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Flex Schedule Utilization Review Jobs in Virginia

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Flex Schedule Utilization Review information

What is the difference between Flex Schedule Utilization Review vs Flex Schedule Nurse?

AspectFlex Schedule Utilization ReviewFlex Schedule Nurse
CredentialsTypically requires healthcare or insurance-related certificationsRN license and nursing certifications
Work EnvironmentInsurance companies, healthcare organizations, remote or office-basedHospitals, clinics, healthcare facilities, often in clinical settings
Employer & IndustryInsurance providers, healthcare organizationsHospitals, clinics, healthcare providers
Primary FocusReviewing patient utilization and scheduling for insurance approvalProviding direct patient care and nursing services

Flex Schedule Utilization Review professionals focus on evaluating patient care plans and utilization for insurance purposes, often working in administrative or remote roles. In contrast, Flex Schedule Nurses provide direct patient care in clinical settings. While both roles may have flexible schedules, their credentials, work environments, and primary responsibilities differ significantly.

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Flex Schedule Utilization Review jobs near you
Infographic showing various Flex Schedule Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 67% Full Time, 29% Part Time, and 3% Contract. Highlights an 82% Physical, 1% Hybrid, and 17% Remote job distribution.

Clinical Coordinator - Utilization Review

Hampton-Newport News Community Services Board

Hampton, VA • On-site

$62K - $66K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 17 days ago

Job description

Clinical Coordinator - Utilization Review
Annual Salary: $62,406 - $66,000
Work Schedule: Monday - Friday 8:30 am - 5:00 pm
The Hampton-Newport News Community Services Board (CSB) is seeking a Clinical Coordinator - Utilization Review to join the Region 5 Reinvestment Initiative. This full-time position plays an important role in ensuring individuals receive timely, appropriate, and effective behavioral health services while supporting regional efforts to improve access to care and coordinate treatment placements.
The Clinical Coordinator - Utilization Review conducts utilization reviews of acute and intermediate levels of care, evaluates medical necessity and appropriateness of services, and manages behavioral health bed utilization on a daily basis. This position works closely with hospitals, treatment facilities, CSB staff, and regional partners to support timely movement to the most appropriate level of care.
Minimum Qualifications
To qualify for this position, candidates must have:
  • Master's degree in Human Services or a related field.
  • Three (3) years of experience in behavioral health, including utilization management.
Key Responsibilities
  • Conduct utilization reviews of acute and intermediate levels of care to assess medical necessity, appropriateness of treatment, and continued stay criteria.
  • Manage and monitor acute care bed availability and placements to support timely and appropriate transitions in care.
  • Conduct face-to-face assessments and gather information regarding an individual's treatment needs, progress, and current level of functioning.
  • Review treatment progress and outcomes and make recommendations regarding the most appropriate level of care.
  • Coordinate communication among hospitals, facilities, CSB staff, and regional partners regarding admissions, continued stays, discharges, and placements.
  • Provide guidance and recommendations related to acute, sub-acute, crisis stabilization, and community-based services.
  • Monitor consumer placements and assist with identifying appropriate and least restrictive treatment options.
  • Communicate findings, recommendations, and utilization concerns to appropriate stakeholders.
  • Prepare utilization reports and provide data-driven recommendations to support regional behavioral health planning and resource management.
  • Promote quality, cost-effective care while supporting timely access to appropriate services.
  • Participate in regional initiatives and activities designed to improve behavioral health system coordination and outcomes.

BENEFITS
  • Health, Vision, and Dental Insurance
  • Virginia Retirement System
  • Flexible Spending Account (FSA)
  • Life Insurance
  • 11 Paid Holidays

The selected candidate must successfully pass a criminal history fingerprint background investigation, DMV record check, Child Registry search, drug screening test and employment reference checks.

Apply