Utilization Review Physician jobs in Fairfax, VA

Overview 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.The Utilization Review Physician Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in...

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...

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...

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...

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...

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...

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 qualified Senior Construction Inspectors for water-sewer utility...

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,...

About the Role:Join our Process Engineering Group as a Process Engineer SME driving complex utilities design projects within the Pharma/Biotech/Life Science industry. This key role involves leading detailed engineering design, preparing technical specifications, coordinating multidisciplinary teams, and ensuring compliance with cGMP's, ASME BPE, and regulatory standards (FDA, EMA). We're looking...

Responsibilities The Psychiatric Institute of Washington is a152-bed facility with inpatient, outpatient and partial hospitalization programs. Excellence in behavioral health programs for children, adolescents and adults has been the mission of The Psychiatric Institute of Washington since it opened nearly 50 years ago. As the first and only free standing psychiatric care facilities in...

$5,000.00 SIGN ON BONUSRole Overview:Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates 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...

Job Description Networks Connect is conducting a search on behalf of our client, a local prominent healthcare system. We are seeking an experienced Utilization Review \ Reimbursement Nurse (RN) to join our client's healthcare team. In this role, you'll play a key part in ensuring accurate and timely reimbursement by reviewing medical necessity, authorizations, and denials across both Medicaid...

About the JobGeneral Summary of PositionConducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.Primary Duties and Responsibilities* Conducts admission concurrent...

Randstad is seeking a BSN and utlization-review experienced candidate to safeguard reimbursement by researching and resolving Medicaid and commercial payor authorization/denial issues, driving timely appeals, and surfacing denial trends that inform process improvements across Access, Clinics, Managed Care, Business Ops, Leadership, and Legal. - Mission-driven organization serving the pediatric...

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...

Position OverviewNorth Spring Behavioral Healthcare is looking for a full-time Utilization Review Coordinator to join our compassionate and dynamic team.What We OfferCompetitive SalaryComprehensive Benefits PackageHealth insurance – Available after 30 days.Paid Time Off – Start earning after 90 days.401(k) with company match – Eligible after 30 days.Key ResponsibilitiesPerform clinical reviews...

6 days ago Be among the first 25 applicantsGet AI-powered advice on this job and more exclusive features.Base pay range$60.00/hr - $75.00/hrHmong Chinese Language Document ReviewerEmployment Type: Full Time, Mid-LevelDepartment: LegalAs a CGS Hmong Chinese Document Reviewer you will play a key role in supporting various aspects of the company's litigation portfolio including eDiscovery...

Responsibilities Join Our Team as a Utilization Review Coordinator! North Spring Behavioral Healthcare is looking for a fulltime Utilization Review Coordinator 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. - 401(k) with...