Utilization Review Jobs in Virginia
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Search Results - Utilization Review Jobs in Virginia
Mary Washington Healthcare-Fredericksburg (VA)
nursing strongly preferred
• Utilization review experience
License and/or Certifications
Required:
• Valid RN License from Virginia or reciprocal compact state required.
Preferred:
• Certification in nursing, case management or utilization review...
mindmatch.ai -
Talteam-Richmond
ROLE: Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for authorization, appropriateness of care determination and benefit coverage.
Leveraging...
resume-library.com -
2 similar jobs: Alexandria, Virginia Beach
CRi - Choice Respect Independence-Chantilly
Dietician Services, and Physician Services.
• Oversees and monitors medication review and medical care in the programs.
• Administers special programs such as infection control, staff development, nursing quality improvement,
utilization review and wellness...
Sigma Inc-Pulaski (VA)
utilization review, case management, administrative staff/department head, and family conference activities and communications.
Establishing and maintaining a good working relationship with other health care professionals and colleagues in the community...
resume-library.com -
Monte Nido & Affiliates, LLC-Oakton (VA)
multiple populations
Qualifications::
• At least 5 years of leadership experience in a behavioral health setting is preferred; may substitute leadership experience elsewhere.
• Working knowledge of admissions and intake, Utilization Review, and 3rd party...
34 similar jobs: Arlington, Lorton, Springfield, Fairfax, Mclean...
Center For Discovery-Alexandria
and psychoeducation groups one to two times, daily.
Required to sit at a meal and/or snack a minimum of once per week.
Facilitates multi-family groups, family program, and/or family weekend.
Provides utilization reviews to insurance companies, providing appropriate...
resume-library.com -
Encompass Health-Mechanicsville (VA)
appropriate/timely referrals, including documentation to post discharge providers/physicians.
• Ensure accuracy of discharge and payor-related information in the patient record.
• Participate in utilization review process: data collection, trend review...
Fairfax Station
in a behavioral health setting is preferred; may substitute leadership experience elsewhere.
• Working knowledge of admissions and intake, Utilization Review, and 3rd party or insurance payers.
• Previous experience with Joint Commission and regulatory standards...
montenidoaffiliates.com -
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