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Utilization Review Lcsw Jobs (NOW HIRING)

NHC HomeCare - Chipley

Masters Social Worker

Chipley, FL · On-site

Current license as Licensed Clinical Social Worker (LCSW) SOUTH CAROLINA * Current state licensure ... Serves as Utilization Review and/or Advisory Board Member as requested by Administrator/Director of ...

NHC HomeCare - Chipley

Masters Social Worker

Chipley, FL · On-site

Current license as Licensed Clinical Social Worker (LCSW) SOUTH CAROLINA * Current state licensure ... Serves as Utilization Review and/or Advisory Board Member as requested by Administrator/Director 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 Aug 15, 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?

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.
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Utilization Review Lcsw jobs near you
Infographic showing various Utilization Review Lcsw job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.

Licensed Clinical Social Worker (LCSW)

Achieve Beyond Pediatric Therapy & Autism Services

New York, NY • On-site

$158 - $230/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 6 days ago

Job description

Licensed Clinical Social Worker (LCSW)-NYC, NY Job-Achieve Beyond

Description:Apply to Achieve Beyond as aLicensed Clinical Social Worker (LCSW)in NYC, NY and help children with special needs reach their goals. Explore our New York career opportunities and make a positive impact today.

Come and join a team of passionate therapists providing excellent pediatric therapy. We specialize in conducting evaluations and providing ongoing services in homes, community, and clinic settings. Achieve Beyond is centered around a culture of collaboration and support, to ensure our services are of the highest quality and adhere to our strong ethical standards. We currently offer ABA, Speech, Occupational,Social Work,and Physical therapy as well as Special Education/SEIT services. We serve children and families in the metro New York area (all 5 boroughs of NYC, Hudson Valley, Long Island and Albany), Virginia/DC area, Maryland, New Jersey, Connecticut and Delaware.

Licensed Clinical Social Worker (LCSW) NYC, NY Job Achieve Beyond

This Position is in: NYC, NY

Location:New York

Cases availablethroughoutBronx, Manhattan, Queens, Brooklyn and Staten Island boroughs.

Licensed Clinical Social Worker (LCSW) Job Description

We are seeking a dedicated and compassionateLicensed Clinical Social Worker (LCSW)to join our team! This job is located inNYC, NY. AsaLicensed Clinical Social Worker (LCSW)you can work a flexible schedule that meets your needs and make a difference in the lives of our children and families. If you are looking for a rewarding and exciting experience, please apply below. We look forward to meeting you!

Apply Now

Wage:Evaluations$158.00-$230.00

Department:Clinical

Location: NYC, NY

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Licensed Clinical Social Worker (LCSW) NYC, NYJob Position Details

Licensed Clinical Social Worker (LCSW) Benefits:

  • Flexible work schedule
  • Access provided to our paperless billing and data collection system (training provided).
  • Support from our team of dedicated clinical supervisors and administrative staff.
  • Financial educational assistance program (when applicable).
  • Available benefits include: medical, dental, vision and 401k.

Job Responsibilities for a Licensed Clinical Social Worker (LCSW):

  • Administer Psychological Evaluations in home and/or school based settings
  • Gather necessary information to conduct social histories.
  • Write comprehensive evaluation reports and social histories and submit them in a timely manner
  • Write Individualized Educational Plan (IEP) and/or Individualized Family Service Plan (IFSP) goal
  • Determine need for additional assessment per observation and child need
  • Conduct evaluations in the primary language of the child
  • Maintain child records and confidentiality of information regarding children and families (in accordance with HIPAA, state and federal regulations). Required records must be submitted within the established timelines.

Requirements for a Licensed Clinical Social Worker (LCSW):

  • Must have a passion for working with children and families!
  • NYS Licensed Clinical Social Worker (LCSW).
  • Experience evaluating children birth - 5preferred but not required.
  • Familiar with using evaluation tools such as ADOS 2 or CARS 2.
  • EI Evaluations program requires completion of the EILN Intro and Advanced Assessment trainings.
  • Must be self-motivated and a team player who exercises patience and professionalism.
  • Fluency in a language other than English is a plus!

Physical Requirements:

  • Must be able to travel to and from assigned cases, including but not limited to:
  • Driving a personal vehicle, walking and/or the use of public transportation such as a bus or train.
  • The ability to ascend and descend staircases.
  • The ability to lift 10 pounds regularly.
  • The ability to sit on the floor, kneel and/or crawl for extended periods of time.

Starting Rate: Evaluations$158.00-$230.00
Compensation is determined based on experience and education and will be discussed during theLicensed Clinical Social Worker (LCSW)Job interview process.

Job responsibilities subject to change


This job description is subject to change at any time. Achieve Beyond provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type regarding race, color, religion, age, sex, national origin, disability status, genetics, caregiver status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. If you are an individual with a disability requesting accommodation for the application process, please contact us for assistance.