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

UHS

DIR - UTILIZATION REVIEW / MGMT

Oakland Park, FL

Masters degree in social work, counseling or related field with respective licensure (LSW, LCSW, ... Utilization Review position, such as: * Challenging and rewarding work environment * Competitive ...

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Utilization Review Lcsw information

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How much do utilization review lcsw jobs pay per hour?

As of Jul 27, 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, 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.
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Utilization Review Lcsw jobs near you
Infographic showing various Utilization Review Lcsw job openings in Boca Raton, FL as of July 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 78% Full Time, 16% Part Time, and 4% Contract. Highlights an 85% Physical, 3% Hybrid, and 12% Remote job distribution, with an average salary of $63,046 per year, or $30.3 per hour.
Licensed Clinical Social Worker (LCSW)

Licensed Clinical Social Worker (LCSW)

Gotham Enterprises Ltd

Fort Lauderdale, FL • Remote

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

Posted 10 days ago

Job description

Licensed Clinical Social Worker (LCSW)

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

Job Summary

As a Licensed Clinical Social Worker in this telehealth role, you will provide therapy to clients who are looking for support with mental health concerns, life transitions, emotional stress, and personal challenges. Your work will involve more than holding sessions. You will assess needs, build treatment plans, track progress, and help clients move toward healthier coping and decision-making.

This role is a good fit for an LCSW who enjoys direct client care and wants a full-time remote position with clear expectations.

Responsibilities

  • Meet with clients through secure video sessions
  • Perform clinical intake assessments
  • Identify client needs, risks, strengths, and treatment goals
  • Provide individual therapy using appropriate clinical methods
  • Maintain clear and timely documentation
  • Review client progress and update treatment plans as needed
  • Follow all confidentiality, telehealth, and HIPAA requirements
  • Use sound clinical judgment when addressing risk or safety concerns
  • Communicate with care support staff as needed

Requirements

  • Master’s degree in Social Work from an accredited program
  • Active Florida Licensed Clinical Social Worker license
  • Clinical experience providing therapy to adults, families, or varied client populations
  • Strong understanding of assessment, treatment planning, and documentation
  • Comfortable using telehealth platforms and electronic health records
  • Reliable internet connection and private workspace
  • Ability to work independently while staying clinically organized
  • Excellent communication and professional judgment

Benefits

  • $115,000–$120,000 per year
  • Full-time remote position
  • 2 weeks PTO
  • Health Insurance
  • 401K Plan with 3% Company Match

If you are ready to bring your clinical experience into a stable remote therapy role, we welcome your interest in this opportunity.

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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