He returned to South Carolina in 1999 and continued until his senior season in 2001, finishing his career with 24 goals and 15 assists.

He transferred to the Richmond Kickers in 2004, and spent the next two seasons there, before being offered a contract with Real Salt Lake of Major League Soccer in March 2006.

On February 17, 2009, Worthen announced his return to the Kickers.,[1] and was part of the Kickers team which won the 2009 USL Second Division championship.

He transferred to the Austin Aztex just days before the start of the 2010 USSF Division 2 Professional League season.

From 2012 to 2016, Worthen was an assistant coach for the South Carolina Gamecocks men's soccer program.