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Director Remote Utilization Review Jobs in Virginia

Centerbrite Health

BCBA (Part-time)

Fairfax, VA · On-site +1

$80 - $110/hr

... Hybrid (Remote + In-person) A rare opportunity to join a growing ABA practice as an early team ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

Centerbrite

BCBA (Part-time)

Fairfax, VA · On-site +1

$80 - $110/hr

BCBA (Board Certified Behavior Analyst) - Part-time $80-110/hr Flexible Schedule Hybrid (Remote ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

Guidehouse

Loan Review Senior Consultant

Mclean, VA · On-site +1

$98K - $163K/yr

Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ... Direct experience supporting SBA Office of Credit Risk Management (OCRM) oversight activities ...

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All JobsUtilization Review JobsDirector Remote Utilization Review JobsDirector Remote Utilization Review Jobs in Virginia

Director Remote Utilization Review information

What is a director of remote utilization review?

A Director of Remote Utilization Review is a healthcare leader responsible for overseeing teams that assess the necessity, appropriateness, and efficiency of medical services, typically from a remote or virtual environment. This role ensures compliance with regulatory guidelines, optimizes resource use, and helps manage healthcare costs while maintaining quality patient care. Directors collaborate with physicians, nurses, and insurance providers to review clinical cases and develop utilization review strategies. They also monitor performance metrics and implement process improvements for remote teams.

How does a director of remote utilization review typically collaborate with clinical and administrative teams to ensure effective patient care management?

A Director of Remote Utilization Review plays a pivotal role in bridging clinical staff, case managers, and administrative teams to optimize patient care and resource utilization. This is often achieved through regular virtual meetings, data sharing, and cross-departmental strategy sessions to review utilization trends and address barriers to care. The director ensures that remote teams adhere to regulatory standards and organizational goals, fostering open communication to streamline workflows and resolve complex cases efficiently. Successful collaboration enhances patient outcomes, reduces unnecessary costs, and maintains compliance, all while supporting a positive remote team environment.

What are the key skills and qualifications needed to thrive as a director of remote utilization review, and why are they important?

To thrive as a Director of Remote Utilization Review, you need in-depth knowledge of healthcare regulations, utilization management processes, and a relevant clinical background, typically supported by an RN or other clinical licensure and experience in case management. Familiarity with utilization review software, electronic health records (EHR), and certifications such as CCM or UM are often required. Leadership, analytical thinking, and strong communication skills are vital for guiding teams and collaborating with stakeholders. These skills ensure effective oversight of remote teams, regulatory compliance, and optimal patient care outcomes.

What is the difference between Director Remote Utilization Review vs Utilization Review Nurse?

AspectDirector Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, advanced degree, and management experienceRegistered Nurse (RN) license, relevant clinical experience
Work EnvironmentOversees teams remotely, strategic planning, policy developmentConducts patient reviews, collaborates with healthcare providers, often remote or onsite
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare facilities

The main difference is that the Director Remote Utilization Review focuses on managing teams and policies remotely, while the Utilization Review Nurse performs clinical reviews directly related to patient care. The director has a broader strategic role, whereas the nurse role is more clinical and operational.

What are the most commonly searched types of Remote Utilization Review jobs in Virginia?

The most popular types of Remote Utilization Review jobs in Virginia are:

What cities in Virginia are hiring for Director Remote Utilization Review jobs?

Cities in Virginia with the most Director Remote Utilization Review job openings:

Director Remote Utilization Review jobs near you
Infographic showing various Director Remote Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 100% Remote job distribution.

BCBA (Part-time)

Centerbrite Health

Fairfax, VA • On-site, Remote

$80 - $110/hr

Part-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Job description

BCBA (Board Certified Behavior Analyst) - Part-time
$80-110/hr • Flexible Schedule • Hybrid (Remote + In-person)
A rare opportunity to join a growing ABA practice as an early team member, with a real voice in shaping how we care for children and families - and the culture we build together.
The role is flexible from the start: come in part-time and grow into full-time if and when it works for you. You'll work closely with experienced clinical advisors, backed by a leadership team that's built and run ABA organizations before - real mentorship and support, not autonomy without a net.
What you'll do:
  • Carry and manage a client caseload, serving as the clinical standard-bearer for the organization
  • Own documentation quality, utilization reviews, and oversight of treatment plans
  • Supervise RBTs across active cases, ensuring treatment fidelity and consistent skill-building

What's different here:
  • Mentorship: work directly alongside our Clinical Team - you'll be supported, not thrown in the deep end
  • Flexibility: start at 10-20 hours/week and grow into full-time if and when it works for you
  • Reasonable workload: proper caseload sizing and RBT ratios from day one - no heroics required
  • Mission: serve families who've been let down by fragmented, impersonal care

Compensation & Growth:
  • Base compensation ranges from $80-110 per hour, plus quarterly performance bonuses
  • $5,000 sign-on bonus

What you bring:
  • Active BCBA certification in good standing (Required)
  • Virginia BCBA licensure (Required)

Benefits:
  • Health, dental, and vision from day one
  • 401(k) with matching
  • PTO that you'll actually use
  • Referral bonuses when you bring great people in
  • CEU support - staying current matters here
  • Parental leave
  • Monday-Friday daytime hours, no weekends

Work Location (Hybrid)
Job Types: Part-time

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