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Utilization Review Lcsw Jobs (NOW HIRING)

NHC HomeCare - Milan

Masters Social Worker

Milan, TN · 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)

Gotham Enterprises Ltd

Modesto, CA • On-site, Remote

$140K - $160K/yr

Full-time

Re-posted 11 days ago

Job description

Position: Licensed Clinical Social Worker (LCSW) - Remote
Location: Modesto, California
Job Type: Full Time
Work Hours: Monday to Friday, 9 AM - 5 PM
Compensation: $140,000 - $160,000 per year + benefits
About the Role
As a Remote LCSW, you will play a key role in delivering virtual mental health care to individuals dealing with a range of emotional and psychological challenges. You'll provide therapy services through a HIPAA-compliant telehealth platform and be a trusted source of support and guidance.
Key Responsibilities:
  • Conduct comprehensive psychosocial assessments and formulate individualized treatment plans
  • Provide evidence-based therapy to individuals, couples, and/or families
  • Maintain accurate and timely clinical documentation
  • Monitor client progress and adjust interventions as needed
  • Participate in regular clinical team meetings and case reviews (if applicable)
  • Comply with all ethical, legal, and professional standards of practice

Requirements
  • Active California LCSW license in good standing
  • Master's degree in Social Work (MSW) from an accredited institution
  • Minimum 1-2 years of post-licensure clinical experience
  • Comfortable with technology and telehealth platforms
  • Strong interpersonal, organizational, and communication skills
  • Ability to work independently and maintain client engagement remotely

Benefits
  • 100% remote work - set your own hours and work from anywhere in California
  • Competitive pay structure - based on session volume and experience
  • Administrative and tech support - so you can focus on clinical care
  • Opportunities for growth, supervision (if applicable), and continuing education
  • supportive, mission-driven team culture

Help make mental health care more accessible-one session at a time.
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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