Utilization Review Jobs in Virginia
1 - 15 of 45
Search Results - Utilization Review Jobs in Virginia
Sentara HealthNorfolkappcast.io
the Clinical Revenue Cycle’s Utilization Review and Denials/Appeals processes to determine and secure appropriate level of care assignments to ensure compliant billing, assist with denials management, support documentation integrity as it pertains to accurate...
Sentara HealthVirginia Beach
License (Compact or Virginia) preferred
Experience:
• 3 years experience in Nursing REQUIRED
• Experience/knowledge in Rev Cycle, Utilization Review (UR) and Case Management preferred
• Provider appeals experience is a plus
• Strong proficiency in Excel...
GQR HealthcareReston
week
• Shift: 12 hours, days
• Employment Type: Travel
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Reston, Virginia
Start Date: November 30, 2026
Profession: Registered Nurse (RN)
Facility: Estimated Pay...
Portsmouth Regional HospitalPortsmouth (VA)mindmatch.ai
The Case Manager’s primary duties are to provide Utilization Review and Case Management functions for the organization under the direction of the Director, Case Management and within the established policies and procedures.
He/she performs preadmission...
GQR HealthcareChesapeake
week
• Shift: 12 hours, days
• Employment Type: Travel
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Chesapeake, Virginia
Start Date: December 7, 2026
Profession: Registered Nurse (RN)
Facility: Hospital...
Compunnel, Inc.Richmond
and storage
• Maintain patient profiles and medication records
• Participate in drug utilization reviews and quality improvement initiatives
• Manage and maintain pharmacy inventory
• Ensure compliance with all pharmacy laws, regulations, and hospital policies...
GQR HealthcareSalem (VA)
Shift: 8 hours, days
• Employment Type: Travel
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Salem, Virginia
Start Date: December 7, 2026
Profession: Registered Nurse (RN)
Facility: Hospital
Estimated Pay...
Sentara HealthHampton
Integrated Care Management, RN, Registered Nurse, ACM, CCM, CCCTM, RN-B, Community Resources, Discharge Planning, Home Rehabilitation, Emergency Department, Acute Care, LOS, Length of stay, Throughput, Workflow, Health Plans, EPIC, Utilization Review, Case...
Clinical MagnetFredericksburg (VA)appcast.io
utilization review, and discharge planning, this leadership opportunity offers the chance to make a meaningful impact while advancing your career.
Clinical Magnet, a division of ICON Medical Network, is looking for an experienced Director of Case Management...
Ashby Ponds by Erickson Senior LivingAshburn (VA)jobget.com
utilization, ADL splits/documentation, etc.
• Collaborating with Staff Development Coordinator to ensure all required training and competency reviews are completed according to federal, state, and local regulations.
• Participating in clinical leadership...
Ashby Ponds by Erickson Senior LivingAshburn (VA)
utilization, ADL splits/documentation, etc.
• Collaborating with Staff Development Coordinator to ensure all required training and competency reviews are completed according to federal, state, and local regulations.
• Participating in clinical leadership...
KEYS OF LIFE LLCRichmond
payer, and organizational documentation requirements.
• Maintain professional and ethical standards in accordance with Virginia licensing requirements and Keys of Life policies.
• Assist clinical leadership with quality assurance, utilization review...
Ashby Ponds by Erickson Senior LivingVirginia Beachlwqct.com
utilization, ADL splits/documentation, etc.
• Collaborating with Staff Development Coordinator to ensure all required training and competency reviews are completed according to federal, state, and local regulations.
• Participating in clinical leadership...
Ashby Ponds by Erickson Senior LivingRichmondlwqct.com
utilization, ADL splits/documentation, etc.
• Collaborating with Staff Development Coordinator to ensure all required training and competency reviews are completed according to federal, state, and local regulations.
• Participating in clinical leadership...
Ashby Ponds by Erickson Senior LivingAlexandrialwqct.com
utilization, ADL splits/documentation, etc.
• Collaborating with Staff Development Coordinator to ensure all required training and competency reviews are completed according to federal, state, and local regulations.
• Participating in clinical leadership...
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