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

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 ...

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

See Rochester, NY salary details

$15

$31

$52

How much do utilization review lcsw jobs pay per hour?

As of Jul 30, 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:
What are popular job titles related to Utilization Review Lcsw jobs in Rochester, NY? For Utilization Review Lcsw jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Utilization Review Lcsw jobs in Rochester, NY look for? The top searched job categories for Utilization Review Lcsw jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Utilization Review Lcsw jobs? Cities near Rochester, NY with the most Utilization Review Lcsw job openings:
Infographic showing various Utilization Review Lcsw job openings in Rochester, NY as of July 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 78% Full Time, 16% Part Time, and 4% Contract. Highlights an 85% Physical, 3% Hybrid, and 12% Remote job distribution, with an average salary of $65,550 per year, or $31.5 per hour.

Licensed Clinical Social Worker Supervisor

Gotham Enterprises Ltd

Rochester, NY • On-site, Remote

$250/hr

Full-time

Posted 11 days ago


Job description

Licensed Clinical Social Worker Supervisor
Location: New York
Pay: $100/hr to $250/hr
Schedule: Monday to Friday
Job Summary
Gotham Enterprises Ltd is seeking New York clinical supervisors who can provide experienced guidance to developing mental health professionals. This role is a strong fit for supervisors who enjoy helping clinicians strengthen their clinical skills, understand ethical standards, and grow with confidence.
The Find a Supervisor feature helps clinicians search for supervisors by location, license type, specialty, and supervision needs. By joining Gotham, New York supervisors can connect with clinicians who are actively looking for support that fits their professional path.
Key Responsibilities
  • Provide clinical supervision and professional guidance
  • Support case review, ethics, treatment planning, and documentation
  • Help supervisees grow in clinical skill and confidence
  • Follow New York supervision and licensing rules
  • Maintain organized supervision records

Requirements
  • Active New York clinical license in good standing
  • Eligible license types may include Licensed Marriage and Family Therapist (LMFT), Licensed Mental Health Counselor (LMHC), Psychologist, Licensed Psychoanalyst, Licensed Clinical Social Worker (LCSW), or Licensed Clinical Social Worker - R Privilege (LCSW-R)
  • Must be qualified to supervise under New York board requirements
  • Clinical supervision experience preferred

Join Gotham's Find a Supervisor platform here:
https://find-supervisor.gothamenterprisesltd.com

Gotham Enterprises logo

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