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Utilization Review Lcsw Jobs in Reno, NV (NOW HIRING)

Director of Case Management

Reno, NV · On-site

$120 - $165/hr

... managers, social workers and case management coordinators/discharge planners, utilization review ... Licensed clinician in your state or; * Grandfathered prior to April 1, 2015. Minimum 5 years' post ...

... managers, social workers and case management coordinators/discharge planners, utilization review ... Licensed clinician in your state or; * Grandfathered prior to April 1, 2015. Minimum 5 years' post ...

Essential Qualifications Licensure or provisional licensure as a Social Worker, Clinical Social ... tools; review medical, legal and law enforcement reports; and evaluate client resources for the ...

SOCIAL WORKER 2

Carson City, NV · On-site

$64K - $96K/yr

Essential Qualifications Licensure or provisional licensure as a Social Worker, Clinical Social ... tools; review medical, legal and law enforcement reports; and evaluate client resources for the ...

Showing results 41-60

Utilization Review Lcsw information

See Reno, NV salary details

$15

$31

$53

How much do utilization review lcsw jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for utilization review lcsw in Reno, NV is $31.85, according to ZipRecruiter salary data. Most workers in this role earn between $22.31 and $40.53 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 Reno, NV? The most popular types of Utilization Review Lcsw jobs in Reno, NV are:
What job categories do people searching Utilization Review Lcsw jobs in Reno, NV look for? The top searched job categories for Utilization Review Lcsw jobs in Reno, NV are:
What cities near Reno, NV are hiring for Utilization Review Lcsw jobs? Cities near Reno, NV with the most Utilization Review Lcsw job openings:
Infographic showing various Utilization Review Lcsw job openings in Reno, NV as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% In-person job distribution, with an average salary of $66,241 per year, or $31.8 per hour.

CLINICAL SOCIAL WORKER 2

State of Nevada (NV)

Carson City, NV • On-site

$73K - $109K/yr

Full-time

Re-posted 15 days ago


State Of Nevada rating

7.1

Company rating: 7.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

39th of 50 rated states


Job description

***THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE*** Job Summary The Division of Public and Behavioral Health, Southern Nevada Adult Mental Health Services (SNAMHS) is recruiting for Clinical Social Worker 2 at Rawson-Neal Psychiatric Hospital. Duties include overseeing the delivery of professional services, responsibility for staff coverage, space and equipment needs, budget development and monitoring, developing policies and procedures, and ensuring compliance with applicable regulations, program guidelines, and agency policy.

In addition, incumbents will participate in treatment planning and implementation by attending treatment team meetings, case conferences, or client sessions; report direct observations regarding client progress and recommend changes in the treatment plan as appropriate; evaluate necessary daily living skills and educational and vocational service needs; develop and coordinate treatment plans and implement interventions with clients in order to achieve treatment goals. Clinical Social Workers provide clinical services to clients/inmates in a residential, home, inpatient, outpatient, rehabilitation, correctional or similar setting. Clinical social work is defined as the application of methods, principles and techniques of case work, group work, community organization, administration, planning, consultation, research and psychotherapeutic methods and techniques to persons, families and groups to facilitate the diagnosis and treatment of family issues, mental and emotional conditions, illnesses and disorders, and developmental delays.

Essential Qualifications Licensure as a Clinical Social Worker by the Board of Examiners for Social Workers. Job Duties Perform client/inmate evaluations and assessments through interviews with client/inmate, families and friends and review of medical records including social, developmental, and medical history; determine strengths, presenting problems, resources, and eligibility for applicable programs and services; and identify appropriate interventions. Perform crisis interventions including client/inmate restraint or appropriate behavioral and environmental controls for clients/inmates who may be hostile, combative, aggressive or assaultive; follow established protocols and policy in order to protect clients/inmates, staff, family, and others potentially at risk due to client/inmate behavior; recommend and complete documentation for voluntary and involuntary hospitalization.

Participate in treatment planning and implementation by attending treatment team meetings, case conferences, or client/inmate sessions; report direct observations regarding client/inmate progress and recommend changes in the treatment plan as appropriate; evaluate necessary daily living skills and educational and vocational service needs; develop and coordinate treatment plans and implement interventions with clients/inmates in order to achieve treatment goals. Conduct individual, family and group therapy or intervention sessions with clients/inmates by applying a variety of therapeutic techniques in order to effect change in client/inmate behavior; determine the duration and appropriate method of therapy or intervention; establish priorities to deal with problems; identify and implement changes in the treatment process as determined by client/inmate progress. Develop and implement discharge and aftercare plans; provide information to clients/inmates regarding available resources to achieve treatment goals and facilitate client/inmate return to the least restrictive environment possible; act as an advocate through interactions with external agencies and organizations such as the courts, welfare, school, juvenile justice, probation and parole, and related social service agencies and community organizations.

Provide case management services; develop treatment plans and monitor client progress; identify, obtain, coordinate, monitor and evaluate resources and services to meet client and care provider needs; assist clients in obtaining financial assistance; coordinate treatment with outside agency service providers; monitor work sites, school, and community residential placements; advocate for the client to ensure goals are accomplished and prepare and submit reports to courts and other agencies. Develop and inspect housing arrangements such as board and care homes and supported living arrangements; conduct home visits, monitor provider's delivery of services and quality of care, and reassess client needs in order to track client progress and well being, evaluate treatment plan effectiveness, and manage resources. Contact family members, friends, employers, other hospitals or treatment programs, and social service agencies to follow up and monitor care provided according to the treatment plan; write contracts for services according to established procedures.

In hospital settings perform psychosocial evaluations and hospital casework; provide program consultation, discharge planning, and arrange for home health aftercare. Report client/inmate contacts and progress by documenting information in client/inmate charts; track and record information for statistical purposes; write required reports at established intervals; complete billing forms and other documentation as required. Review clinical records written by professionals, paraprofessionals, and technical staff to monitor and evaluate treatment effectiveness, ensure service delivery goals are met, make appropriate recommendations, and ensure documentation is completed according to established policy and procedures.

Review and evaluate program services and activities to ensure conformance to agency policies, applicable accreditation standards, licensing requirements, and community standards of care. Supervise lower-level professional and paraprofessional staff, university students and interns as assigned; provide clinical supervision and consultation regarding clinical practices and procedures. Develop and present in-service training regarding current social work topics, issues and procedures; consult and educate representatives of community service agencies and referral services; attend training seminars and participate in on-going professional development; and assist in training university students as assigned.

Perform related duties as assigned. Positions allocated to this level perform the broad range of duties described above and consistent with the license requirements established by the Board of Examiners for Social Workers. This is the journey level in the series.

Knowledge, Skills, and Abilities This job specification lists the major knowledge, skills and abilities of the job and is not all inclusive. Incumbent(s) will be expected to have knowledge, skills and abilities from a previous level. Working knowledge of: theories and principles of counseling and psychotherapy; symptoms, characteristics and treatment of mental illness, intellectual disabilities, emotional and behavioral disorders; developmental delays and family functioning; crisis intervention techniques; case management practices and procedures; individual, marital, group and family intervention techniques; family systems approaches to treating individuals with mental illness, intellectual disabilities, and development delays; treatment team dynamics; psycho-diagnostic techniques; laws governing abuse and neglect of clients/inmates; ethical standards of care and treatment; oral communication skills sufficient to confer with colleagues, clients/inmates and others; pre-vocational training and supported employment procedures.

General knowledge of: psychotropic medications including desired effects, common side effects, and drug interactions; licensing regulations applicable to the assigned clinical setting; psychometric testing; clinical (peer) review procedures. Ability to: assess, develop and implement treatment plans and goals; write comprehensive evaluations, reports and recommendations. Recruiter Contact Information: Jennifer Kauble - jenniferkauble@admin.nv.gov The State of Nevada is an equal opportunity employer dedicated to building diverse, inclusive, and innovative work environments with employees who reflect our communities and enthusiastically serve them

All applicants are considered without regard to race, color, national origin, religion or belief, age, disability, sex, sexual orientation, gender identity or expression, pregnancy, domestic partnership, genetic information (GINA), or compensation and/or wages. Please send direct Inquiries or correspondence to the recruiter listed on this announcement.


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About State of Nevada

Sourced by ZipRecruiter

The State of Nevada isn't a company in the traditional sense, but rather a governing body that manages and directs the operations of the state of Nevada. Its headquarters are located in Carson City, NV, United States. The organisation is engaged in various sectors like education, transportation, business and industry, health and human services, conservation and natural resources, and many more. It is responsible for implementing and maintaining the law and order of the state, in addition to providing essential services to its residents.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Carson City, NV, US

Year founded

1864