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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 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 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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Utilization Review Lcsw jobs near you
Licensed Clinical Social Worker (LCSW)

Licensed Clinical Social Worker (LCSW)

Gotham Enterprises Ltd

Fort Lauderdale, FL • On-site, Remote

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

Posted 10 days ago

Job description

Licensed Clinical Social Worker (LCSW)
Job Summary
We are seeking a Licensed Clinical Social Worker to provide virtual mental health services to clients in Tampa. This role involves meeting with clients online, learning about their concerns, identifying practical treatment goals, and helping them work through emotional, behavioral, and life-related challenges.
You will provide therapy in a professional telehealth setting while maintaining clear records, ethical boundaries, and consistent client care. This role is suited for an LCSW who enjoys direct clinical work and can manage client sessions with care, structure, and good clinical judgment.
Key Details
  • Location: Fort Lauderdale, FL
  • Work Setting: Remote / Telehealth
  • Position Type: Full-Time
  • Salary: $115,000-$120,000 per year with full benefits
  • Schedule: Monday-Friday, 9:00 AM-5:00 PM

Responsibilities
  • Provide remote individual therapy to clients
  • Complete intake screenings and clinical assessments
  • Identify symptoms, barriers, risks, and treatment needs
  • Build individualized treatment plans and update them as care progresses
  • Help clients develop coping strategies, communication tools, and healthier routines
  • Keep clinical documentation complete and up to date
  • Follow all state, ethical, and HIPAA standards for virtual care
  • Refer clients to additional support when clinically appropriate

Requirements
  • Master's degree in Social Work from an accredited program
  • Active and unrestricted LCSW license in Florida
  • Previous experience providing therapy or clinical social work services
  • Comfortable delivering care through telehealth platforms
  • Strong clinical assessment, documentation, and communication skills
  • Ability to work independently while maintaining professional standards
  • Reliable internet connection and a private workspace for virtual sessions

Benefits
  • $115,000-$120,000 per year
  • Full benefits package
  • 2 weeks PTO
  • Health Insurance
  • 401K Plan with 3% Company Match
  • Remote work setting
  • Consistent weekday schedule

If you are ready to bring your clinical skills into a remote therapy setting, we would be glad to review your application.
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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