Utilization Review Jobs in Virginia
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Search Results - Utilization Review Jobs in Virginia
American Traveler-Williamsburg (VA)
Traveler Job ID #P
-741471. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
Posted job title: Travel RN
• Case Management/Utilization Review
• Case Management
About...
The Valley Health System-Winchester (VA)
clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources...
CenterWell Home Health-Christiansburg (VA)
coaching, and corrective action for clinical staff.
• Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data.
• Coordinate communication among physicians, team members, and caregivers...
Amazon-Chester (VA)
based on
operational needs and customer centric volume
• Perform thorough DUR (Drug Utilization Review) and ensure accurate documentation in
pharmacy systems
• Monitor, receive, and manage pharmacy inventory effectively and compliantly
• Work...
amazon.jobs -
CenterWell Home Health-Roanoke (VA)
staff.
• Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data.
• Coordinate communication among physicians, team members, and caregivers to support care coordination, discharge...
HALLMARK YOUTHCARE RICHMOND INC-Richmond
documentation meets all 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...
prismhr-hire.com -
Department of Defense-Alexandria
the resources and procedures used in the care of the patients. * Ensure compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, and CPT coding books. * Perform limited utilization review of outpatient and inpatient records...
Richmond
value proposition, and long-term cost sustainability.
• Lead the annual benefits renewal process, including plan design evaluation, utilization review, cost trend analysis, forecasting, and budgeting in partnership with Finance, vendors, brokers...
icims.com -
CenterWell Home Health-Christiansburg (VA)
and outcomes.
/n
• Participate in hiring, training, performance evaluation, coaching, and corrective action for clinical staff.
/n
• Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data.
/n...
ICBD-Richmond
the opportunity to grow into multiple specialized career paths across the company. We are committed to supporting long-term professional development in areas such as Clinical Leadership, Operations, Quality Assurance (QA), Utilization Review (UR), Assessments...
workable.com -
Department of Defense-Richmond
the resources and procedures used in the care of the patients. * Ensure compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, and CPT coding books. * Perform limited utilization review of outpatient and inpatient records...
Department of Defense-Virginia Beach
the resources and procedures used in the care of the patients. * Ensure compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, and CPT coding books. * Perform limited utilization review of outpatient and inpatient records...
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