Our team also works diligently to address or manage medical conditions and challenging behaviors ... Visit us online: www.thehughescenter.com The Director of Utilization Management assists admissions ...
Our team also works diligently to address or manage medical conditions and challenging behaviors ... Visit us online: www.thehughescenter.com The Director of Utilization Management assists admissions ...
Our team also works diligently to address or manage medical conditions and challenging behaviors ... Visit us online: www.thehughescenter.com The Director of Utilization Management assists admissions ...
Our team also works diligently to address or manage medical conditions and challenging behaviors ... Visit us online: www.thehughescenter.com The Director of Utilization Management assists admissions ...
Our team also works diligently to address or manage medical conditions and challenging behaviors ... Visit us online: www.thehughescenter.com The Director of Utilization Management assists admissions ...
Our team also works diligently to address or manage medical conditions and challenging behaviors ... Visit us online: www.thehughescenter.com The Director of Utilization Management assists admissions ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Physician Advisor - Sentara Obici Hospital
Suffolk, VA · On-site
$180 - $230/hr
Keywords : #LI-AR2 ,Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Physician Advisor - Sentara Obici Hospital
Suffolk, VA · On-site
$180 - $230/hr
Keywords : #LI-AR2 ,Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Part time (16 hrs/wk); Medical Director - White Sulphur Springs, West Virginia
Eggleston, VA · On-site
Medical Director - Part time * Flexible - work around your current schedule (Mon-Friday) * Solid ... utilization management, provider contracting, claims processing, and quality management services.
Part time (16 hrs/wk); Medical Director - White Sulphur Springs, West Virginia
Eggleston, VA · On-site
Medical Director - Part time * Flexible - work around your current schedule (Mon-Friday) * Solid ... utilization management, provider contracting, claims processing, and quality management services.
Part time (16 hrs/wk); Medical Director - White Sulphur Springs, West Virginia
Eggleston, VA · On-site
Medical Director - Part time * Flexible - work around your current schedule (Mon-Friday) * Solid ... utilization management, provider contracting, claims processing, and quality management services.
Part time (16 hrs/wk); Medical Director - White Sulphur Springs, West Virginia
Eggleston, VA · On-site
Medical Director - Part time * Flexible - work around your current schedule (Mon-Friday) * Solid ... utilization management, provider contracting, claims processing, and quality management services.
The Senior Medical Director is a strategic clinical and business leader responsible for advancing ... Provide clinical leadership for medical management programs, including utilization management ...
New
The Senior Medical Director is a strategic clinical and business leader responsible for advancing ... Provide clinical leadership for medical management programs, including utilization management ...
New
The Senior Medical Director is a strategic clinical and business leader responsible for advancing ... Provide clinical leadership for medical management programs, including utilization management ...
The Senior Medical Director is a strategic clinical and business leader responsible for advancing ... Provide clinical leadership for medical management programs, including utilization management ...
The Senior Medical Director is a strategic clinical and business leader responsible for advancing ... Provide clinical leadership for medical management programs, including utilization management ...
The Senior Medical Director is a strategic clinical and business leader responsible for advancing ... Provide clinical leadership for medical management programs, including utilization management ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
Medical Director-Adult Detention Center
Leesburg, VA · On-site
$136K - $272K/yr
... utilization management and healthcare resource review processes; assists in the development and ... The Medical Director is a licensed physician (MD or DO) who serves as the Sheriff's Office's senior ...
Medical Director-Adult Detention Center
Leesburg, VA · On-site
$136K - $272K/yr
... utilization management and healthcare resource review processes; assists in the development and ... The Medical Director is a licensed physician (MD or DO) who serves as the Sheriff's Office's senior ...
Description The Medical Director of the Observation Unit provides medical, operational, and ... Collaborate with Utilization Review and Case Management to ensure compliance with CMS observation ...
Description The Medical Director of the Observation Unit provides medical, operational, and ... Collaborate with Utilization Review and Case Management to ensure compliance with CMS observation ...
This position collects, reviews, and documents clinical information to support medical necessity ... status as directed. * Maintain accurate utilization management records, reports, and audit ...
This position collects, reviews, and documents clinical information to support medical necessity ... status as directed. * Maintain accurate utilization management records, reports, and audit ...
This position collects, reviews, and documents clinical information to support medical necessity ... status as directed. * Maintain accurate utilization management records, reports, and audit ...
This position collects, reviews, and documents clinical information to support medical necessity ... status as directed. * Maintain accurate utilization management records, reports, and audit ...
Medical Director Physician Advisory Services | 2026 Becker's Top 150 Places To Work In Healthcare!
Alexandria, VA · On-site
Join our Medical Group as an Executive Leader as a Medical Director, Advisory Services - A Role ... The team leads utilization management (UM) efforts, clinical documentation improvement (CDI ...
Medical Director Physician Advisory Services | 2026 Becker's Top 150 Places To Work In Healthcare!
Alexandria, VA · On-site
Join our Medical Group as an Executive Leader as a Medical Director, Advisory Services - A Role ... The team leads utilization management (UM) efforts, clinical documentation improvement (CDI ...
... Medical Center. This RN/PA/FMG/MD/HIM Professional responds to third party clinical denials ... utilization management health plan issues, and advises the Director of denial trends. S/he analyzes ...
... Medical Center. This RN/PA/FMG/MD/HIM Professional responds to third party clinical denials ... utilization management health plan issues, and advises the Director of denial trends. S/he analyzes ...
... Medical Center. This RN/PA/FMG/MD/HIM Professional responds to third party clinical denials ... utilization management health plan issues, and advises the Director of denial trends. S/he analyzes ...
... Medical Center. This RN/PA/FMG/MD/HIM Professional responds to third party clinical denials ... utilization management health plan issues, and advises the Director of denial trends. S/he analyzes ...
Medical Director Utilization Management information
See Virginia salary details
$12.9K - $43.9K
2% of jobs
$43.9K - $74.9K
1% of jobs
$74.9K - $105.9K
5% of jobs
$105.9K - $136.9K
3% of jobs
$136.9K - $167.9K
5% of jobs
$196K is the 25th percentile. Wages below this are outliers.
$167.9K - $198.9K
9% of jobs
$198.9K - $229.9K
19% of jobs
The median wage is $236.9K / yr.
$229.9K - $260.9K
22% of jobs
$275.9K is the 75th percentile. Wages above this are outliers.
$260.9K - $291.9K
17% of jobs
$291.9K - $322.9K
10% of jobs
$322.9K - $353.9K
6% of jobs
$12.9K
$230.4K
$353.9K
How much do medical director utilization management jobs pay per year?
What is a medical director utilization management?
What are the key skills and qualifications needed to thrive as a medical director utilization management?
How does a medical director utilization management typically collaborate with clinical teams and insurance providers?
What is the difference between Medical Director Utilization Management vs Medical Director Case Management?
| Aspect | Medical Director Utilization Management | Medical Director Case Management |
|---|---|---|
| Credentials | Medical degree, medical license, possibly board certification | Medical degree, medical license, possibly board certification |
| Work Environment | Utilization review departments, insurance companies, healthcare organizations | Case management teams, hospitals, healthcare providers |
| Employer & Industry | Insurance companies, managed care organizations | Hospitals, healthcare systems, community health agencies |
| Primary Focus | Reviewing medical necessity and approving services | Coordinating patient care and discharge planning |
Both roles require medical credentials and involve improving patient care, but Medical Director Utilization Management primarily focuses on reviewing and approving healthcare services for insurance purposes, while Medical Director Case Management emphasizes coordinating ongoing patient care and discharge planning within healthcare settings.
What are popular job titles related to Medical Director Utilization Management jobs in Virginia?
For Medical Director Utilization Management jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Medical Director Utilization Management jobs in Virginia look for?
The top searched job categories for Medical Director Utilization Management jobs in Virginia are:
- Regional Director Of Clinical Services
- Managed Care Organization
- Medical Director Oncology
- Director Clinical Informatics Director
- Director Of Reimbursement
- Direct Care Manager
- Pediatric Utilization Management
- Maternity Case Manager
- Assistant Remote Utilization Review
- Assistant Director Of Clinical Operations
What cities in Virginia are hiring for Medical Director Utilization Management jobs?
Cities in Virginia with the most Medical Director Utilization Management job openings:

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 23 days ago
Universal Health Services rating
6.9
Based on 254 frontline employees who took The Breakroom Quiz
453rd of 898 rated healthcare providers
Job description
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.
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.
Education:UNAVAILABLEEmployment Type: FULL_TIMEWhat Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
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