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Psychiatric Utilization Review Jobs in Virginia (NOW HIRING)

The Utilization Review Coordinator assists admissions in screening patients at the pre-hospital ... Psychiatric Hospital. North Spring is situated on 42 acres of scenic greenlands in historic ...

The Utilization Review Coordinator assists admissions in screening patients at the pre-hospital ... Psychiatric Hospital. North Spring is situated on 42 acres of scenic greenlands in historic ...

New

Responsibilities The Hughes Center is a highly-structured psychiatric residential treatment ... Assist in preparing Utilization Review Reports as necessary. • Coordinates and makes ...

Responsibilities The Hughes Center is a highly-structured psychiatric residential treatment ... · Assist in preparing Utilization Review Reports as necessary. · Coordinates and makes ...

New

Responsibilities The Hughes Center is a highly-structured psychiatric residential treatment ... · Assist in preparing Utilization Review Reports as necessary. · Coordinates and makes ...

New

Responsibilities The Hughes Center is a highly-structured psychiatric residential treatment ... · Assist in preparing Utilization Review Reports as necessary. · Coordinates and makes ...

New

The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays ... in a psychiatric or mental health setting required. • Current licensure as an LPN or RN or ...

... review and respond to concerns expressed by customers. Together with the appropriate Department ... psychiatric disorders. Must know how to gather and analyze data. Must be articulate, assertive, and ...

Responsibilities The Hughes Center is a highly-structured psychiatric residential treatment ... Three to five years of experience in utilization review and case management. RN, LCSW, LPC, LMFT, ...

Responsibilities The Hughes Center is a highly-structured psychiatric residential treatment ... Three to five years of experience in utilization review and case management. RN, LCSW, LPC, LMFT, ...

Responsibilities The Hughes Center is a highly-structured psychiatric residential treatment ... Three to five years of experience in utilization review and case management. RN, LCSW, LPC, LMFT, ...

Responsibilities The Hughes Center is a highly-structured psychiatric residential treatment ... Three to five years of experience in utilization review and case management. RN, LCSW, LPC, LMFT, ...

As the largest provider of PHP/IOP programs and psychiatric services in Illinois, Compass Health ... Participate in Utilization Review, Quality Assurance and professional development activities * Meet ...

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Psychiatric Utilization Review information

See Virginia salary details

$21

$41

$68

How much do psychiatric utilization review jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for psychiatric 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 is a psychiatric utilization review?

A Psychiatric Utilization Review job involves evaluating the medical necessity, appropriateness, and efficiency of mental health treatments. Professionals in this role review patient cases, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They collaborate with healthcare providers and insurance companies to authorize services and prevent unnecessary care. Their goal is to balance quality patient care with cost containment.

What does a psychiatric utilization review do?

A typical day in Psychiatric Utilization Review involves reviewing patient medical records to evaluate the appropriateness and medical necessity of inpatient or outpatient psychiatric care. You will interact with providers, payers, and clinical teams to gather information, clarify treatment plans, and ensure compliance with insurance and regulatory criteria. Much of the work is independent, but collaboration with multidisciplinary teams is common, especially when resolving complex cases or conducting peer reviews. You may also participate in meetings, submit timely documentation, and stay up-to-date on benefit guidelines and relevant legislation. This role provides a dynamic blend of clinical assessment, administrative responsibilities, and teamwork in a healthcare setting.

What are the key skills and qualifications needed to thrive in psychiatric utilization review?

To thrive as a Psychiatric Utilization Review professional, you typically need a background in nursing, social work, or behavioral health, along with a strong understanding of mental health diagnoses, treatment planning, and insurance guidelines. Familiarity with clinical documentation, electronic medical record (EMR) systems, and utilization management software is important, and certification such as Certified Case Manager (CCM) can be advantageous. Excellent analytical thinking, attention to detail, and effective communication skills help you advocate for patients and collaborate with healthcare providers. These skills ensure objective, fair, and efficient case reviews that support quality care and appropriate resource use.

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

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

What cities in Virginia are hiring for Psychiatric Utilization Review jobs?

Cities in Virginia with the most Psychiatric Utilization Review job openings:

Infographic showing various Psychiatric Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 100% In-person job distribution, with an average salary of $87,192 per year, or $41.9 per hour.

PHP Utilization Review Coordinator

UHS

Leesburg, VA • On-site

$64K/yr

Full-time

Medical, Retirement, PTO

This job post has expired 2 days ago. Applications are no longer accepted.


Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

458th of 894 rated healthcare providers


Job description

Responsibilities
***Join Our Team as a Utilization Review Coordinator!***
North Spring Behavioral Healthcare is looking for a fulltime Utilization Review Coordinator (on-site) to join our compassionate and dynamic team!
What We Offer:
  • Competitive Salary
  • Comprehensive Benefits Package:
    • Health insurance - Available after just 30 days.
    • Paid Time Off - Start earning after 90 days.
    • 401(k) with company match - Eligible after 30 days.
The Utilization Review Coordinator 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. Interacts and communicates with clinical staff, Business Office, Admissions, Medical Records, third party reviewers and hospital administration to help receive hospital care they need.
Key Responsibilities:
  • Performs clinical reviews over the telephone. Reviews that entire chart to evaluate the appropriateness of admission, continued stay, discharge criteria and identifies high-risk cases.
  • Facilitates discharge planning with treatment team and coordinates continuum of care for the patient with Social Worker. Monitors the effectiveness of patient outcomes.
  • Attends treatment team meetings and serves as a liaison and patient advocate between insurance companies and the treatment team.
  • Notifies and alerts Director of Outpatient Services of potential utilization review problems or denials; assists in the preparation and implementation of the appeals process.
  • Monitors documentation in clinical records and reports problematic areas to appropriate supervisor, Director of Outpatient Services.
  • Assists admissions with screening patients on the pre-hospitalization level to ensure admission criteria are met.
North Spring Behavioral Healthcare, a subsidiary of Universal Health Services, Inc. (UHS), is a Department of Behavioral Health and Developmental Services (DBHDS)-licensed, and Joint Commission approved 87-bed Psychiatric Residential Treatment Facility, and a 40-bed Inpatient Acute Psychiatric Hospital. North Spring is situated on 42 acres of scenic greenlands in historic Leesburg, VA, approximately 25 miles northwest of Washington, D.C. We provide therapeutic programs for adolescents in a safe and secure environment that encourages growth and self-responsibility. Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected healthcare management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 83,000 employees. The UHS business strategy is to build or purchase healthcare properties in rapidly growing markets and create a strong franchise based on exceptional service and effective cost control. Our success comes from a responsive management style and a service philosophy based on integrity, competence and compassion.
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies™ and in 2025, was listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 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 in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com .
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.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Qualifications
  • Good verbal and written skills; ability to rotate shifts and programs as necessary; ability to maintain confidentiality of patient information.
  • Must consistently exhibit mental and emotional ability to understand and perform the essential functions of the job.
  • Bachelor's degree in related field required.
  • Master's Degree in related field preferred.
  • One to three years of related experience required.
  • Prefer experience with children and adolescents in psychiatric facility or rehabilitation program.
  • Physical Requirements: Must be able to lift and carry up to 50 pounds; 80-90% of the time the incumbent is standing, walking, kneeling, reaching while working with residents. Requires full range of body motion including handling and physical restraint of residents.
  • Ability to perform CPR and First Aid.

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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