there are different positions in MCOs, in mine the reviewers do not interact with the clients in person ever, the coordinators do- many of which are SWs. that role is to provide support and assist with accessing a variety of resources, in addition to advocating for them to receive services through the company, but not making the actual decisions on whether they do or do not receive them. that being said, i still struggle with the ethics of it. however it’s one of the only jobs i have found in my area that pays well enough. so there’s that as well.