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Utilization Review Social Worker Jobs (NOW HIRING)

Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time ... License: LCSW, LMHC, or LICSW preferred EEO Statement All UHS subsidiaries are committed to ...

Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time ... License: LCSW, LMHC, or LICSW preferred EEO Statement All UHS subsidiaries are committed to ...

RN - Utilization Review Ready for your next adventure? Axis Medical Staffing, one of the leading ... At least 2 years of current experience Who you`d be working for? Since 2004, Axis Medical Staffing ...

New

Case Management, Utilization Review, Social Services: Provides admission and continued stay reviews ... Lic Clinical Social Worker Preferred Requirements Experience * 2-5 years Benefits and Legal ...

RN - Utilization Review Ready for your next adventure? Axis Medical Staffing, one of the leading ... At least 2 years of current experience Who you`d be working for? Since 2004, Axis Medical Staffing ...

New

Masters degree in social work, counseling or related field with respective licensure (LSW, LCSW, ... Utilization Review position, such as: * Challenging and rewarding work environment * Competitive ...

Collaborates with the physician nurse case manager social worker and other members of the health ... Acts as a resource and mentor to the Utilization Review staff. Primary Duties and Responsibilities

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Utilization Review Social Worker information

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How much do utilization review social worker jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for utilization review social worker in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a utilization review social worker?

To thrive as a Utilization Review Social Worker, you need a solid background in social work, case management, and healthcare regulations, typically supported by an MSW degree and licensure (LCSW or equivalent). Familiarity with utilization management software, EMR/EHR systems, and knowledge of insurance protocols are often required. Strong analytical thinking, attention to detail, effective communication, and empathy are key soft skills for success in this role. These abilities ensure informed decision-making, efficient patient care coordination, and effective advocacy during the review process.

What is a utilization review social worker?

A Utilization Review Social Worker evaluates patient care to ensure it meets medical necessity and insurance guidelines. They review treatment plans, coordinate with healthcare providers, and communicate with insurance companies to secure appropriate coverage. Their goal is to optimize healthcare resources while ensuring patients receive necessary care. They also help prevent unnecessary hospitalizations and advocate for patient needs within healthcare systems.

What are some common challenges utilization review social workers face in their day-to-day work?

Utilization Review Social Workers often need to balance patient advocacy with healthcare cost containment, which can require navigating complex insurance guidelines and policies. They frequently review medical records to determine medical necessity and may have to communicate difficult decisions to patients, families, or care teams. Managing a high caseload while meeting documentation and regulatory requirements can also be demanding. However, this role offers opportunities for professional growth, multidisciplinary collaboration, and making a positive impact on patient care outcomes.

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What cities are hiring for Utilization Review Social Worker jobs? Cities with the most Utilization Review Social Worker job openings:
What are the most commonly searched types of Utilization Review Social Worker jobs? The most popular types of Utilization Review Social Worker jobs are:
What states have the most Utilization Review Social Worker jobs? States with the most job openings for Utilization Review Social Worker jobs include:
What job categories do people searching Utilization Review Social Worker jobs look for? The top searched job categories for Utilization Review Social Worker jobs are:
Infographic showing various Utilization Review Social Worker 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 $87,946 per year, or $42.3 per hour.

Utilization Review Coordinator

UHS

Brookline, MA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

491st of 887 rated healthcare providers


Job description

Responsibilities

Utilization Review Coordinator Opportunity -

HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals, who provide service excellence to our patients in a range of inpatient and partial programs and services. This is a 40 hour per week, salaried position.

About Us

HRI Hospital is 66-bed psychiatric facility with adult inpatient services and several partial hospitalization programs. We are part of the largest private mental health system in Massachusetts and can therefore provide competitive salaries, benefits, and opportunities for growth and development. At the same time, the smaller size of our facility allows us to provide personalized attention and training to all our employees. Employees are part of a multi-disciplinary team of dynamic professionals providing high quality care to a diverse inpatient and outpatient group of individuals. We are located in Brookline – right near Boston University and Coolidge Corner – and provide easy access to public transportation and free parking. Employees are our most valued asset and we encourage qualified individuals to apply.

Website: https://www.hrihospital.com

As the Utilization Review Coordinator, you will:

  • Complete initial precertification and concurrent reviews for patients in the inpatient and partial hospital settings
  • Collaborate with members of multi-disciplinary treatment teams to formulate justification for continued treatment using medical necessity criteria

Benefit Highlights

  • Tuition Reimbursement
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off (31 days per year + roll over)
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.

From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.


Qualifications

Requirements

  • Education: Master’s in psychology, social work or related field
  • Experience: 3 years of Utilization Management / Utilization Review experience required; 5 years of experience preferred
  • License: LCSW, LMHC, or LICSW preferred 

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Qualifications:

Requirements

  • Education: Master’s in psychology, social work or related field
  • Experience: 3 years of Utilization Management / Utilization Review experience required; 5 years of experience preferred
  • License: LCSW, LMHC, or LICSW preferred 

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US