... including utilization management and outreach and work with laboratory Medical Director ... Pediatrics * Certification: Must obtain advanced certification in applicable modality within one ...
... including utilization management and outreach and work with laboratory Medical Director ... Pediatrics * Certification: Must obtain advanced certification in applicable modality within one ...
... including utilization management and outreach and work with laboratory Medical Director ... Pediatrics * Certification: Must obtain advanced certification in applicable modality within one ...
... including utilization management and outreach and work with laboratory Medical Director ... Pediatrics * Certification: Must obtain advanced certification in applicable modality within one ...
Physician Advisor (Remote)
Manassas, VA · On-site +1
$250K - $350K/yr
Board Certified in Family Medicine, Internal Medicine or Pediatrics * Eligible for Virginia medical licensure * Prior Utilization Management experience preferred * Knowledge of CMS regulations and ...
Physician Advisor (Remote)
Manassas, VA · On-site +1
$250K - $350K/yr
Board Certified in Family Medicine, Internal Medicine or Pediatrics * Eligible for Virginia medical licensure * Prior Utilization Management experience preferred * Knowledge of CMS regulations and ...
Physician Advisor, UVA Health Physician Advisor (Remote)
Manassas, VA · Remote
$250K - $350K/yr
Board Certified in Family Medicine, Internal Medicine or Pediatrics * Eligible for Virginia medical licensure * Prior Utilization Management experience preferred * Knowledge of CMS regulations and ...
Physician Advisor, UVA Health Physician Advisor (Remote)
Manassas, VA · Remote
$250K - $350K/yr
Board Certified in Family Medicine, Internal Medicine or Pediatrics * Eligible for Virginia medical licensure * Prior Utilization Management experience preferred * Knowledge of CMS regulations and ...
Physician Advisor (Remote)
Manassas, VA · Remote
$250K - $350K/yr
Board Certified in Family Medicine, Internal Medicine or Pediatrics * Eligible for Virginia medical licensure * Prior Utilization Management experience preferred * Knowledge of CMS regulations and ...
Physician Advisor (Remote)
Manassas, VA · Remote
$250K - $350K/yr
Board Certified in Family Medicine, Internal Medicine or Pediatrics * Eligible for Virginia medical licensure * Prior Utilization Management experience preferred * Knowledge of CMS regulations and ...
Physician Advisor (Remote)
Charlottesville, VA · On-site
$250K - $350K/yr
Board Certified in Family Medicine, Internal Medicine or Pediatrics * Eligible for Virginia medical licensure * Prior Utilization Management experience preferred * Knowledge of CMS regulations and ...
Physician Advisor (Remote)
Charlottesville, VA · On-site
$250K - $350K/yr
Board Certified in Family Medicine, Internal Medicine or Pediatrics * Eligible for Virginia medical licensure * Prior Utilization Management experience preferred * Knowledge of CMS regulations and ...
Pediatric General Surgery NP or PA
Norfolk, VA · On-site
$63.52 - $85.94/hr
Reports to supervising physician(s) and designated manager. * ESSENTIAL DUTIES AND RESPONSIBILITIES ... stay, with effective utilization of healthcare resources. * Provides office visits under ...
Pediatric General Surgery NP or PA
Norfolk, VA · On-site
$63.52 - $85.94/hr
Reports to supervising physician(s) and designated manager. * ESSENTIAL DUTIES AND RESPONSIBILITIES ... stay, with effective utilization of healthcare resources. * Provides office visits under ...
Pediatric General Surgery NP or PA
Norfolk, VA · On-site
$63.52/hr
Reports to supervising physician(s) and designated manager. * ESSENTIAL DUTIES AND RESPONSIBILITIES ... stay, with effective utilization of healthcare resources. * Provides office visits under ...
Pediatric General Surgery NP or PA
Norfolk, VA · On-site
$63.52/hr
Reports to supervising physician(s) and designated manager. * ESSENTIAL DUTIES AND RESPONSIBILITIES ... stay, with effective utilization of healthcare resources. * Provides office visits under ...
Reports to supervising physician(s) and designated manager. * ESSENTIAL DUTIES AND RESPONSIBILITIES ... stay, with effective utilization of healthcare resources. * Provides office visits under ...
Reports to supervising physician(s) and designated manager. * ESSENTIAL DUTIES AND RESPONSIBILITIES ... stay, with effective utilization of healthcare resources. * Provides office visits under ...
Pediatric Occupational Therapist - Norfolk, VA
Norfolk, VA · On-site
$68K - $92K/yr
... Management, Dry Needling (depending on state), and much more! Why Choose Ivy? * Best Employer: A ... With the utilization of ScribeIQ (an AI documentation tool), clinicians can expect a significant ...
Pediatric Occupational Therapist - Norfolk, VA
Norfolk, VA · On-site
$68K - $92K/yr
... Management, Dry Needling (depending on state), and much more! Why Choose Ivy? * Best Employer: A ... With the utilization of ScribeIQ (an AI documentation tool), clinicians can expect a significant ...
... hour pediatric and adult emergency care, the only Level 3 Trauma Center in Loudoun County ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...
... hour pediatric and adult emergency care, the only Level 3 Trauma Center in Loudoun County ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...
... hour pediatric and adult emergency care, the only Level 3 Trauma Center in Loudoun County ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...
... hour pediatric and adult emergency care, the only Level 3 Trauma Center in Loudoun County ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...
... hour pediatric and adult emergency care, the only Level 3 Trauma Center in Loudoun County ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...
... hour pediatric and adult emergency care, the only Level 3 Trauma Center in Loudoun County ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...
... hour pediatric and adult emergency care, the only Level 3 Trauma Center in Loudoun County ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...
... hour pediatric and adult emergency care, the only Level 3 Trauma Center in Loudoun County ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...
... hour pediatric and adult emergency care, the only Level 3 Trauma Center in Loudoun County ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...
... hour pediatric and adult emergency care, the only Level 3 Trauma Center in Loudoun County ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...
Registered Nurse (RN) Case Manager 1
Leesburg, VA · On-site
$86K - $140K/yr
... hour pediatric and adult emergency care, the only Level 3 Trauma Center in Loudoun County ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...
Registered Nurse (RN) Case Manager 1
Leesburg, VA · On-site
$86K - $140K/yr
... hour pediatric and adult emergency care, the only Level 3 Trauma Center in Loudoun County ... Uses utilization management techniques to determine the medical necessity, appropriateness and ...
Director of Pediatric Palliative and Hospice Care
Charlottesville, VA · On-site
$109K - $123K/yr
Demonstrated competency in budget management and working with grants, foundations, and ... utilization, and program sustainability. * Participates in community education and support
Director of Pediatric Palliative and Hospice Care
Charlottesville, VA · On-site
$109K - $123K/yr
Demonstrated competency in budget management and working with grants, foundations, and ... utilization, and program sustainability. * Participates in community education and support
Director of Pediatric Palliative and Hospice Care
Charlottesville, VA · On-site
$130K - $180K/yr
Demonstrated competency in budget management and working with grants, foundations, and ... utilization, and program sustainability. * Participates in community education and support
Director of Pediatric Palliative and Hospice Care
Charlottesville, VA · On-site
$130K - $180K/yr
Demonstrated competency in budget management and working with grants, foundations, and ... utilization, and program sustainability. * Participates in community education and support
Director of Pediatric Palliative and Hospice Care
Charlottesville, VA · On-site
$140 - $190/hr
Demonstrated competency in budget management and working with grants, foundations, and ... utilization, and program sustainability. * Participates in community education and support
Director of Pediatric Palliative and Hospice Care
Charlottesville, VA · On-site
$140 - $190/hr
Demonstrated competency in budget management and working with grants, foundations, and ... utilization, and program sustainability. * Participates in community education and support
Director of Pediatric Palliative and Hospice Care
Charlottesville, VA · On-site
$130K - $180K/yr
Demonstrated competency in budget management and working with grants, foundations, and ... utilization, and program sustainability. * Participates in community education and support
Director of Pediatric Palliative and Hospice Care
Charlottesville, VA · On-site
$130K - $180K/yr
Demonstrated competency in budget management and working with grants, foundations, and ... utilization, and program sustainability. * Participates in community education and support
Pediatric Utilization Management information
What is pediatric utilization management?
What are some common challenges faced by professionals in pediatric utilization management, and how can they be addressed?
What are the key skills and qualifications needed to thrive as a pediatric utilization management nurse, and why are they important?
What is the difference between Pediatric Utilization Management vs Pediatric Case Management?
| Aspect | Pediatric Utilization Management | Pediatric Case Management |
|---|---|---|
| Credentials | RN, licensed healthcare professionals, certifications in utilization review | RN, social worker, case management certification |
| Work Environment | Insurance companies, healthcare organizations, utilization review departments | Hospitals, clinics, community health settings |
| Employer & Industry Usage | Insurance providers, managed care organizations | Hospitals, outpatient clinics, social services |
| Focus | Reviewing medical necessity, approving services, optimizing resource use | Coordinating care, supporting patient needs, discharge planning |
While both roles involve working with pediatric patients, Pediatric Utilization Management primarily focuses on reviewing and approving healthcare services for medical necessity within insurance or managed care settings. Pediatric Case Management emphasizes coordinating ongoing patient care and support services across healthcare providers and community resources.
What are popular job titles related to Pediatric Utilization Management jobs in Virginia?
For Pediatric Utilization Management jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Pediatric Utilization Management jobs in Virginia look for?
The top searched job categories for Pediatric Utilization Management jobs in Virginia are:
What cities in Virginia are hiring for Pediatric Utilization Management jobs?
Cities in Virginia with the most Pediatric Utilization Management job openings:

Other
Medical, Dental, Vision, Retirement, PTO
Re-posted 23 days ago
Inova Health System rating
7.5
Based on 260 frontline employees who took The Breakroom Quiz
239th of 891 rated healthcare providers
Job description
Inova Laboratories, located in Northern Virginia, is seeking an experienced pathologist with board certification in clinical pathology to serve as part of the clinical pathology service of this large and expanding system laboratory. Fellowship training in Pediatric Pathology is required and at least 3-5 years of experience is ideal. Candidates must be certified in Anatomic and Clinical Pathology by the American Board of Pathology or equivalent and be eligible for certification in Pediatric Pathology or have equivalent training/experience. Candidates must also be eligible for medical licensure in Virginia. The preferred applicant should have experience in providing clinical pathology services and is expected to sign out clinical pathology and surgical/hematopathology (as appropriate) cases for both adult and pediatrics.
The position will be actively involved in clinical issues, such as, consultation for clinician inquiry, quality management, operational efficiency including utilization management and outreach and work with laboratory Medical Director, administration and technical personnel to ensure that world-class diagnostic services are provided. The ability to assist in leading a highly proficient team and excellent interpersonal skills are desired.
Inova Health Pathology Department currently supports 5 hospitals and numerous outpatient surgery centers and clinics and is currently comprised of 48 credentialed pathologists.
Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Pathologist Job Responsibilities:
- As a Clinical Pathologist, responsibilities would include help with Laboratory regulatory compliance, validations, process improvements, and quality initiatives along with participation in the appropriate intra- and extradepartmental committees as a section medical director.
- Pathologist should possess strong overall diagnostic and communicative skills with the ability to handle clinical and surgical (if appropriate) pathology sign out of an active pathology service (Peripheral smears, electrophoresis, body fluids, etc.) and have interest and ability in overseeing daily clinical laboratory duties, such as apheresis, blood bank, hematology, and chemistry.
- Pathologists can participate in centralized slide distribution and evenly share cases across the system which enables subspecialty sign out of cases within the pathologist's preferred subspecialties if applicable (Hematopathology, etc.).
- On-call duties include blood bank calls, apheresis and other consults from the clinical laboratory.
- Education: Graduate of accredited Medical Doctorate Program (MD/DO)
Requirements:
- Board Certification: Anatomic and Clinical Pathology - AP/CP
- Fellowship training: Pediatrics
- Certification: Must obtain advanced certification in applicable modality within one year of training; BLS from the American Heart Association
- Licensure: Currently hold or ability to obtain an unrestricted VA medical licensure
- Credentialing: Ability to obtain successful medical staff credentials throughout all of our Inova pathology locations
Preferred Qualifications:
- 3-5 years of previous experience in pediatrics
Featured Benefits:
- Physician Led Organization
- Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
- Competitive Compensation Package: Competitive Base and Incentive program, opportunities for Sign On/Retention/Relocation
- Retirement: Inova matches the first 5% of eligible contributions – starting on your first day. 457B retirement plan is also available for physicians in a 0.5 FTE and greater
- CME Support: Up to $3,500 a year for CME support and up to 5 days of CME
- Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
- Work/Life Balance: offering paid time off, paid parental leave
What Inova Health System employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Inova Health System
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Falls Church, VA, US