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

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Utilization Review Lcsw information

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How much do utilization review lcsw jobs pay per hour?

As of Aug 21, 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 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 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 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 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 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 August 2026, with employment types broken down into 72% Full Time, and 28% Part Time. Highlights an 83% In-person, 6% Hybrid, and 11% Remote job distribution, with an average salary of $65,550 per year, or $31.5 per hour.

Remote Licensed Clinical Social Worker (LCSW) - Hospice Care Specialist

Company Confidential

York, NY โ€ข Remote

$80K - $104K/yr

Full-time

Medical, Dental, Vision, Life

Posted 3 days ago

New


Job description

Position Overview

Gotham Enterprises Ltd is seeking a highly compassionate and experienced Licensed Clinical Social Worker (LCSW) to join our dedicated team. This full-time position offers the unique opportunity to work remotely, providing essential mental health services to individuals and families engaged in hospice care. As an LCSW, you will play a vital role in enhancing the quality of life for patients and their loved ones during challenging times, utilizing your specialized skills to deliver supportive and empathetic care from the comfort of your own home.

About the Organization

Gotham Enterprises Ltd is committed to providing outstanding mental health services within our hospice center based in Gainesville, Georgia. Our organization is dedicated to fostering a supportive and nurturing environment for both patients and our team members. We prioritize compassionate care and aim to empower individuals, ensuring they receive the necessary psychological support throughout their end-of-life journey. By joining our team, you will be part of a vibrant community working collaboratively to make a meaningful difference.

Work Environment

This is a fully remote position, allowing you to achieve a healthy work-life balance while being part of a dynamic interdisciplinary team. Enjoy the freedom of working from home, free from the stress of daily commutes and rigid office hours. You will engage with colleagues and clients through secure telehealth platforms, ensuring that high-quality care is accessible to those who need it most.

Key Responsibilities
  • Conduct comprehensive clinical assessments via telehealth platforms to evaluate patients' mental health status and needs.
  • Develop individualized treatment plans utilizing evidence-based practices and solution-focused interventions tailored to the unique challenges faced by patients in hospice care.
  • Deliver therapeutic interventions including cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT) while adapting techniques specifically for a remote delivery format.
  • Maintain accurate and timely clinical records using secure electronic health record (EHR) systems, ensuring compliance with all regulatory standards.
  • Collaborate with an interdisciplinary team of healthcare professionals, including psychiatrists and psychologists, through regular virtual meetings to discuss patient progress and optimize care.
  • Participate in ongoing case consultations and peer review sessions, utilizing video conferencing tools to enhance collaborative care.
  • Educate patients and their families on mental health issues related to end-of-life care, available treatment options, and community resources, employing digital communication effectively.
  • Stay current with the latest developments in mental health care through online resources and professional development opportunities, applying new knowledge to improve your practice.
Patient Population / Client Focus

Your primary focus will be on a diverse population of patients receiving hospice care. This includes individuals facing life-limiting illnesses and their families, who require support in managing anxiety, grief, and loss. You will play a critical role in helping them navigate emotional challenges, fostering resilience and hope, and ensuring that they receive compassionate, dignified care during a pivotal time in their lives.

Qualifications
  • A Master's degree in Social Work from an accredited institution is required.
  • A valid license to practice as a Licensed Clinical Social Worker (LCSW) in the state is mandatory.
  • A minimum of 2 years of clinical experience in providing psychotherapy, with a focus on hospice or palliative care preferred.
  • Demonstrated expertise in solution-focused therapeutic interventions, with an ability to adapt these techniques for remote client interactions.
  • Exceptional communication and interpersonal skills, critical for building rapport with clients virtually.
  • Strong problem-solving abilities and the capacity to navigate challenges inherent in remote work.
  • A commitment to ethical practice as guided by the National Association of Social Workers (NASW) guidelines.
Preferred Experience

While not mandatory, experience working with hospice patients and familiarity with end-of-life care practices will be considered a significant asset. Additionally, proficiency in relevant telehealth software platforms will enhance your ability to deliver effective care.

Compensation and Benefits
  • We offer a competitive salary within the range of $80,000 to $104,000 per year, commensurate with experience and qualifications.
  • Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy.
  • Life and disability insurance for your peace of mind.
  • Malpractice insurance coverage to ensure you practice without worry.
  • Access to an employee assistance program, providing additional mental health support and resources.
  • Unlimited referrals to patients, allowing you to maintain a full caseload and focus on quality care.
  • Administrative support aimed at minimizing paperwork, allowing you more time for patient interaction.
Career Growth Opportunities

At Gotham Enterprises Ltd, we are dedicated to your professional development. You will have the opportunity to engage in ongoing training and attend virtual conferences, enhancing your skills and knowledge in the mental health field. As you grow within our organization, various leadership roles may become available, allowing you to enhance your career trajectory.

Why Join Our Team

Joining Gotham Enterprises Ltd means becoming part of a compassionate team devoted to making a difference in the lives of patients and their families. You will have the autonomy to manage your schedule in a fulfilling remote role while working alongside skilled professionals who share your passion for mental health care. Together, we can create impactful change in the world of hospice support.

Application Information

If you are ready to embark on a fulfilling career that enables you to provide vital support to hospice patients and their families, we invite you to apply now. Take the next step towards making a meaningful impact in mental health care by joining our team at Gotham Enterprises Ltd. Your expertise is needed, and your next rewarding opportunity awaits!