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From Home Utilization Management Jobs in Virginia

... their homes or other community-based settings. Visit us online: www.thehughescenter.com The ... The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

... their homes or other community-based settings. Visit us online: www.thehughescenter.com The ... The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

... their homes or other community-based settings. Visit us online: www.thehughescenter.com The ... The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

... their homes or other community-based settings. Visit us online: www.thehughescenter.com The ... The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

Coordinates, performs, and monitors all utilization review/management activities of the hospital to ... Graduation from an approved/accredited school of nursing or a Bachelor's degree in social work ...

Coordinates, performs, and monitors all utilization review/management activities of the hospital to ... Education/Requirements: • Graduation from an approved/accredited school of nursing or a Bachelor ...

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From Home Utilization Management information

What is the difference between From Home Utilization Management vs From Home Case Management?

AspectFrom Home Utilization ManagementFrom Home Case Management
CertificationsCPUR, CCM, or similarCPUR, CCM, or similar
Work EnvironmentRemote, healthcare insurance companiesRemote, healthcare insurance companies
Primary FocusReviewing medical necessity and resource utilizationCoordinating patient care and services
Employer UsageHealth insurers, managed care organizationsHealth insurers, managed care organizations

From Home Utilization Management primarily focuses on evaluating medical necessity and resource utilization, ensuring appropriate healthcare services. In contrast, From Home Case Management emphasizes coordinating patient care and services to support health outcomes. Both roles are remote, require similar certifications, and are used within healthcare insurance companies, but their core responsibilities differ.

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

The most popular types of Utilization Management jobs in Virginia are:

What cities in Virginia are hiring for From Home Utilization Management jobs?

Cities in Virginia with the most From Home Utilization Management job openings:

Infographic showing various From Home Utilization Management job openings in Virginia as of July 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 83% In-person, 6% Hybrid, and 11% Remote job distribution.

Director of Utilization Management

Danville, VA • On-site


UHS
Health Care and Social Assistance • 10K+ employees

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

454th of 893 rated healthcare providers

People enjoy working here

Recommended by students

Respectful managers


$79K - $95K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago


Job description

Responsibilities
The Hughes Center is a highly-structured psychiatric residential treatment facility for youth ages 10 to 22 with neurodevelopmental disorders. The Hughes Center also provides private, community-based educational services. We provide both individualized and holistic care for adolescents and young adults with intellectual and developmental disabilities in a nurturing, family-friendly environment. We utilize a multidisciplinary team approach to provide comprehensive evaluations and evidence-based treatment (and educational) interventions with the intent to increase each youth's level of functional independence. Our team also works diligently to address or manage medical conditions and challenging behaviors that are often associated with individuals who are diagnosed with neurodevelopmental disorders. We challenge our residents to adapt to and apply learned skills within new environments and situations, and to maintain functional use of these skills when they return to their homes or other community-based settings.
Visit us online: www.thehughescenter.com
The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when admitted, follows the chart checking that documentation reflects and meets admission, continued stay, and discharge criteria. This position interacts and communicates with clinical staff, the Business Office, Admissions, Medical Records, third party reviewers and hospital administration to help patients receive the proper hospital care that they need.
Benefit Highlights:
  • Challenging and rewarding work environment
  • Competitive Compensation
  • Tuition Reimbursement Program
  • Excellent Medical, Dental, Vision and Prescription Drug Plan
  • 401(K) with company match and discounted stock plan
  • Generous Paid Time Off
  • Career development opportunities within UHS and its 300+ Subsidiaries

About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
Qualifications
Bachelor's degree in human services; Master's degree in human services preferred. Three to five years of experience in utilization review and case management. RN, LCSW, LPC, LMFT, or LCP in Virginia required.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Universal Health Services logo

About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US


What Universal Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

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