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Utilization Review Lcsw Jobs in Boca Raton, FL (NOW HIRING)

Banyan

Utilization Review Specialist

Pompano Beach, FL · On-site

$50K - $65K/yr

Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Clinical licensure (LCSW, LMHC, LPC, RN, or equivalent) - valued but not required * Experience ...

Headway

Licensed Clinical Social Worker

Hollywood, FL · On-site +1

$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 ...

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Utilization Review Lcsw information

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How much do utilization review lcsw jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for utilization review lcsw in Boca Raton, FL is $30.31, according to ZipRecruiter salary data. Most workers in this role earn between $21.20 and $38.56 per hour, depending on experience, location, and employer.

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.
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Utilization Review Lcsw jobs near you
Infographic showing various Utilization Review Lcsw job openings in Boca Raton, FL 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, with an average salary of $63,046 per year, or $30.3 per hour.

Licensed Clinical Social Worker (LCSW)

Gotham Enterprises Ltd

Hollywood, FL • Remote

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

Posted yesterday

New

Job description

Licensed Clinical Social Worker

Position Snapshot

Location: Florida
Setting: Remote / Telehealth
Employment Type: Full-Time
Compensation: $115,000–$120,000 per year with full benefits
Work Hours: Monday–Friday, 9:00 AM–5:00 PM

Job Summary

This remote Licensed Clinical Social Worker role focuses on providing consistent, high-quality therapy to clients who need professional support with mental health, emotional wellness, and everyday life stressors.

As an LCSW, your work will center on listening carefully, assessing client needs, building practical treatment plans, and helping clients move through difficult seasons with professional guidance. Sessions are provided through telehealth, giving you the ability to serve clients in a focused, structured, and accessible setting.

Responsibilities

  • Conduct remote therapy sessions with clients located in Florida
  • Assess client concerns, symptoms, strengths, and support systems
  • Develop care plans that are realistic, measurable, and clinically appropriate
  • Help clients work through challenges related to mood, stress, family issues, grief, trauma, and adjustment concerns
  • Document session notes, treatment updates, and clinical decisions accurately
  • Review client progress and update goals as care continues
  • Use secure technology to protect client privacy and maintain professional standards
  • Identify safety concerns and follow proper clinical procedures when risk is present

Requirements

  • Master’s degree in Social Work from an accredited program
  • Active and unrestricted LCSW license in Florida
  • Previous experience providing therapy, counseling, or clinical social work services
  • Comfortable using telehealth platforms and electronic health record systems
  • Strong written documentation skills
  • Ability to manage a full-time caseload in a remote environment
  • Knowledge of ethical, legal, and confidentiality requirements in mental health care
  • Experience with evidence-based treatment approaches is preferred

Benefits

  • Annual salary of $115,000–$120,000
  • Full benefits
  • 2 weeks PTO
  • Health Insurance
  • 401K Plan with 3% Company Match
  • Remote work environment
  • Predictable weekday schedule
  • Administrative support for telehealth operations
  • Opportunity to focus on direct client care

Take the next step in your clinical social work career with a remote LCSW role designed for steady, client-centered care.

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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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