13 utilization review case manager jobs at 9 companies in Virginia
1mo
Save
Mark Applied
Hide
Utilization Review Specialist (FLEXI)
Chesapeake, Virginia, United States
$32-$44/hr OnsitePart Time
2+ YOECurrent unrestricted LPN license in Virginia or compact state, 2 years clinical healthcare experience, familiarity with utilization review/case management, strong documentation and communication skills.
1mo
Save
Mark Applied
Hide
Utilization Review Specialist (Flexi)
Chesapeake, Virginia, United States
$28-$50/hr OnsitePart Time
2+ YOEGraduate of an approved healthcare program (minimum LPN), current unrestricted LPN license in Virginia or compact state, 2+ years clinical healthcare experience, familiarity with utilization review/case management, and ability to collect and document clinical information.
4w
Save
Mark Applied
Hide
LPN Case Manager
Richmond, Virginia, United States
$75k/yr RemoteFull Time
Licensed LPN in Virginia with experience in case management or admissions in long-term care, EHR documentation, utilization review and insurance coordination.
EHR
1mo
Save
Mark Applied
Hide
Supervisor, Utilization Management
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$91k-$107k/yr RemoteFull Time
3+ YOE3+ MgmtCurrent RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required.
InterQual, ICD, DSM, CPT, HCPCS, American Dental codes, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet
1w
Save
Mark Applied
Hide
RN Case Manager
Hampton or Newport News or Williamsburg or Yorktown or Norfolk or Virginia Beach
$35-$45/hr FieldFull Time
Requires an RN associate degree in nursing, with BSN preferred. Case management, utilization review, and direct patient care experience are preferred, along with strong communication and clinical problem-solving skills.
1mo
Save
Mark Applied
Hide
Supervisor, Utilization Management
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$91k-$107k/yr RemoteFull Time
3+ YOE3+ MgmtActive RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required; CCM/HCQM preferred.
Microsoft Office, Microsoft Word, Microsoft Outlook, InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, Current Procedural Terminology, Healthcare Common Procedural Coding System
3mo
Save
Mark Applied
Hide
Director of Utilization Management
Danville, Virginia, United States
OnsiteFull Time
3+ YOEBachelor's in human services; Master's preferred. 3-5 years in utilization review and case management. RN/LCSW/LPC/LMFT/LCP in Virginia required.
1w
Save
Mark Applied
Hide
Nurse Case Manager, HCT (RN)
Richmond, Virginia, United States
$37-$53/hr OnsiteFull Time
2+ YOERequires active RN license, driver's license, 2+ years clinical experience, 1+ year utilization review or case management experience, and BLS within 90 days. BSN or related bachelor's degree preferred.
Microsoft Office Suite, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook, Electronic Medical Records (EMR)
1mo
Save
Mark Applied
Hide
Case Management Director
Fredericksburg, Virginia, United States
OnsiteFull Time
3+ YOELead day-to-day case management operations; 3+ years hospital-based case management including utilization review and discharge planning; CCM/ACMTM preferred; RN license required if applicable; bachelor\u0002s degree (BSN for nurses).
2d
Save
Mark Applied
Hide
Sr. RN Care Manager
Chesapeake, Virginia, United States
$40-$60/hr OnsiteFull Time
5+ YOERequires BSN, active Virginia RN licensure, 5 years clinical nursing experience, 3 years case management experience, CPR, and ACMA or CCM certification; experience with discharge planning, utilization review, EHR, MCG, and InterQual.
InterQual, MCG, EHR
2w
Save
Mark Applied
Hide
RN - Patient Resource Manager (8a-630p) Case Management - Abingdon, VA
Abingdon, Virginia, United States
$27-$40/hr OnsitePart Time
Associate's or bachelor's nursing degree, active RN license, BLS, and varied clinical experience. Quality, case management, or utilization review experience preferred.
InterQual, Milliman Guidelines
2w
Save
Mark Applied
Hide
RN - Patient Resource Manager (8a-630p) Case Management - Abingdon, VA
Abingdon, Virginia, United States
$57k-$82k/yr OnsiteFull Time
Associate's or bachelor's nursing degree, active RN licensure, BLS, and varied clinical experience required; quality, case management, or utilization review experience preferred.
InterQual, Milliman Guidelines
2mo
Save
Mark Applied
Hide
Clinical Document Integrity Specialist - Part Time - Remote (Mooresville, NC, US, 28117)
Mooresville or Alabama or Arizona or California or Colorado or Connecticut or Delaware or Florida or Georgia or Hawaii or Illinois or Indiana or Iowa or Kentucky or Louisiana or Maine or Maryland or Massachusetts or Michigan or Missouri or Montana or New Hampshire or New Jersey or New York or North Carolina or Ohio or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or Washington or District of Columbia
RemotePart Time
3+ YOEBSN/PA/NP/Doctorate in a medically related field required; 3+ years progressive acute care experience; prior case management/utilization review preferred; licensed as RN/PA/NP/MD preferred; CCDS/CCS/CDIP preferred; strong communication, critical thinking, and computer skills.
ICD-9, ICD-10, PCS, DRG, SOI/ROM, CDI database, AHIMA Practice Brief