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Part Time Utilization Management Jobs in Virginia

22nd Health Care LLC

Medical Director

Norfolk, VA

... utilization management program for review of on-site services and off-site referrals • Review ... PT/OT 8 hrs/mo, OB/GYN 8 hrs/mo, ENT 4 hrs/mo) • Provide on-site hemodialysis services as ...

22nd Health Care LLC

Medical Director

Norfolk, VA

$220 - $250/hr

Establish utilization management program for review of on-site services and off-site referrals ... Provide on-site specialty clinics (Optometry 8 hrs/mo, Podiatry 8 hrs/mo, PT/OT 8 hrs/mo, OB/GYN 8 ...

Sentara

Inpatient Case Manager Registered Nurse Sentara Careplex Hospital - Hampton, VA Part-time & Day ... management. Promotes effective utilization and monitoring of health services, collaborates and ...

Sentara

$10K/mo

Inpatient Case Manager Registered Nurse Sentara Careplex Hospital - Hampton, VA Part-time & Day ... management. Promotes effective utilization and monitoring of health services, collaborates and ...

Carilion Clinic

Bed Management Specialist

Roanoke, VA · On-site

$17.39 - $24.35/hr

Employment Status: Part time Shift: Weekends Only (United States of America) Facility: 1906 ... utilization analysis and economic analysis. * Assists in coordinating orientation processes for new ...

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All JobsPart Time Utilization Management JobsPart Time Utilization Management Jobs in Virginia

Part Time Utilization Management information

What is the difference between Part Time Utilization Management vs Part Time Care Coordinator?

AspectPart Time Utilization ManagementPart Time Care Coordinator
Primary RoleReviewing and approving healthcare services to ensure appropriate utilizationCoordinating patient care plans and services across providers
CertificationsTypically requires healthcare or insurance-related certificationsOften requires healthcare or case management certifications
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHealthcare facilities, clinics, or community health settings
Employer & Industry UsageInsurance companies, managed care organizationsHospitals, clinics, healthcare providers

While both roles involve healthcare coordination, Part Time Utilization Management focuses on reviewing and authorizing services, whereas Part Time Care Coordinators actively manage patient care plans. Understanding these differences helps in choosing the right career path or job search focus.

What are the key skills and qualifications needed to thrive as a Part Time Utilization Management professional, and why are they important?

To thrive as a Part Time Utilization Management professional, you need a background in nursing or healthcare, critical thinking skills, and knowledge of medical necessity criteria, often supported by RN or LPN licensure. Familiarity with utilization review software, electronic health records (EHRs), and systems like InterQual or Milliman is typically required. Strong communication, attention to detail, and organizational skills help you effectively coordinate with providers and ensure accurate documentation. These abilities are essential for making informed coverage determinations, optimizing resource use, and maintaining compliance with healthcare regulations.

What is a part-time utilization management job?

A part-time utilization management job involves reviewing and evaluating the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities on a part-time basis. These professionals help ensure that patients receive the right care at the right time while controlling healthcare costs and complying with insurance policies. Part-time roles may be suitable for nurses, social workers, or other healthcare professionals who want flexible hours while contributing to quality patient care and resource management.
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 Part Time Utilization Management jobs? Cities in Virginia with the most Part Time Utilization Management job openings:
Part Time Utilization Management jobs near you
Infographic showing various Part Time Utilization Management job openings in Virginia as of June 2026, with employment types broken down into 4% As Needed, 63% Full Time, and 33% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Medical Director

22nd Health Care LLC

Norfolk, VA

Part-time

Posted 10 days ago

Job description

Job Title: Medical Director / On-Site Primary Care Physician
Location: Norfolk, VA 23510
Duration: 01 Year to long term
Shifts: 12/8 hour All shifts
Job responsibilities:
•    Oversee and supervise all on-site medical services program
•    Maintain NCCHC accreditation for on-site medical services program
•    Establish utilization management program for review of on-site services and off-site referrals
•    Review initial health assessment findings and identify problems
•    Initiate therapy and immunizations when appropriate
•    Establish policies for initial inmate assessments (acceptable to NSO)
•    Establish policies for non-emergency medical treatment (sick call)
•    Review all sick call slips within eight (8) hours
•    Schedule inmates for medical evaluation within 24 hours (weekdays) or 72 hours (weekends)
•    Respond immediately to any area of jail for emergency medical requests
•    Provide first aid and CPR services on-site
•    Identify preferred providers for off-site emergency services
•    Provide quarterly emergency medical response drills
•    Provide on-site specialty clinics (Optometry 8 hrs/mo, Podiatry 8 hrs/mo, PT/OT 8 hrs/mo, OB/GYN 8 hrs/mo, ENT 4 hrs/mo)
•    Provide on-site hemodialysis services as ordered
•    Provide necessary laboratory tests as ordered
•    Provide necessary radiological studies as ordered
•    Establish policies for referring inmates for on-site, telehealth and off-site treatment
•    Generate Request for Consultation forms for off-site services
•    Provide medical information and payments to preferred providers (pay within 30 days)
•    Establish policies for chronic illness and infectious disease care
•    Notify Officer in Charge of Health Services of infectious disease diagnoses
•    Provide TB surveillance program
•    Provide Hepatitis C surveillance and treatment program
•    Provide mental health services including assessment of mentally ill and suicidal/homicidal inmates
•    Ensure health care staff trained on symptoms and treatment of suicidal/homicidal inmates
•    Establish policies for on-site treatment and referral of suicidal/homicidal inmates
•    Provide dental care program under licensed dentist
•    Provide eye examinations and corrective lenses when medically necessary
•    Cooperate with food service contractor for medically necessary clinical diets
•    Design and provide ongoing health education program to inmates
•    Conduct annual physicals on inmates incarcerated over one year
•    Provide and use EHR system compliant with HIPAA and HITECH
•    Provide access and transfer of data to NSO upon termination at no cost
•    Maintain and retain complete standardized medical records
•    Respond in writing to medical grievances within 48 hours
•    Respond to emergency medical grievances immediately
•    Follow NSO policies for inmate co-payments
•    Complete cost recovery forms and witness inmate signatures
•    Provide four emergency response/disaster boxes
•    Provide monthly inventory and re-stocking of supplies
•    Provide staffing per Minimum Daily Staffing plan (Attachment N)
•    Notify Officer in Charge of Health Services of any lapse or expiration of licensure for staff
•    Verify Virginia licensure of health care providers prior to hiring
•    Provide copy of license to NSO prior to hiring
•    Ensure no health care provider hired has had adverse action by any licensing board
•    Remove and dispose of medical hazardous waste
•    Provide QI program and form QI committee (meet quarterly)
•    Participate in quarterly Medical Advisory Committee (MAC) meetings
•    Submit to periodic records review by NSO's quality assurance contractor
Requirements:
•    Active Board certification
•    Active DEA.
•    Active Physician License.
•    Active BLS.

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