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

Soliant

Social Worker | Webster, New York

Webster, NY

$32.29 - $52.29/hr

Active LMSW or LCSW license in New York * Previous experience supporting students in a school setting strongly preferred * Excellent communication and interpersonal skills * Ability to adapt to ...

New

Highland Hospital

Social Worker

Rochester, NY · On-site

$34.15 - $42.07/hr

The Social Worker provides clinical social work services in various components of the Hospital Services, according to identified service need. He/She is responsible for ensuring that the needs of the ...

Highland Hospital

Social Worker

Rochester, NY · On-site

$61K - $76K/yr

The Social Worker provides clinical social work services in various components of the Hospital Services, according to identified service need. He/She is responsible for ensuring that the needs of the ...

Highland Hospital

Social Worker

Rochester, NY · On-site

$61K - $76K/yr

The Social Worker provides clinical social work services in various components of the Hospital Services, according to identified service need. He/She is responsible for ensuring that the needs of the ...

Highland Hospital

Social Worker

Rochester, NY · On-site

$61K - $76K/yr

The Social Worker provides clinical social work services in various components of the Hospital Services, according to identified service need. He/She is responsible for ensuring that the needs of the ...

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All JobsUtilization Review Lcsw JobsUtilization Review Lcsw Jobs in Rochester, NY

Utilization Review Lcsw information

See Rochester, NY salary details

$15

$31

$52

How much do utilization review lcsw jobs pay per hour?

As of Aug 8, 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?

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 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
Infographic showing various Utilization Review Lcsw job openings in Rochester, NY as of August 2026, with employment types broken down into 68% Full Time, and 32% Part Time. Highlights an 86% In-person, 5% Hybrid, and 9% Remote job distribution, with an average salary of $65,550 per year, or $31.5 per hour.

Social Worker | Webster, New York

Soliant

Webster, NY

$32.29 - $52.29/hr

Full-time

Medical

Posted 2 days ago

New

Job description

Make a difference in students’ lives by providing vital social work services in a supportive school environment. This full-time, onsite assignment offers the opportunity to work directly with students and staff, helping to promote wellbeing and remove barriers to learning. You’ll collaborate with a multidisciplinary team and play a key role in creating a positive climate for students across the 2026–27 academic year.

Key Qualifications:

  • Current NYS School Social Worker Certification required
  • Active LMSW or LCSW license in New York
  • Previous experience supporting students in a school setting strongly preferred
  • Excellent communication and interpersonal skills
  • Ability to adapt to diverse student needs and collaborate with educators and families
  • Commitment to confidentiality and ethical best practices

What You’ll Do:

  • Deliver direct counseling and social-emotional support to students across various grade levels
  • Perform risk assessments and crisis intervention as needed
  • Consult and collaborate with teachers, staff, and parents to address student barriers and enhance social functioning
  • Develop and implement individualized plans for student success
  • Maintain accurate records and timely documentation in accordance with district guidelines
  • Monitor caseload and adjust support based on student needs (caseload specifics set in late August)
  • Participate in multidisciplinary meetings and contribute to a positive school culture

This contract assignment begins on September 8, 2026, providing stability and meaningful work until the district completes its internal hiring process. Experience a dynamic role where your expertise and compassion empower young learners to thrive.

If you hold the required NYS certifications and are ready for a rewarding school-based opportunity, apply today to make an immediate impact on student success!

Compensation for this position ranges from $32.29 to $52.29. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date.

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About Soliant

Sourced by ZipRecruiter

Great results begin with a better foundation. As one of the nation's largest healthcare staffing companies, we genuinely appreciate the opportunity to match highly qualified professionals in the positions that make a difference daily. At Soliant, our experience and reach is second to none - which means your opportunity and potential are too. Whether it's full-time or part-time, Soliant works all the time on your behalf. Pairing talented caregivers with the best hospitals and healthcare providers is something we take tremendous pride in. Here, our personal commitment to enhancing the experience of both providers and professionals is what has earned us the respect of our clients across the country.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Peachtree Corners, GA, US

Year founded

1992

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