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Utilization Review Lcsw Jobs (NOW HIRING)

CommonSpirit Health

Social Worker LCSW

Lakewood, CO · On-site

The Licensed Clinical Social Worker is responsible for performing social work assessments and interventions as needed for inpatients, outpatients and emergency department patients. The functions of ...

St Anthony Hospital

Social Worker LCSW

Lakewood, CO · On-site

$30.70 - $49.16/hr

The Licensed Clinical Social Worker is responsible for performing social work assessments and interventions as needed for inpatients, outpatients and emergency department patients. The functions of ...

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Utilization Review Lcsw information

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How much do utilization review lcsw jobs pay per hour?

As of Jun 17, 2026, the average hourly pay for utilization review lcsw in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 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.
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Utilization Review Lcsw jobs near you
Licensed Clinical Social Worker (LCSW)

Licensed Clinical Social Worker (LCSW)

Gotham Enterprises Ltd

Mcallen, TX • On-site, Remote

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

Posted 12 days ago

Job description

Licensed Clinical Social Worker (LCSW)
Job Summary
We are seeking a Licensed Clinical Social Worker to provide remote therapy services for clients throughout Texas. This role is focused on real clinical care: meeting clients where they are, helping them name what they are experiencing, and supporting them as they work toward healthier patterns and better day-to-day coping.
You will spend your time providing virtual therapy, completing assessments, developing treatment plans, and documenting client progress. The role is a good fit for an LCSW who values thoughtful client conversations, organized care, and the ability to provide quality therapy through telehealth.
Responsibilities
  • Provide individual therapy through virtual appointments
  • Complete intake assessments and identify client needs
  • Build treatment plans that support each client's goals
  • Help clients manage concerns such as stress, anxiety, depression, trauma, grief, and major life adjustments
  • Document sessions and treatment updates accurately and on time
  • Review client progress and make clinical adjustments when appropriate
  • Maintain confidentiality and follow all applicable care standards
  • Use telehealth and electronic record systems to manage client care

Requirements
  • Master's degree in Social Work from an accredited program
  • Active Texas LCSW license in good standing
  • Previous experience providing therapy or behavioral health services
  • Comfortable working with clients through telehealth
  • Strong clinical documentation and communication skills
  • Ability to manage a full-time caseload in a remote setting
  • Reliable internet connection and a private workspace for sessions

Benefits
  • $115,000-$120,000 per year
  • Full-time schedule: Monday-Friday, 9:00 AM-5:00 PM
  • Remote / telehealth work setting
  • 2 weeks PTO
  • Health Insurance
  • 401K Plan with 3% Company Match
  • Full benefits package

If you are looking for a remote LCSW role where you can focus on meaningful clinical work and consistent client care, we would be glad to review your resume.
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

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