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Utilization Review Lcsw Jobs in Virginia (NOW HIRING)

Battelle

Licensed Clinical Social Worker

Arlington, VA · On-site

... review by the managing physician * Routinely staff difficult cases with the referring provider ... We will support positive programs for equal treatment of all staff and full utilization of all ...

Battelle

Licensed Clinical Social Worker

Norfolk, VA · On-site

... review by the managing physician * Routinely staff difficult cases with the referring provider ... We will support positive programs for equal treatment of all staff and full utilization of all ...

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Utilization Review Lcsw information

What are the key skills and qualifications needed to thrive as a Utilization Review LCSW, and why are they important?

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.

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.

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What cities in Virginia are hiring for Utilization Review Lcsw jobs? Cities in Virginia with the most Utilization Review Lcsw job openings:
Utilization Review Lcsw jobs near you
Infographic showing various Utilization Review Lcsw job openings in Virginia as of May 2026, with employment types broken down into 1% Internship, 1% As Needed, 25% Full Time, 71% Part Time, and 2% Contract. Highlights an 92% Physical, and 8% Remote job distribution.
Licensed Clinical Social Worker (LCSW)

Licensed Clinical Social Worker (LCSW)

Adelphi Medical Staffing, LLC

Chesapeake, VA • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Job Description
Adelphi is seeking a Licensed Clinical Social Worker (LCSW) to provide social work and student support services in a school setting located in Chesapeake, Virginia.
The ideal candidate will work closely with school administration to provide services to students in accordance with established guidelines and standards of practice.
Job Quick Facts:
• ID: BD-1321-04
• Profession: Allied Health
• Specialty: Licensed Clinical Social Worker (LCSW)
• Location: Chesapeake, Virginia
• Facility Type: School
• Job Type: Contract
• Shift Schedule: Mon-Fri 8 hours a day
• Rate: $ 50/hr
Requirements:
• Master of Social Work (MSW)
• Active licensure (LCSW preferred, or eligibility per Virginia requirements)
• Pupil Personnel Services License (or ability to obtain)
Responsibilities:
• Provide services supporting student needs in accordance with IDEA
• Maintain confidentiality in compliance with HIPAA and FERPA
• Demonstrate professionalism and ethical conduct
• Work within District schedules and operational hours
• Follow District policies and supervisory direction
• Notify appropriate personnel of absences
• Comply with all required screenings and training
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About Adelphi Medical Staffing

Sourced by ZipRecruiter

Adelphi Medical Staffing is a reputable company based in Kennesaw, Georgia, US, that operates in the healthcare sector. They offer specialized solutions in the healthcare industry, primarily medical staffing services by bridging the gap between healthcare professionals seeking job opportunities and healthcare facilities in need of competent professionals. Although the details on the company's founding history are not specified on their website, their extensive experience in staffing and healthcare speaks volumes about their reliability and professional commitment. Their mission is to provide high quality, reliable healthcare staffing services that contribute to improved patient satisfaction. Adelphi Medical Staffing prides itself on the core values of integrity, innovation, customer satisfaction, and teamwork. They strive for greatness in all they do and have a pivotal role in fostering improved healthcare services within a myriad of healthcare facilities.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Kennesaw, GA, US

Year founded

2017

Social media

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