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Utilization Review Lcsw Jobs in Arlington, VA (NOW HIRING)

Headway

Licensed Clinical Social Worker (LCSW)

Waldorf, MD · On-site

$121.74/hr

" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $121.74/hour Licensed Clinical Social Worker -- Are you ready to launch or expand your private practice? Headway is here to help you start accepting ...

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 ...

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Utilization Review Lcsw information

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How much do utilization review lcsw jobs pay per hour?

As of May 28, 2026, the average hourly pay for utilization review lcsw in Arlington, VA is $36.75, according to ZipRecruiter salary data. Most workers in this role earn between $25.72 and $46.73 per hour, depending on experience, location, and employer.

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.

What are popular job titles related to Utilization Review Lcsw jobs in Arlington, VA? For Utilization Review Lcsw jobs in Arlington, VA, the most frequently searched job titles are:
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What cities near Arlington, VA are hiring for Utilization Review Lcsw jobs? Cities near Arlington, VA with the most Utilization Review Lcsw job openings:
Utilization Review Lcsw jobs near you

Licensed Clinical Social Worker (LCSW)

Talencia

Silver Spring, MD • On-site

$55 - $60/hr

Contractor

Posted 19 days ago

Job description

Job Title: Licensed Clinical Social Worker (LCSW)
Department: Care Management (77550)
Facility: Holy Cross Hospital
Location: 1500 Forest Glen Rd., Silver Spring, MD, 20910
Shift: 8:00 AM – 4:30 PM (M–F, EOW Required)
Pay Rate: $55/hr (W2) | $60/hr (1099)
Position Overview:
Holy Cross Hospital in Silver Spring, MD is seeking an experienced Licensed Clinical Social Worker (LCSW) to join the Care Management team for a 13-week contract assignment. The ideal candidate will bring recent acute care hospital experience, with a focus on discharge planning and care coordination.
Requirements:
  • License: Active Maryland LCSW required to interview
  • Experience: Recent experience in acute care discharge planning (hospital setting)
Job Responsibilities:
  • Collaborate with interdisciplinary teams to facilitate timely and effective discharge plans
  • Perform comprehensive psychosocial assessments
  • Provide counseling and support to patients and families
  • Coordinate community and post-acute resources
  • Advocate for patients’ needs and ensure continuity of care
  • Document care plans, interventions, and outcomes accurately and efficiently