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

Cleveland Clinic

Social Worker LCSW

Weston, FL · On-site

Provide crisis intervention expertise as necessary including utilization of high-risk screening ... Licensed Clinical Social Work (LCSW) * Effective verbal, written and computer skills Preferred ...

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Utilization Review Lcsw information

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How much do utilization review lcsw jobs pay per hour?

As of Sep 2, 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 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 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 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 cities near Boca Raton, FL are hiring for Utilization Review Lcsw jobs?

Cities near Boca Raton, FL with the most Utilization Review Lcsw job openings:

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, 80% Full Time, 16% Part Time, 2% Contract, and 1% Nights. 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)

Aviata Health Group

West Palm Beach, FL • On-site

$70K - $80K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

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

Job description

Join Our Rapidly Growing Team!

As we continue to grow, we are looking for full-time licensed clinical social workers to work with the geriatric population in a Skilled Nursing and/or Assisted Living setting. Our psychotherapy include:

·         Work-life balance with weekday schedules

·         Competitive salary plus uncapped bonus compensation 

·         Health, Vision, & Dental Insurance available

·         3 weeks PTO plus 6 paid holidays

·         Malpractice & Tail insurance provided

·         Steady patient referral flow

·         401k with company match

·         Paid licensure renewals

·         Supportive management team

Why Work With Us?

Working with us provides:

  • A dedicated patient base and a consistent referral flow, eliminating the need to worry about referral volume.

  • Be a part of the skilled nursing facility’s integrated care team along with our nurse practitioners, psychiatric nurse practitioners, psychologists, LCSWs, and podiatrists.

  • A balanced work-life schedule with flexible hours. No nights, weekends, or off-hours are required.

  • Malpractice insurance coverage of $1 million/$3 million, provided.

  • Salary of $70,000-$80,000 commiserate with relevant experience with additional room from growth.

  • Uncapped bonus opportunity

Qualifications

·         Hold an active and unrestricted LCSW in the state of Florida

·         A completed masters in social work.

https://info.flclearinghouse.com/