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Director Remote Utilization Review Jobs in Virginia

BayNova LLC

Director, Growth

Arlington, VA · On-site +1

This is a remote position. Role Priorities While this position contributes across multiple aspects ... Coordinate color team reviews (Pink, Red, Gold, White Glove) and ensure timely incorporation of ...

TalentRemedy

Director, SEC Reporting

Herndon, VA · On-site +1

$185K - $240K/yr

Location: Herndon, VA - Remote Fridays and flexible commute times Compensation: base $185,000 ... Own the preparation, review, and filing of Forms 10-K, 10-Q, 8-K, and proxy statements, ensuring ...

Maximus

Senior Director - Capture Management

VA · On-site +1

... City Remote Country United States Working time Full-time Description & Requirements Maximus is ... Plan Review through Final Bid Decision, working closely with the National Security Business ...

Sparks Group

Federal Sales Director

Vienna, VA · On-site +1

Participate in pipeline reviews, territory planning, and quarterly business reviews while providing ... Proficiency with Salesforce or similar CRM platforms. ----- This job is Hybrid Remote. We offer ...

Maximus

Project Director - Pursuit Management

VA · On-site +1

... City Remote Country United States Working time Full-time Description & Requirements Maximus is ... reviews, issue management, and decision cadence. -Must influence senior stakeholders, improve ...

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Showing results 21-40

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 September 2026, with employment types broken down into 88% Full Time, 9% Part Time, and 3% Contract. Highlights an 100% Remote job distribution.

Assistant Clinical Director, ABA Services - BCBA

Virginia Beach, VA • On-site, Remote

Advanceable ABA VA
See more jobs at Advanceable ABA VAexternal

$85K - $95K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 9 days ago

Key responsibilities

  • Provide clinical leadership, consultation, and support to BCBAs, BCaBAs, RBTs, and clinical team members

  • Mentor and develop clinicians through coaching, observations, feedback, and professional growth support

  • Support treatment planning, clinical decision-making, and consistency of ABA service delivery

Job description

Assistant Clinical Director, ABA Services (BCBA) 

Remote | Full-Time | $5,000 Sign-On Bonus | Clinical Leadership Opportunity 

Advanceable ABA is seeking an experienced and passionate Assistant Clinical Director (BCBA) to join our growing clinical leadership team. This is an exciting opportunity for a BCBA who is ready to expand their impact beyond direct casework and help shape clinical excellence across an organization. 

The Assistant Clinical Director will partner with the Chief Clinical Officer and Clinical Directors to support high-quality ABA services, mentor clinical team members, strengthen clinical systems, and promote ethical, evidence-based, and person-centered care. 

If you are a BCBA who enjoys developing other clinicians, solving complex clinical challenges, improving systems, and making a broader impact on children, families, and providers, this role offers the opportunity to grow as a leader while continuing to do meaningful work. 

Position Responsibilities 

  • Provide clinical leadership, consultation, and support to BCBAs, BCaBAs, RBTs, and clinical team members 

  • Mentor and develop clinicians through coaching, observations, feedback, and professional growth support 

  • Oversee a small clinical caseload while providing high-quality, individualized ABA services 

  • Support treatment planning, clinical decision-making, and consistency of ABA service delivery 

  • Conduct clinical observations, competency reviews, and onboarding support 

  • Review documentation, treatment plans, and clinical practices to ensure alignment with BACB standards, payer requirements, and best practices 

  • Support quality improvement initiatives that enhance client outcomes and clinician success 

  • Collaborate with families, caregivers, interdisciplinary providers, and leadership teams 

  • Assist with clinician development, performance coaching, and ongoing training initiatives 

  • Participate in leadership meetings and organizational initiatives that support company growth 

Qualifications 

Required: 

  • Master's degree or higher in ABA, Psychology, Education, or related field 

  • Active BCBA certification in good standing 

  • 4–6 years of ABA experience 

  • At least 2 years of experience supervising clinicians 

  • Strong leadership, communication, organization, and problem-solving skills 

  • Passion for ethical, compassionate, and individualized ABA services 

Preferred: 

  • Preference given to candidates located in Virginia

  • State licensure (LBA) where applicable 

  • Experience supervising and mentoring BCBAs 

  • Experience with Central Reach or similar clinical platforms 

  • Experience with quality improvement initiatives 

  • Experience implementing assent-based ABA practices 

Why Advanceable ABA? 

At Advanceable ABA, we believe great clinical outcomes begin with supporting great clinicians. Our leadership team is committed to creating a collaborative environment where clinicians feel valued, supported, and empowered to grow. 

As an Assistant Clinical Director, you will have the opportunity to: 

  • Make a meaningful impact beyond your own caseload 

  • Mentor and support the next generation of ABA professionals 

  • Influence clinical practices and organizational growth 

  • Work alongside a collaborative leadership team 

  • Continue developing your own leadership skills 

Benefits 

  • $5,000 Sign-On Bonus 

  • Remote work environment with flexibility 

  • Clinical leadership support and collaboration 

  • Professional development opportunities and CEUs 

  • Leadership growth opportunities 

  • Administrative and operational support 

  • Paid Time Off (eligible employees) 

  • Paid Holidays (eligible employees) 

  • Health, Dental, and Vision Insurance (eligible employees) 

  • 401(k) with Company Match (eligible employees) 

  • Licensure support and reimbursement opportunities 

Join Advanceable ABA and help shape the future of compassionate, high-quality ABA services.