Utilization Review Jobs in Virginia
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Search Results - Utilization Review Jobs in Virginia
GHR Healthcare - Travel-Charlottesville (VA)
Job Description
GHR Healthcare - Travel is seeking a travel Utilization Review for a travel job in Charlottesville, Virginia.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: Therapy
• Start Date: 05/18/2026
• Duration...
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GHR Healthcare - Travel-Charlottesville (VA)
GHR Healthcare - Travel is seeking a travel Utilization Review for a travel job in Charlottesville, Virginia.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: Therapy
• Start Date: 05/18/2026
• Duration: 13 weeks
• 40...
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Prime Staffing-Charlottesville (VA)
Certifications: BLS – AHA
Must-Have: Strong assessment, discharge planning, and utilization review skills
/n
Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers...
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Wexford Health Sources-Salem (VA)
of quality care.
• Conduct recruitment/retention efforts for Nursing Services.
• Participate in the development and administration of a budget for Nursing Services.
• Participates in and chair Nursing Services committees (e.g., Utilization Review...
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LanceSoft-Arlington (VA)
MAPMG Hospital Based Service Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure continuum of patient care progressions for clinical and cost-effective outcomes. The PCC facilitates and coordinates...
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Dymentum Health LLC-Vienna (VA)
pending review by the Utilization Review Committee. Other specific duties may involve all aspects of health care delivery, which will be performed in accordance with currently accepted medical practices and procedures.The contract physician will document...
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AMN Healthcare Nursing-Falls Church
Qualifications
Registered Nurse, Case Manager
Licenses: RN(Compact Accepted)
Must have a minimum of 2 years of direct supervisor/manager experience
Must have a minimum of 3 years in case management or relevant nursing experience to
include utilization review...
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Dymentum Health LLC-Vienna (VA)
and EMTs. Any recommendations for further diagnostic testing and/or treatment will be made in the appropriate section of the electronic record, pending review by the Utilization Review Committee. Other specific duties may involve all aspects of health care...
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Great Falls (VA)
with parents. Your attention to detail will be your superpower!
• Utilization Review Rockstar: Assist with utilization reviews for clients and provide cross-coverage to the Psychiatry team when needed. Flexibility is key, and you’ll be the go-to person when...
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icims.com -
Dymentum Health LLC-Vienna (VA)
guidance to the Advanced Practice Providers, Nurses , and EMTs. Any recommendations for further diagnostic testing and/or treatment will be made in the appropriate section of the electronic record, pending review by the Utilization Review Committee.
Other...
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ALPAS WELLNESS LA PLATA LLC-Sterling (VA)
performance, including revenue, expenses, and EBITDA
Monitor key performance indicators (KPIs) such as census, average length of stay (ALS), payer mix, and utilization
Partner with utilization review team and revenue cycle teams to optimize reimbursement...
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Galax
Overview:
Come join our team as a Utilization Review Specialist, Life Center of Galax-Hillsville! We are looking for individuals who are passionate about behavioral health. If you are interested in growth opportunities that are second to none...
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icims.com -
HALLMARK YOUTHCARE RICHMOND INC-Richmond
ethical, quality, and regulatory standards.
• Review clinical outcomes and make recommendations for program improvement.
• Collaborate with utilization review staff to ensure documentation supports medical necessity.
Collaboration & Communication...
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prismhr-hire.com -
Dane Street, LLC-North Chesterfield
relationship is established, and no treatment is provided. These are advisory-only opinions.
• Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials...
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workable.com -
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