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

Licensed Clinical Social Worker (LCSW) * Licensed Mental Health Counselor (LMHC) * Licensed Professional Counselor (LPC) * Licensed Marriage and Family Therapist (LMFT) Thank You So Much! Company ...

Licensed Clinical Social Worker (LCSW) * Licensed Mental Health Counselor (LMHC) * Licensed Professional Counselor (LPC) * Licensed Marriage and Family Therapist (LMFT) Thank You So Much! Company ...

Showing results 21-40

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 26, 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 Social Worker

Licensed Social Worker

University of Rochester

Rochester, NY • On-site

$63K - $85K/yr

Full-time

Posted 21 days ago


University Of Rochester rating

8.3

Company rating: 8.3 out of 10

Based on 185 frontline employees who took The Breakroom Quiz

123rd of 611 rated colleges and universities


Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
601 Elmwood Ave, Rochester, New York, United States of America, 14642
Opening:
Work Shift:
UR - Rotating (United States of America)
Range:
UR URCC 211
Compensation Range:
$63,086.00 - $85,176.00
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
URMC is looking for individuals to join Strong Memorial Hospital as Licensed Social Workers.
The department of Social Work offers diverse career opportunities across multiple disciplines. We are hiring for MSW, LMSW, and LCSW level Social Workers with positions available in Behavioral Health, Adult, Pediatric and Emergency areas.
Our Social Workers aid patients in navigating the healthcare system, support the care planning process, and connect patients to the resources they need to remain healthy after receiving care at Strong Memorial Hospital.
The desired candidate will have
  • Master's degree from an accredited school of Social Work.
  • Licensure as a Social Worker, as defined by the NYS Board for Social Work, is required.
  • If licensure has not been obtained upon employment, the individual has 18 months within which to obtain it.

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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