The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... LMSW, LCSW, etc) EXPERIENCE: A minimum of five (5) years direct clinical experience in a ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will ... LMSW, LCSW, etc) EXPERIENCE: A minimum of five (5) years direct clinical experience in a ...
Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of ... Unusual Physical Demands and Working Conditions: Should be familiar with healthcare operations.
Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of ... Unusual Physical Demands and Working Conditions: Should be familiar with healthcare operations.
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Behavioral Health Utilization/Authorization Specialist
Sandy, UT · On-site
$47K - $57K/yr
... W/CSW, CMHC in the substance abuse or mental health treatment field. Experience in Utilization Review Not Required While prior utilization review experience is always valued, many of our most ...
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Behavioral Health Utilization/Authorization Specialist
Sandy, UT · On-site
$47K - $57K/yr
... W/CSW, CMHC in the substance abuse or mental health treatment field. Experience in Utilization Review Not Required While prior utilization review experience is always valued, many of our most ...
Utilization Review Specialist - HIM / RHIT
Bend, OR · On-site
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... Physicians, Case Managers, Social Workers, etc.) or interdependent departments (i.e. Patient Access ...
Utilization Review Specialist - HIM / RHIT
Bend, OR · On-site
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... Physicians, Case Managers, Social Workers, etc.) or interdependent departments (i.e. Patient Access ...
Utilization Review Specialist - HIM / RHIT
Bend, OR · On-site
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... Physicians, Case Managers, Social Workers, etc.) or interdependent departments (i.e. Patient Access ...
Utilization Review Specialist - HIM / RHIT
Bend, OR · On-site
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... Physicians, Case Managers, Social Workers, etc.) or interdependent departments (i.e. Patient Access ...
Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of ... Unusual Physical Demands and Working Conditions: Should be familiar with healthcare operations.
Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of ... Unusual Physical Demands and Working Conditions: Should be familiar with healthcare operations.
Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of ... Unusual Physical Demands and Working Conditions: Should be familiar with healthcare operations.
Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of ... Unusual Physical Demands and Working Conditions: Should be familiar with healthcare operations.
Utilization Review Nurse
Las Vegas, NV · On-site
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...
Utilization Review Nurse
Las Vegas, NV · On-site
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...
Utilization Review Nurse
Alpharetta, GA · On-site
Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2 ... Experience working for hospitals, health plans, insurance companies, or managed care organizations.
Utilization Review Nurse
Alpharetta, GA · On-site
Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2 ... Experience working for hospitals, health plans, insurance companies, or managed care organizations.
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
RN Utilization Review
Clinton, MD · On-site
$89K - $162K/yr
Collaborates with medical staff physician advisor social workers and other ancillary hospital ... the utilization review process. * Identifies dynamics of neglect/abuse and reports to the ...
RN Utilization Review
Clinton, MD · On-site
$89K - $162K/yr
Collaborates with medical staff physician advisor social workers and other ancillary hospital ... the utilization review process. * Identifies dynamics of neglect/abuse and reports to the ...
Travel Utilization Review
Atlanta, GA · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: Therapy * Start Date: ASAP * Duration: 13 weeks * 40 hours per ... workers and facilities, ensuring a personalized and supportive experience for both clients and ...
Travel Utilization Review
Atlanta, GA · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: Therapy * Start Date: ASAP * Duration: 13 weeks * 40 hours per ... workers and facilities, ensuring a personalized and supportive experience for both clients and ...
Utilization Review Nurse
Miami, FL · On-site
Coordinates participant/patient discharge in conjunction with the Social Work team and other ... Strong negotiation and collaborative problem-solving skills when working with providers. * High ...
Utilization Review Nurse
Miami, FL · On-site
Coordinates participant/patient discharge in conjunction with the Social Work team and other ... Strong negotiation and collaborative problem-solving skills when working with providers. * High ...
Utilization Review Nurse
Kotzebue, AK · On-site
Login Now Utilization Review Nurse Job Code: 2026:OTZ-201 Location: Kotzebue, Alaska Program ... Knowledge of and experience working with all regulatory, state, and federal agencies. Other Job ...
Utilization Review Nurse
Kotzebue, AK · On-site
Login Now Utilization Review Nurse Job Code: 2026:OTZ-201 Location: Kotzebue, Alaska Program ... Knowledge of and experience working with all regulatory, state, and federal agencies. Other Job ...
Utilization Review Social Worker information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
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.
More about Utilization Review Social Worker jobs
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:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 17 days ago
Universal Health Services rating
6.8
Based on 253 frontline employees who took The Breakroom Quiz
491st of 887 rated healthcare providers
Job description
Responsibilities
Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years. Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.
Website: https://www.LighthouseCareCenters.com
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical content; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is r esponsible for the collection, analysis and articulation of required clinical data to insurance providers to obtain authorizations and ensure coordination with treatment services. The population served are patients' whose lives are disrupted or complicated by mental illness, behavioral disturbance, substance issues or inability to function or maintain in the community .
Job Duties/Responsibilities:
Benefit Highlights
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
EDUCATION:
Masters Degree in nursing, social work, mental health counseling, or related field required with licensure. (RN, APRN, LPC, LMSW, LCSW, etc)
EXPERIENCE:
A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities.
Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years. Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.
Website: https://www.LighthouseCareCenters.com
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical content; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is r esponsible for the collection, analysis and articulation of required clinical data to insurance providers to obtain authorizations and ensure coordination with treatment services. The population served are patients' whose lives are disrupted or complicated by mental illness, behavioral disturbance, substance issues or inability to function or maintain in the community .
Job Duties/Responsibilities:
- Working manager who oversees the Utilization Review coordinators
- Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff
- Authorizing entities to ensure initial precertification and continued authorization is achieved
- Responsible for aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems (Midas)
Benefit Highlights
- Referral Bonus Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career development opportunities within UHS and its 300+ Subsidiaries!
- More information is available on our Benefits Guest Website: 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. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
EDUCATION:
Masters Degree in nursing, social work, mental health counseling, or related field required with licensure. (RN, APRN, LPC, LMSW, LCSW, etc)
EXPERIENCE:
A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities.
What Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
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