprehensive Benefits Program (Not all inclusive)
  • Medical, dental and vision coverage
  • Healthcare and Dependent Care Spending Accounts
  • Retirement savings plan
  • Life insurance and disability coverage options
  • Fitness center discount program
  • Tuition assistance and career development
  • Paid Time Off
  • Wellness, reward and recognition programs
  • Employee Assistance Program - Counseling, nutritional and financial education, etc.
  • Perks - Instant Discounts & Exclusive Deals on hotels, food, clothing, etc.

Join our team of healthcare professionals at
Powers Health
Apply today!
We invite you to join our team of professionals where your unique talents will be well utilized in a work environment that promotes your further growth and development. In return for your valuable service and contributions, CHS/Powers Health offers a competitive wage and benefits package along with the necessary tools, resources and mentoring opportunities to support your career advancement goals.

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