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Insurance Utilization Review Jobs in Virginia (NOW HIRING)

Summit BHC

Utilization Specialist

Williamsburg, VA · On-site

... reviews using the established hospital criteria. Communicates effectively with insurance companies ... utilization management. • Appeals all denials ensuring accuracy of information and effective ...

Summit BHC

Utilization Assistant- Acute

Williamsburg, VA · On-site

$20 - $24/hr

Assists in utilization reviews and insurance appeals. Responds to inquiries from patients, their families, and professional referral sources. Roles and Responsibilities: • Assists the admissions ...

UHS

Director of Utilization Management

Danville, VA · On-site

$79K - $95K/yr

... insurance offering, a physician network and various related services located all over the U.S ... Three to five years of experience in utilization review and case management. RN, LCSW, LPC, LMFT, ...

Carilion Clinic

RN Case Manager

Roanoke, VA

Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ... Aids in the delivery of regulatory letters and patient notices related to insurance coverage/non ...

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All JobsInsurance Utilization Review JobsInsurance Utilization Review Jobs in Virginia

Insurance Utilization Review information

See Virginia salary details

$21

$41

$68

How much do insurance utilization review jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for insurance utilization review in Virginia is $41.92, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 per hour, depending on experience, location, and employer.

What are the most common challenges faced by Insurance Utilization Review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

What are the key skills and qualifications needed to thrive in the Insurance Utilization Review position, and why are they important?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What is an Insurance Utilization Review job?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are the most commonly searched types of Insurance Utilization Review jobs in Virginia? The most popular types of Insurance Utilization Review jobs in Virginia are:
What are popular job titles related to Insurance Utilization Review jobs in Virginia? For Insurance Utilization Review jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Insurance Utilization Review jobs in Virginia look for? The top searched job categories for Insurance Utilization Review jobs in Virginia are:
What cities in Virginia are hiring for Insurance Utilization Review jobs? Cities in Virginia with the most Insurance Utilization Review job openings:
Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Virginia as of July 2026, with employment types broken down into 87% Full Time, 5% Part Time, 5% Contract, and 3% Nights. Highlights an 100% In-person job distribution, with an average salary of $87,192 per year, or $41.9 per hour.

Travel Utilization Review

AMN Healthcare Revenue Cycle

Woodbridge, VA • On-site

$1.8K - $2.7K/wk

Contractor

Medical, Dental, Vision, Life, Retirement

Posted yesterday

Job description

AMN Healthcare Revenue Cycle is seeking a travel Utilization Review for a travel job in Woodbridge, Virginia.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: Therapy
  • Start Date: 08/03/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours
  • Employment Type: Travel

Job Description & Requirements
RN CM
StartDate: 8/3/2026 Pay Rate: $1800.00 - $2700.00
POSITION SUMMARY 1 RN CM
POSITION DUTIES DCP
MINIMUM REQUIRED QUALIFICATIONS MSW; 2+ years minimum of acute care hospital experience
PREFERRED QUALIFICATIONS Experienced traveler with lots of LOS expereince
LENGTH OF ASSIGNMENT 13 weeks
SHIFT / HOURS PER WEEK 8:30-5:00 Monday - Friday
SYSTEMS EPIC
START DATE ASAP
Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:

  • Medical, dental and vision benefits
  • Earned time off and paid holidays
  • Paid continuing education time
  • 401(K) retirement planning
  • Short-term disability, life insurance, paid jury duty
  • Access to the largest network of facilities and providers in the country
  • Industry experienced workforce management team
  • Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

AMN Healthcare Revenue Cycle Job ID #3539596. 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: RN CM

About AMN Healthcare Revenue Cycle

AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.

Benefits
  • Medical benefits
  • Dental benefits
  • Company provided housing options
  • Continuing Education

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