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Utilization Review Lcsw Jobs in Raleigh, NC (NOW HIRING)

Headway

Licensed Clinical Social Worker

Raleigh, NC

$120/hr

" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $120/hour Licensed Clinical Social Worker -- Are you ready to launch or expand your private practice? Headway is here to help you start accepting ...

Headway

Licensed Clinical Social Worker

Raleigh, NC · On-site +1

$120/hr

" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $120/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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All JobsUtilization Review Lcsw JobsUtilization Review Lcsw Jobs in Raleigh, NC

Utilization Review Lcsw information

See Raleigh, NC salary details

$15

$31

$52

How much do utilization review lcsw jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for utilization review lcsw in Raleigh, NC is $31.05, according to ZipRecruiter salary data. Most workers in this role earn between $21.73 and $39.47 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.

What are the most commonly searched types of Utilization Review Lcsw jobs in Raleigh, NC?

The most popular types of Utilization Review Lcsw jobs in Raleigh, NC are:

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The top searched job categories for Utilization Review Lcsw jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Utilization Review Lcsw jobs?

Cities near Raleigh, NC with the most Utilization Review Lcsw job openings:

Utilization Review Lcsw jobs near you
Infographic showing various Utilization Review Lcsw job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $64,581 per year, or $31 per hour.

LCSW Licensed Clinical Social Worker

Senior Behavioral Care

Durham, NC • On-site

Full-time

Re-posted 15 days ago

Job description

Quality Behavioral Health ServicesFloridaNOW HIRING:LCSW Licensed Clinical Social Worker

Join a team of LCSW professionals and leave an everlasting impression on your client.

Quality Behavioral Health Services provides therapeutic care to residents at nursing home facilities.

NOW HIRING:

LCSW Licensed Clinical Social Worker

Benefits:

  • NEW HIRE BONUS!
  • * Competitive compensation
  • * Super Flexible schedule 7am - 7pm / 7 days a week
  • * Fee for service FT/PT
  • * No billing hassle!
  • * Built in case load
  • * No cancellations or no shows
  • * Extremely rewarding experiences

Responsibilities:

Clinicians provide therapeutic care to residents at nursing home facilities. You provide the therapy we handle the back-end.

Qualifications:

  • * LCSW in NC
  • * Interest in the geriatric population
  • * Basic computer skills

Apply today:

LCSW Licensed Clinical Social Worker