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Overnight Remote Utilization Review Jobs in Virginia

Medical Case Manager

Glen Allen, VA ยท On-site +1

$62K - $96K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... s) through utilization of established guidelines to determine appropriate medical treatment ... to review and research conducted utilizing nationally accepted practice parameters. This position ...

Case Intake Manager

Henrico, VA ยท Remote

$87K - $115K/yr

This sworn position ensures the timely and accurate review of allegations of misconduct through ... Must be willing to perform mobile work and to maintain a remote office with high speed Internet ...

Mortgage Underwriter II - Remote

Richmond, VA ยท On-site +1

$90K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... overnight. Preferred Qualifications: 1. Basic knowledge of bank services and products. 2. Direct Endorsement and Staff Appraisal Reviewer Certifications. 3. Familiarity with Automated Underwriting ...

... utilization of logistics support services. Responsibilities: * Foster a team-oriented work ... Reviews and analyzes reports, such as revenue and performance records to recommended process ...

Senior Program Finance Analyst

Mclean, VA ยท Remote

$86K - $107K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... and remote operations all rely on Iridium to stay connected. We take our responsibility for ... program reviews that highlight funding status, unbilled analysis, aged receivables, utilization ...

Senior Program Finance Analyst

Mclean, VA ยท Remote

$86K - $107K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... and remote operations all rely on Iridium to stay connected. We take our responsibility for ... program reviews that highlight funding status, unbilled analysis, aged receivables, utilization ...

Showing results 41-60

Overnight Remote Utilization Review information

What is an overnight remote utilization review?

An Overnight Remote Utilization Review position involves evaluating medical records and healthcare services during nighttime hours to ensure that treatments are medically necessary and meet established guidelines. Professionals in this role usually work from home, reviewing patient cases, authorizing or denying services, and collaborating with healthcare providers. This job is crucial for maintaining quality care while controlling healthcare costs, and it often requires clinical credentials such as RN, LPN, or other relevant certifications. Strong analytical, communication, and computer skills are important for success in this remote role.

What are the key skills and qualifications needed to thrive as an overnight remote utilization review?

To thrive as an Overnight Remote Utilization Review nurse, you need a current RN license, strong clinical judgment, and experience in acute care or case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare/Medicaid are typically required. Excellent critical thinking, attention to detail, and the ability to communicate clearly in written and verbal forms are vital soft skills for this role. These skills ensure accurate, timely case reviews and effective collaboration with healthcare providers while maintaining compliance with payer requirements.

What are the main challenges faced by overnight remote utilization review professionals, and how can they be addressed?

Overnight remote utilization review professionals often encounter challenges such as working independently during non-traditional hours, limited immediate access to colleagues or supervisors, and the need to make timely decisions with potentially less available support. To address these challenges, it is important to develop strong self-management skills, establish clear communication channels with team members, and utilize comprehensive digital resources and documentation. Employers typically provide thorough training and access to on-call support to help ensure that overnight staff can make confident, accurate determinations and maintain high-quality patient care standards.

What is the difference between Overnight Remote Utilization Review vs Daytime Remote Utilization Review?

AspectOvernight Remote Utilization ReviewDaytime Remote Utilization Review
Work HoursTypically overnight shifts, often 10 PM to 6 AMStandard daytime hours, usually 8 AM to 4 PM
CertificationsSame as utilization review roles, e.g., RN, CPC, or other healthcare credentialsSame as overnight roles, requiring similar certifications
Work EnvironmentRemote, focused on reviewing cases during night hoursRemote, reviewing cases during daytime hours
Employer & IndustryHealthcare insurance companies, third-party administratorsSame as overnight, within healthcare and insurance sectors

Overnight Remote Utilization Review involves reviewing cases during night hours, providing flexibility for healthcare providers and insurers. Daytime Remote Utilization Review occurs during regular business hours. Both roles require similar credentials and work environments but differ mainly in shift timing, catering to different operational needs.

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

The most popular types of Remote Utilization Review jobs in Virginia are:

What job categories do people searching Overnight Remote Utilization Review jobs in Virginia look for?

The top searched job categories for Overnight Remote Utilization Review jobs in Virginia are:

What cities in Virginia are hiring for Overnight Remote Utilization Review jobs?

Cities in Virginia with the most Overnight Remote Utilization Review job openings:

Infographic showing various Overnight Remote Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 8% In-person, and 92% Remote job distribution.

Task Order Project Manager

VivSoft Technologies LLC

Herndon, VA โ€ข On-site, Remote

$120K - $136K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago


Job description

About VivSoft:
VivSoft is a mission-driven technology company specializing in Cloud, DevSecOps, Artificial Intelligence, and Digital Experience. We are a diverse team of innovators dedicated to creating open, scalable, and automated solutions that drive digital transformation in the federal sector. Our work culture fosters collaboration, creativity, and continuous learning.
Job Summary:
The Task Order Project Manager is responsible for overseeing all aspects of the OneStream Functional Integrator support contract. This role manages scope, schedule, resources, and communications across stakeholders and ensures that all task order requirements are met through effective planning, execution, and monitoring.
Key Responsibilities:
  • Provide programmatic support to stakeholders and project teams for execution of assigned project schedules and deliverables.
  • Develop, update, and maintain project plans, schedules, and resource assignments aligned with performance work statement (PWS) requirements.
  • Facilitate contract kick-off and transition-in activities; lead regular In-Process Reviews (IPRs) and executive briefings.
  • Manage project documentation, meeting minutes, reports, and communication materials for internal and external stakeholders.
  • Coordinate non-disclosure agreements, monthly status reports, CAC accountability reports, and compliance with DoD 8570/8140 certification tracking.
  • Lead preparation and submission of transition plans in the event of follow-on contract transitions.
  • Ensure accurate and timely reporting on task progress, risks, and resource utilization to the Contracting Officer's Representative (COR) and PMO.

Qualifications:
  • Bachelor's degree in Project Management, Business Administration, Information Technology, or related field.
  • Must possess an active Secret security clearance.
  • Minimum of 7 years of experience managing large-scale federal IT programs or task orders, preferably in the DoD environment.
  • Proven track record managing Agile-based and multi-task project environments involving ERP or financial system implementations.
  • Proficient in project management tools and methodologies (e.g., Microsoft Project, Jira, Agile)
  • Strong understanding of federal contract and task order management processes
  • Familiarity with DOD 8570/8140 certification tracking and reporting
  • Experience in preparing transition plans and executing contract onboarding/offboarding
  • Excellent communication, reporting, and stakeholder engagement skills

Benefits:
  • Comprehensive Medical, Dental, and Vision Plans (Healthcare benefits are 100% employer-paid for employees only)
  • Life Insurance
  • Paid Time Off (Flexible/Combined PTO, Bereavement Leave, 11 Company Paid Holidays)
  • 401K Retirement Plan with employer match
  • Professional Development Training Reimbursement
  • Flexible/remote work schedules