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Utilization Review Lcsw Jobs in Rochester, NY (NOW HIRING)

Athena

LCSW Clinical Supervisor - Remote

Rochester, NY · Remote

$65K - $120K/yr

Engage in the Utilization Review process for assigned cases every month * Respond to clinical ... NYS Independently Licensed Mental Health Provider (PhD, LCSW, LCSW-R, etc.) * Leadership experience ...

Athena

LCSW Clinical Supervisor - Remote

Rochester, NY

$65K - $120K/yr

Engage in the Utilization Review process for assigned cases every month * Respond to clinical ... NYS Independently Licensed Mental Health Provider (PhD, LCSW, LCSW-R, etc.) * Leadership experience ...

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Utilization Review Lcsw information

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$15

$31

$52

How much do utilization review lcsw jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for utilization review lcsw in Rochester, NY is $31.51, according to ZipRecruiter salary data. Most workers in this role earn between $22.07 and $40.10 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 are the most commonly searched types of Utilization Review Lcsw jobs in Rochester, NY? The most popular types of Utilization Review Lcsw jobs in Rochester, NY are:
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Utilization Review Lcsw jobs near you
Licensed Clinical Social Worker (LCSW)

Licensed Clinical Social Worker (LCSW)

Gotham Enterprises Ltd

Rochester, NY • Remote

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

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

Job description

Licensed Clinical Social Worker (LCSW)

Job Summary

This full-time telehealth role gives Licensed Clinical Social Workers the opportunity to provide therapy from a remote setting while supporting clients throughout New York. The work includes conducting virtual sessions, building treatment plans, documenting progress, and helping clients work through personal, emotional, and mental health concerns. This position is a strong fit for an LCSW who values structure, client-centered care, and the flexibility of remote clinical work.

Location: New York
Work Setting: Remote / Telehealth
Position Type: Full-Time
Salary: $115,000–$120,000 per year
Schedule: Monday–Friday, 9:00 AM–5:00 PM

Responsibilities

  • Deliver remote therapy services to clients through video-based sessions
  • Conduct intake appointments and clinical evaluations
  • Develop practical treatment plans based on client needs and goals
  • Provide support for clients experiencing mood concerns, stress, grief, trauma, family issues, or major life changes
  • Keep clear and complete clinical notes after each session
  • Review client progress and update goals as treatment continues

Requirements

  • Master’s degree in Social Work from an accredited program
  • Active New York LCSW license in good standing
  • Previous clinical experience providing therapy or behavioral health services
  • Strong documentation and clinical assessment skills
  • Comfortable using telehealth platforms and electronic health records
  • Reliable internet connection and a private workspace
  • Ability to manage a full-time caseload with professionalism and care

Benefits

  • 2 weeks PTO
  • Health Insurance
  • 401K Plan with 3% Company Match

If you are an LCSW looking for a steady remote role where you can focus on meaningful client care, we encourage you to submit your application and take the next step in your clinical career.

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About Gotham Enterprises

Sourced by ZipRecruiter

Gotham Enterprises, Ltd., headquartered in Queens/Fresh Meadows, NY, is a healthcare and mental‑health staffing and job placement platform that connects licensed professionals (psychiatrists, nurse practitioners, therapists, medical assistants, allied health) with in‑person, contract, per‑diem, and permanent assignments across New York State. Working through its job portal and regional offices, Gotham serves outpatient clinics, home‑care agencies, schools, and community health centers, offering roles including Licensed Mental Health Counselors (LMHC), Psychiatric–Mental Health Nurse Practitioners (PMHNP), PAs, and clinic support staff. The company is actively recruiting and retains a distributed workforce with both in‑office and remote recruiters; salaries for PMHNP roles average ~$160,000/year.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Montclair, NJ, US

Year founded

2016

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