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Discharge Planner Utilization Review Jobs in Virginia

... review, and complete the BSN within 5 years of starting * Ability to provide discharge planning and continuity of care in acute and post-acute settings * Knowledge of utilization management, medical ...

Three (3) years of experience in case management or relevant nursing experience to include utilization review, discharge planning, outcomes management, transitional planning, assessment, care ...

Utilization Review experience required * Recent experience with discharge planning in an adult acute care hospital setting required * Proficiency in Epic required * Rated 4/5 or 5/5 across all Case ...

Collaborates with Utilization Review to ensure accurate patient status and medical necessity using ... discharge planning and utilization management. Supervisory or leadership experience is preferred ...

RN Case Manager - Weekends

Roanoke, VA · On-site

$76K - $115K/yr

Collaborates with Utilization Review to ensure accurate patient status and medical necessity using ... discharge planning and utilization management. Supervisory or leadership experience is preferred ...

RN Case Manager - Weekends

Roanoke, VA · On-site

$76K - $115K/yr

Collaborates with Utilization Review to ensure accurate patient status and medical necessity using ... discharge planning and utilization management. Supervisory or leadership experience is preferred ...

Manage discharge planning for adult acute care patients in a hospital setting. * Conduct utilization reviews to ensure appropriate patient care and resource use. * Effectively manage a high-volume ...

Coordinate and communicate with insurance companies and managed care organizations to obtain authorizations and manage utilization review * Facilitate timely and safe discharge planning * Serve as ...

... and manage utilization review • Facilitate timely and safe discharge planning • Serve as primary point of contact for residents and families regarding care plans, insurance coverage, and ...

... and manage utilization review • Facilitate timely and safe discharge planning • Serve as primary point of contact for residents and families regarding care plans, insurance coverage, and ...

Showing results 21-40

Discharge Planner Utilization Review information

What is a discharge planner utilization review?

Discharge Planner Utilization Review professionals are healthcare workers who coordinate patient discharges from hospitals or medical facilities while ensuring appropriate utilization of healthcare services. They assess patients' continuing care needs, develop safe discharge plans, and review the necessity and efficiency of the care provided. Their role bridges clinical care and administrative requirements, helping to prevent unnecessary hospital stays and ensuring patients transition smoothly to home or other care settings. These professionals often work closely with physicians, nurses, social workers, and insurance companies to promote optimal patient outcomes and cost-effective healthcare.

How does a discharge planner utilization review collaborate with interdisciplinary teams to ensure effective patient transitions?

Discharge Planner Utilization Review professionals work closely with physicians, nurses, social workers, and insurance representatives to coordinate safe and timely patient discharges. They facilitate communication between team members, assess patients' post-hospital needs, and help secure appropriate resources such as home health care or rehabilitation services. Their role is vital in preventing readmissions by ensuring that all aspects of a patient's care plan are addressed and that transitions occur smoothly. Regular interdisciplinary meetings and case conferences are common practices to align on patient care goals.

What are the key skills and qualifications needed to thrive as a discharge planner utilization review?

To thrive as a Discharge Planner Utilization Review professional, you generally need a clinical background such as RN or social worker licensure, strong knowledge of discharge planning protocols, and familiarity with healthcare regulations. Proficiency with electronic health records (EHRs), case management software, and utilization review tools is typically required. Excellent communication, problem-solving, and organizational skills help in coordinating care and advocating for patient needs. These competencies ensure safe, efficient patient transitions and compliance with healthcare policies, ultimately optimizing patient outcomes and resource use.

What is the difference between Discharge Planner Utilization Review vs Discharge Planner?

AspectDischarge Planner Utilization ReviewDischarge Planner
Primary RoleEvaluates medical necessity and appropriateness of patient discharges for insurance and healthcare complianceCoordinates patient discharges, ensures proper placement, and communicates with healthcare teams
CredentialsTypically requires a social work, nursing, or healthcare background with certification in utilization reviewUsually requires social work or nursing credentials, with focus on discharge planning
Work EnvironmentHospitals, insurance companies, or healthcare facilities involved in utilization reviewHospitals, rehab centers, or skilled nursing facilities

While both roles involve discharge processes, Discharge Planner Utilization Review focuses on assessing medical necessity for insurance purposes, whereas Discharge Planner manages patient discharge logistics and coordination. Understanding these differences helps clarify career paths and employer expectations in healthcare settings.

What cities in Virginia are hiring for Discharge Planner Utilization Review jobs?

Cities in Virginia with the most Discharge Planner Utilization Review job openings:

Infographic showing various Discharge Planner Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Travel Case Manager RN - $2,526 per week

American Traveler

Chesapeake, VA • On-site

$2.5K/wk

Other

Medical, Dental, Vision, Life, Retirement

Posted 3 days ago

New


Job description

American Traveler is seeking a travel nurse RN Case Management for a travel nursing job in Chesapeake, Virginia.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Start Date: 09/14/2026
  • Duration: 21 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel
Assignment Overview
  • Shift: Days, 5x8hrs
  • Hours: 40 hrs/wk
  • Start Date: Sep 14, 2026
  • Length: 21 weeks
  • Openings: 1
Description

American Traveler is hiring an experienced RN Case Manager for an acute care hospital setting, requiring a minimum of 5 years recent Case Management experience and Epic proficiency.

Details
  • 5x8 Day shift schedule, 8:00 AM to 4:30 PM
  • Weekday schedule with some weekend requirements
  • Holiday coverage required, must work two of three winter holidays
  • Overtime requires supervisor approval
  • Patient census of approximately 15-25 patients
  • Patient ratio of 1:22
  • Uses Epic EMR system
  • Acute hospital setting, Level I, II, or III trauma center
Requirements
  • Active VA or compact RN license required at time of submission
  • BLS certification through the American Heart Association required
  • CCM (Certified Case Manager) and ACM (Accredited Case Manager) certifications preferred
  • Minimum 5 years of recent acute care Case Management experience in a hospital setting required
  • Less than a 6-month gap since last acute care Case Management role
  • Recent experience in adult acute care hospital setting with discharge planning required
  • Utilization Review (UR) experience required
  • Epic proficiency required
  • Rated 4/5 or 5/5 across all Case Management functions, including knowledge of CMS regulations
  • Teaching hospital, community hospital, and Trauma Level I/II experience preferred
  • Ability to manage a high-volume, fast-paced patient population
  • Travel experience strongly preferred; first-time travelers considered only with extensive acute care Case Management experience
Additional Information
  • Responsibilities include discharge planning, utilization review, concurrent review, continued stay reviews, care coordination, and needs assessment/DME ordering
  • Skills include admission criteria review, appeals and denials, audits, benefits eligibility, determining medical necessity per evidence-based guidelines, and plan of care development
  • Knowledge of CMS, DRG, HIPAA, OSHA, and Joint Commission/Core Measure/National Safety Goals regulations required
  • Familiarity with Milliman guidelines preferred
  • Experience in Behavioral Health and Emergency Department specialties preferred
  • Must reside 50 or more miles from the facility to be considered for this position
  • Candidates with any prior license or background hits will not be considered
  • PAPR fit testing cannot be accommodated; any history of fit test issues will eliminate candidates from consideration
  • Longer assignments through January 9, 2027 may be available but are not required

American Traveler Job ID #P-746103. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Case Management/Utilization Review - Case Management

About American Traveler

With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.

With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.

American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.

With our team behind you, you can relax and enjoy a rewarding travel career.

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.


American Traveler logo

About American Traveler

Sourced by ZipRecruiter

With over 20 years of success in healthcare staffing, American Traveler has established a reputation for outstanding customer service. Our full-service agency has earned top ratings from healthcare professionals in every specialty and setting. We offer travel assignments in the most sought-after locations and facilities in the country. We staff major medical centers, prestigious university teaching facilities, Magnet facilities, regional community hospitals, outpatient centers, rehab centers, skilled nursing facilities and more. With our expert team behind you every step of the way, you can enjoy a rewarding travel career that exceeds your expectations. With over 20 years of experience, American Traveler has established a reputation for outstanding customer service. With our team behind you, you can relax and enjoy a rewarding travel career.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Boca Raton, FL, US

Year founded

1999