Charlottesville, VA · On-site
$24 - $32.75/hr
... plan for RN review. Responsibilities: * Supervise CNAs and provide direct patient care in ... Affordable health and dental insurance within 60-90 days of hire * Paid time off * Extra pay for ...
Charlottesville, VA · On-site
$24 - $32.75/hr
... plan for RN review. Responsibilities: * Supervise CNAs and provide direct patient care in ... Affordable health and dental insurance within 60-90 days of hire * Paid time off * Extra pay for ...
Charlottesville, VA · On-site
$29.75 - $34.50/hr
... plan for RN review. Responsibilities: * Supervise CNAs and provide direct patient care in ... Affordable health and dental insurance within 60-90 days of hire * Paid time off * Extra pay for ...
Charlottesville, VA · On-site
$29.75 - $34.50/hr
... plan for RN review. Responsibilities: * Supervise CNAs and provide direct patient care in ... Affordable health and dental insurance within 60-90 days of hire * Paid time off * Extra pay for ...
Charlottesville, VA · On-site
$29.75 - $34.50/hr
... plan for RN review. Responsibilities: * Supervise CNAs and provide direct patient care in ... Affordable health and dental insurance within 60-90 days of hire * Paid time off * Extra pay for ...
Quick apply
Charlottesville, VA · On-site
$29.75 - $34.50/hr
... plan for RN review. Responsibilities: * Supervise CNAs and provide direct patient care in ... Affordable health and dental insurance within 60-90 days of hire * Paid time off * Extra pay for ...
Charlottesville, VA · On-site
$29.75 - $34.50/hr
... plan for RN review. Responsibilities: * Supervise CNAs and provide direct patient care in ... Affordable health and dental insurance within 60-90 days of hire * Paid time off * Extra pay for ...
Charlottesville, VA · On-site
$29.75 - $34.50/hr
... plan for RN review. Responsibilities: * Supervise CNAs and provide direct patient care in ... Affordable health and dental insurance within 60-90 days of hire * Paid time off * Extra pay for ...
Charlottesville, VA · On-site
$24 - $32.75/hr
... plan for RN review. Responsibilities: * Supervise CNAs and provide direct patient care in ... Affordable health and dental insurance within 60-90 days of hire * Paid time off * Extra pay for ...
Charlottesville, VA · On-site
$24 - $32.75/hr
... plan for RN review. Responsibilities: * Supervise CNAs and provide direct patient care in ... Affordable health and dental insurance within 60-90 days of hire * Paid time off * Extra pay for ...
Charlottesville, VA · On-site
$29.75 - $34.50/hr
... plan for RN review. Responsibilities: * Supervise CNAs and provide direct patient care in ... Affordable health and dental insurance within 60-90 days of hire * Paid time off * Extra pay for ...
Quick apply
Charlottesville, VA · On-site
$29.75 - $34.50/hr
... plan for RN review. Responsibilities: * Supervise CNAs and provide direct patient care in ... Affordable health and dental insurance within 60-90 days of hire * Paid time off * Extra pay for ...
Charlottesville, VA · On-site
$40 - $45/hr
... plan for RN review. Qualifications include but are not limited to: * Current license by the ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Charlottesville, VA · On-site
$40 - $45/hr
... plan for RN review. Qualifications include but are not limited to: * Current license by the ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Danville, VA · On-site
$24 - $32.50/hr
... review. Qualifications include but are not limited to: Current license by the Virginia Board of ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Danville, VA · On-site
$24 - $32.50/hr
... review. Qualifications include but are not limited to: Current license by the Virginia Board of ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Danville, VA · On-site
$28 - $33/hr
... review. Qualifications include but are not limited to: Current license by the Virginia Board of ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Quick apply
Danville, VA · On-site
$28 - $33/hr
... review. Qualifications include but are not limited to: Current license by the Virginia Board of ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Danville, VA · On-site
$28 - $33/hr
... review. Qualifications include but are not limited to: Current license by the Virginia Board of ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Danville, VA · On-site
$28 - $33/hr
... review. Qualifications include but are not limited to: Current license by the Virginia Board of ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Appomattox, VA · On-site
$31 - $43/hr
... plan for RN review. Qualifications include but are not limited to: * Current license by the ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Quick apply
Appomattox, VA · On-site
$31 - $43/hr
... plan for RN review. Qualifications include but are not limited to: * Current license by the ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Charlottesville, VA · On-site
$40 - $45/hr
... plan for RN review. Qualifications include but are not limited to: * Current license by the ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Quick apply
Charlottesville, VA · On-site
$40 - $45/hr
... plan for RN review. Qualifications include but are not limited to: * Current license by the ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Bowling Green, VA · On-site
$54 - $66/hr
... N review. Qualifications * Current license by the Virginia Board of Nursing to practice as a ... Pay & Benefits * competitive rate of pay * affordable health and dental insurance within 60-90 days ...
Bowling Green, VA · On-site
$54 - $66/hr
... N review. Qualifications * Current license by the Virginia Board of Nursing to practice as a ... Pay & Benefits * competitive rate of pay * affordable health and dental insurance within 60-90 days ...
Lynchburg, VA · On-site
$31 - $34/hr
... review. Qualifications include but are not limited to: Current license by the Virginia Board of ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Quick apply
Lynchburg, VA · On-site
$31 - $34/hr
... review. Qualifications include but are not limited to: Current license by the Virginia Board of ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Lynchburg, VA · On-site
$31 - $34/hr
... review. Qualifications include but are not limited to: Current license by the Virginia Board of ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Lynchburg, VA · On-site
$31 - $34/hr
... review. Qualifications include but are not limited to: Current license by the Virginia Board of ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Norfolk, VA · On-site +1
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Insurance • 401k/403B with Employer Match • Tuition Assistance - 5,250/year and discounted ...
Norfolk, VA · On-site +1
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Insurance • 401k/403B with Employer Match • Tuition Assistance - 5,250/year and discounted ...
Charlottesville, VA · On-site
$29.75 - $34.50/hr
... plan for RN review. Qualifications include but are not limited to: * Current license by the ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Charlottesville, VA · On-site
$29.75 - $34.50/hr
... plan for RN review. Qualifications include but are not limited to: * Current license by the ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Norfolk, VA · On-site
$75 - $105/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and ...
Norfolk, VA · On-site
$75 - $105/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and ...
Charlottesville, VA · On-site
$29.75 - $34.50/hr
... plan for RN review. Qualifications include but are not limited to: * Current license by the ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Quick apply
Charlottesville, VA · On-site
$29.75 - $34.50/hr
... plan for RN review. Qualifications include but are not limited to: * Current license by the ... insurance within 60-90 days of hire, paid time off, extra pay for holidays, and a 401k with company ...
Norfolk, VA · On-site
$65 - $85/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Pet Insurance * Legal Resources Plan Colleagues have the opportunity to earn an annual ...
Norfolk, VA · On-site
$65 - $85/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Pet Insurance * Legal Resources Plan Colleagues have the opportunity to earn an annual ...
$28.12 - $29.42
12% of jobs
$29.42 - $30.72
4% of jobs
$30.72 - $32.02
3% of jobs
$32.02 - $33.32
3% of jobs
$33.52 is the 25th percentile. Wages below this are outliers.
$33.32 - $34.62
16% of jobs
$34.62 - $35.92
6% of jobs
The median wage is $36.90 / hr.
$35.92 - $37.22
6% of jobs
$37.22 - $38.52
10% of jobs
$38.52 - $39.82
1% of jobs
$40.59 is the 75th percentile. Wages above this are outliers.
$39.82 - $41.12
22% of jobs
$41.12 - $42.42
16% of jobs
$28
$36
$42
An Insurance Nurse Reviewer is a licensed nurse who evaluates medical claims to ensure they meet policy guidelines and medical necessity. They review patient records, treatment plans, and healthcare provider documentation to determine coverage eligibility. Their role helps insurance companies manage costs while ensuring patients receive appropriate care. Strong clinical knowledge and attention to detail are essential for assessing claims accurately.
On a typical day, an Insurance Nurse Reviewer spends much of their time reviewing patient medical records, evaluating insurance claims for medical necessity, and documenting their findings in detail. The role often involves collaborating with physicians, case managers, and adjusters to clarify information or seek additional insights when necessary. You may also participate in team meetings to discuss complex cases, ensure adherence to regulatory standards, and stay current with evolving policies. The work is largely independent but requires strong communication skills and a systematic approach to managing multiple cases effectively.
To thrive as an Insurance Nurse Reviewer, you need a current nursing license, clinical experience, and a strong understanding of medical terminology and claims review processes. Familiarity with utilization review software, health insurance claims systems, and URAC or CM certification is often required. Attention to detail, critical thinking, and effective written and verbal communication skills help you excel in this position. These qualifications and abilities are vital for accurately evaluating medical records, ensuring compliance, and making informed decisions regarding healthcare coverage.
The most popular types of Insurance Nurse Reviewer jobs in Virginia are:
For Insurance Nurse Reviewer jobs in Virginia, the most frequently searched job titles are:
The top searched job categories for Insurance Nurse Reviewer jobs in Virginia are:
Charlottesville, VA • On-site
$24 - $32.75/hr
Other
Medical, Dental, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
FT/PT LPN Charge Nurse - Ask About Our Retention Bonus!
Join our enthusiastic and dedicated team at Charlottesville Health & Rehabilitation Center!
Located in Charlottesville, VA, we are a 105-bed skilled nursing and rehabilitation center dedicated to providing exceptional care to our patients. As a FT/PT LPN Charge Nurse, you will have the opportunity to make a meaningful difference in the lives of our patients and their families.
Job Summary:
We are seeking a compassionate and experienced Licensed Practical Nurse (LPN) to join our team. As an LPN Charge Nurse, you will supervise Certified Nursing Assistants (CNAs) and provide direct patient care in accordance with state, federal, and MFA guidelines. You will also write weekly/monthly summaries of patients' status, abilities, and address problems identified in the patient care plan for RN review.
Responsibilities:
Supervise CNAs and provide direct patient care in accordance with state, federal, and MFA guidelines
Provide general nursing care to patients in accordance with state and federal regulations and MFA nursing policy and procedures
Write weekly/monthly summaries of patients' status, abilities, and address problems identified in the patient care plan for RN review
Qualifications:
Current license by the Virginia Board of Nursing to practice as a Licensed Practical Nurse
One (1) year of previous nursing experience preferred, but new grads welcome to apply
What We Offer:
Competitive rate of pay
Comprehensive benefits package for full-time associates, including:
Affordable health and dental insurance within 60-90 days of hire
Paid time off
Extra pay for holidays
401k with company match
Ask about our retention bonus!
About Us:
At Charlottesville Health & Rehabilitation Center, we are committed to providing exceptional care to our patients. We believe that the team who sticks together wins together, and our support of each other and our community is what helps us deliver quality clinical outcomes without sacrificing stellar customer service.
How to Apply:
If you are a caring, warm-hearted nurse looking for an opportunity to make a difference, we invite you to apply to this rewarding role. Join our enthusiastic and dedicated team and experience the daily joy of enriching the lives of others.
Apply Now!
Sourced by ZipRecruiter
Health care and social assistance
501 - 1,000 Employees
Charlottesville, VA, US
