Utilization Review Physician jobs in Fairfax, VA

Job Description Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be full-time on-site position. This role is available as a remote/ hybrid position The Utilization Review Physician Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management...

Utilization Review Physician Advisor- (MD/DO)Fairfax, VA, United StatesJob Identification: 672755Posting Date: 09/02/2025, 12:52 PMJob Schedule: Full timeLocations: Inova Center for Personalized HealthJob DescriptionInova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be full‑time on‑site position. This role is...

Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be full-time on-site position. This role is available as a remote/ hybrid position The Utilization Review Physician Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing...

A healthcare solutions company is seeking a Clinical Reviewer (LPN/LVN or RN) to utilize clinical expertise for reviewing medical records. This is a remote position requiring an active clinical license from Indiana. Responsibilities include ensuring accuracy of reviews, monitoring daily workloads, and maintaining quality standards. Ideal candidates should possess strong clinical assessment skills...

Overview Join to apply for the Physician Reviewer - Neurological Surgery (Utilization Review) LA role at Dane Street . This is a telework opportunity for physicians providing a caseload customized to your schedule. The physician panel consists of independent contractors (1099) compensated on a per-case basis.Responsibilities Evaluate medical necessity of treatment requests and, in appeals, the...

Job Description Job Description At Whitman, Requardt & Associates, LLP, we are "People Focused and Project Driven". We have been in business for 110 years and we are known for our quality work and quality employees. This is your chance to join our team - help us to design the infrastructure and buildings that improve the world! We are currently seeking a Utility Coordinator reporting to our...

Salary : $44,057.00 - $72,177.00 Annually Location : Murray Maintenance Facility Job Type: Full Time Job Number: 201601172 Division: Transmission & Distribution Department: Central Distribution Maintenance Opening Date: 10/17/2025 Closing Date: 12/31/2025 4:30 PM Eastern Description Under close supervision of a Water Utility Crew Chief or Water Utility Worker IV, performs a variety of routine...

41990BRRequisition ID:41990BRBusiness Unit:INDJob Description:CDM Smith Industrial Division is seeking to fill an exciting Project Manager position in our established and growing business with electric utility clients across the United States. This Project Manager will bring experience with leading project engineering teams on important design projects in the utility market. This will include,...

Req ID: RQ209689Type of Requisition: CasualClearance Level Must Be Able to Obtain: NonePublic Trust/Other Required: NoneJob Family: Professional EngineeringSkills:Construction Management,Engineering Design,Field Research,Utility Operations,Water UtilitiesExperience:15 + years of related experienceUS Citizenship Required:YesJob Description:Seize your opportunity to make a personal impact as an...

Job DescriptionDewberry is seeking an experienced Water/Wastewater Utility Management Leader to manage and execute modeling and master planning projects for public utility clients.  This is an opportunity for a highly motivated individual to join a team of energetic, highly engaged professionals in Dewberry's National Water Market Segment. This position is available in a variety of locations and...

Job Description Job Description Position Overview: We are seeking two experienced and motivated Registered Nurses to join our Utilization Management team, specializing in home care reviews. This role plays a vital part in ensuring the accuracy and quality of care plans and service hour determinations for long-term care enrollees. Candidates must have strong clinical backgrounds, advanced...

Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining effective, efficient processes for determining the appropriate admission status based on regulatory and...

$5,000.00 SIGN ON BONUSRole OverviewOur Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires reviewing provider requests, gathering necessary medical documentation, and making determinations based on clinical criteria. Using professional...

Responsibilities Join Our Team as a Utilization Review Coordinator! North Spring Behavioral Healthcare is looking for a fulltime Utilization Review Coordinator (on-site) to join our compassionate and dynamic team! What We Offer: - Competitive Salary - Comprehensive Benefits Package: - Health insurance - Available after just 30 days. - Paid Time Off - Start earning after 90 days. - ...

Job Description Job Description Qualifications Purpose & Scope: The Utilization Review Manager oversees the utilization review process, ensuring efficient and effective use of hospital resources, compliance with regulatory requirements, and optimal patient care. The Utilization Review Manager will: - Manage the utilization review team and processes. - Conduct reviews of patient care and...

Overview German Document Reviewer – Contact Review (Washington, DC) – Remote Location: Remote (Start Date: Negotiable). This position involves document review and related tasks as part of Contact Review’s eDiscovery services. Base pay Base pay range: $50.00/hr - $50.00/hr Responsibilities - Perform document review tasks such as privilege and responsiveness review, redactions, and conceptual...

Overview Title: Clinical Review Nurse – Prior Authorization ReviewLocation: Fully Remote (PST Time Zone - WA/OR Resident)Duration: 12-Month (Potential for Extension)About the Role We are seeking an experienced Clinical Review Nurse for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct concurrent and prior authorization reviews, ensure timely...

A leading healthcare solutions provider is seeking a Clinical Reviewer (LPN/LVN or RN) to join their team remotely. This role involves reviewing medical records for appropriateness of care, supporting discharge planning, and ensuring compliance. Candidates must possess a nursing license and have clinical experience in acute care environments. The position offers competitive pay ranging from...

At Whitman, Requardt & Associates, LLP, we are "People Focused and Project Driven". We have been in business for 110 years and we are known for our quality work and quality employees. This is your chance to join our team - help us to design the infrastructure and buildings that improve the world! Apply below after reading through all the details and supporting information regarding this job...

Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining effective, efficient processes for determining the appropriate admission status based on regulatory and...