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

ScionHealth

Case Manager, PRN Day

Riviera Beach, FL · On-site

... utilization review and management, and discharge planning. Essential Functions Care Coordination ... Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.

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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) - Outpatient

LifeStance Health

Hollywood, FL • On-site

$65K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted yesterday

Lifestance Health rating

6.7

Company rating: 6.7 out of 10

Based on 86 frontline employees who took The Breakroom Quiz

535th of 898 rated healthcare providers

Job description

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in behavioral health.
Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team!
We are actively looking to hire talented, Spanish speaking, licensed therapists in Hollywood, FL area, who are passionate about patient care and committed to clinical excellence.
Is this you?
  • Wanting to deliver high quality behavioral healthcare.
  • Seeking work life balance.
  • Interested in growing professionally.

What we offer Therapists:
  • Flexible work schedules.
  • Telemedicine and in-person flexibility.
  • Generous 'above market' compensation with unlimited/uncapped earnings.
  • Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, EAP and more.
  • Collegial work environment.
  • Newly designed and modern offices.
  • Full administrative support.
  • Latest in digital technology.
  • Strong work/life balance.
  • Annual Income Potential - $65,000 - $100,000, compensation model based on productivity.

Licensed Therapists are a critical part of our clinical team. We're seeking Licensed Therapists that are:
  • Fully licensed (LCSW) and credentialed in one or more US states.
  • Experienced in working with adult, and/or child and adolescent populations.

About LifeStance Health
LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US.
LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.
Our values:
Belonging: We cultivate a space where everyone can show up as their authentic self.
Empathy: We seek out diverse perspectives and listen to learn without judgment.
Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.
One Team: We realize our full potential when we work together towards our shared purpose.
If you elect to interact with us via our website, please only use www.lifestance.com or www.careers.lifestance.com. Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other websites and domains are not affiliated with LifeStance Health and may represent threats to your data security.
LifeStance Health complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact our Human Resources Team at [email protected] or by calling +1-800-308-0994. Please note: This contact is intended solely for accommodation requests. Inquiries regarding applications, resumes and applicant status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official careers page.

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About LifeStance Health

Sourced by ZipRecruiter

Since LifeStance Health was founded in 2017, we have grown to over 5,000 clinicians and team members serving patients in more than 500 locations. We acquire clinical practices and open new locations across the country, with thousands of new clinicians joining our mission every year. We are reimagining mental health.

Industry

Hospitals and offices of mental health practitioners

Company size

1,001 - 5,000 Employees

Headquarters location

Scottsdale, AZ, US

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