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Utilization Review Lcsw Jobs in Remote, OR (NOW HIRING)

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Utilization Review Lcsw information

See Remote, OR salary details

$15

$31

$53

How much do utilization review lcsw jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for utilization review lcsw in Remote, OR is $31.91, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.58 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.
What job categories do people searching Utilization Review Lcsw jobs in Remote, OR look for? The top searched job categories for Utilization Review Lcsw jobs in Remote, OR are:
What cities near Remote, OR are hiring for Utilization Review Lcsw jobs? Cities near Remote, OR with the most Utilization Review Lcsw job openings:
Utilization Review Lcsw jobs near you
Infographic showing various Utilization Review Lcsw job openings in Remote, OR as of July 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 79% Full Time, 15% Part Time, and 4% Contract. Highlights an 76% Physical, 3% Hybrid, and 21% Remote job distribution, with an average salary of $66,371 per year, or $31.9 per hour.

Licensed Clinical Social Worker

Waterfall Community Health Center

Coos Bay, OR • On-site

$78K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Job description

Waterfall Community Health Center (WCHC), located on the beautiful Oregon Coast, has an opening for a Licensed Clinical  Social Worker (LCSW).  This is a full-time or part-time fully benefited position including medical, dental, vision, life and short-term disability coverage completely paid by the employer.  We also offer a 401K with a six (6) percent match, a sign on bonus to be paid on your first paycheck of $10,000, and relocation assistance upon eligibility.
Job Title: Licensed Clinical Social Worker (LCSW).
Job Category:  Behavioral Health.
Wage Classification: Salaried/Exempt.
Location: Coos Bay.
Position Type/Status: Full-time, benefitted.
Travel: Minimal.
Salary Range: $78,994 – $100,788.21 DOE.
Reports to: Mental Health Program Mgr.
Manages Direct Reports: No (Potential Supervision Opportunities)
HR Review & Approval: 2/27/24
Job Description:
Waterfall Community Health Center (WCHC), located on the beautiful Oregon Coast, has an opening for a Licensed Clinical Social Worker (LCSW).
WCHC is an integrated patient-centered primary care clinic serving a diverse population with a special emphasis on care for persons who experience barriers to accessing care. Waterfall’s mission is to promote access to quality integrated health services that meet the needs of individuals with barriers to care on the Southern Oregon Coast.

Under the supervision and mentorship of the Mental Health Program Manager, the LCSW functions as a trauma-informed integrated behavioral health clinician providing direct patient care and who is committed to upholding the mission of the clinic, offering mental health support for patients as part of their overall care, achieving patient clinical measures, and contributing to the overall wellness of the entire community.
Duties/Responsibilities:
  • Adhere to WCHC’s mission while performing assigned duties. Demonstrate the core values of Integrity, Respect, Accountability, Compassion, Partnership, and Collaborative Communication.
  • Abide by the American Counseling Association (LCSW) code of ethics and commit to fostering a strengths framework within the work environment.
  • Provide trauma-informed counseling services within an outpatient mental health setting including evidence-based assessments and interventions.
  • Facilitate individual and/or group counseling, utilizing evidence-based approaches in treatment with a variety of mental health needs.
  • Provide referrals, attend to social determinants of health, coordinate with community partners, and operate within a fully integrated provider care team.
  • Assess patients' behavioral and mental condition based on review of patient information, interviews, observation, tests, and collaboration with other integrated care team members, along with outside community partners.
  • Keep accurate and timely records including comprehensive documentation of all patient interactions appropriately to clinic policies, licensure guidelines, and local, state, and federal guidelines.
  • Build positive rapport with a diverse patient population including those with developmental conditions, psychiatric diagnoses, and patients using substances.
  • Demonstrate ability to work independently, while actively engaging in proactive patient panel management and timely patient graduation of services
  • Foster a supportive, trauma-informed, and growth-centered approach with patients, staff, and the community.
  • Serve as a patient advocate to coordinate required services or to resolve emergency problems in crises.
  • Develop and implement treatment plans with measurable objectives and goals based on diagnostic assessment and clinical experience by DSM-5-TR standards of care.
  • Collaborates with Psychiatric and Primary Care Providers in recognizing, treating, and managing mental health and biopsychosocial issues of patients and acts as a contributing member to the care team.
  • Communicate effectively and professionally with patients including but not limited to phone calls, MyChart messages, clinical questions, and voicemails.
  • Ability to adapt and respond with communication strategies to stabilize, slow, or reduce the intensity of a potentially high-stress situation with appropriate referrals and continuity of care.
  • Maintain an unbiased, safe, and confidential environment for staff and patients while in the clinic including strict adherence to confidentiality as required by Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Support program goals to reduce cultural and socio-economic barriers between clients and institutions committed to working with marginalized and diverse community populations.
  • Potential opportunities to become a clinical supervisor with adjusted reimbursement as well as receive supervision.
  • Perform any other duties needed to help drive our vision, fulfill our mission, and meet our organization’s values.

Required Skills/Abilities:
  • Excellent verbal and written communication skills.
  • Reliable attendance and time management strategies.
  • Highly self-motivated and able to function within a team setting.
  • Able to actively listen and think critically.
  • Contribute to the community learning model by participating in clinical observation and feedback.
  • Experience with Microsoft Office Suite including Outlook, Word, Excel, and PowerPoint.
  • Experience with Electronic Health Records.
  • Able to pass a criminal background check.

Education and/or Experience and Qualifications:
  • Master’s degree in social work from an accredited University.
  • Unrestricted Oregon License and hold credentials as a Licensed Clinical Social Worker (LCSW).
  • Certification in any of the following are encouraged to apply: Eye Movement Desensitization Reprocessing (EMDR), Emotional Freedom Therapy (EFT), Acceptance and Commitment Therapy (ACT), Trauma-Focused Cognitive Behavioral Therapy (CBT), Treating Complex Trauma, or Dialectical Behavioral Therapy (DBT).
  • Non-violent Crisis Intervention Comprehensive training class completed within 6 months of hire and recertify before the expiration date. 
  • Preferred - One (1) or more years of experience working in healthcare or similar settings as a behavioral or mental health provider.
  • Preferred - Experience working in a mental health care setting with socioeconomic needs.
  • Preferred - Bilingual (Spanish).
  • Preferred - Current First Aid or BLS Certification or completion of training within 6 months of hire.

Immunizations Required:
  • TB test (upon hire).

Physical Requirements:
  • Prolonged periods sitting and/or standing at a desk working at a computer.
  • Able to lift up to 15 pounds rarely.
  • Able to travel as needed.

Benefits: 
  • CEU Allowance Available.
  • Competitive PTO Accrual (up to 193 hours of PTO accrual each year to start).
  • 7 Paid Holidays. *you must be scheduled to work the holiday to qualify for holiday pay*.
  • Medical/Dental/Vision 100% employer-paid.
  • 401K Retirement Plan 6% match.
  • Options for long-term disability.
  • $50,000 Life Insurance Policy- options for additional voluntary life.
  • Additional voluntary Critical Illness, Accident, and Hospital Indemnity coverage is available.
  • Employee Assistance Program (EAP).
  • Downtown Health and Fitness gym membership discount.
  • Headspace care employer-paid membership.
  • We also offer a $10,000 signing bonus for this position.