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Pt Utilization Review Jobs in Virginia (NOW HIRING)

Battelle

Physical Therapist

Norfolk, VA · On-site

$1.6K - $2.0K/wk

Physical Therapist (PT) Battelle delivers when others can't. We conduct research and development ... utilization of required databases * Conduct peer record reviews for the HP Staff as directed ...

Battelle

Physical Therapist

Arlington, VA · On-site

$1.9K - $2.4K/wk

Physical Therapist (PT) Battelle delivers when others can't. We conduct research and development ... utilization of required databases * Conduct peer record reviews for the HP Staff as directed ...

Battelle Memorial Institute

Physical Therapist

Arlington, VA · On-site

$1.9K - $2.4K/wk

As a PT, you will contribute to impactful research and analytics that drive evidence-based decision ... utilization of required databases * Conduct peer record reviews for the HP Staff as directed ...

Battelle Memorial Institute

Physical Therapist

Norfolk, VA · On-site

$1.6K - $2.0K/wk

As a PT, you will contribute to impactful research and analytics that drive evidence-based decision ... utilization of required databases * Conduct peer record reviews for the HP Staff as directed ...

Loyal Source

Physical Therapist

Virginia Beach, VA · On-site

$1.4K - $1.9K/wk

The PT will also refer patients to other POTFF staff members as needed. The contractor shall ... utilization of required databases. * Conduct peer (record) reviews for the HP Staff as directed.

ChenMed, LLC

Primary Care Physician

Norfolk, VA · On-site

Works collaboratively with physicians, nurses, PT, social workers, family and key caregivers to ... Facilitates patient/family conferences to review treatment goals, optimize resource utilization ...

ChenMed

Primary Care Physician

Norfolk, VA · On-site

$214K - $306K/yr

Works collaboratively with physicians, nurses, PT, social workers, family and key caregivers to ... Facilitates patient/family conferences to review treatment goals, optimize resource utilization ...

ChenMed

Primary Care Physician

Norfolk, VA · On-site

Works collaboratively with physicians, nurses, PT, social workers, family and key caregivers to ... Facilitates patient/family conferences to review treatment goals, optimize resource utilization ...

ChenMed

Primary Care Physician

Newport News, VA · On-site

Works collaboratively with physicians, nurses, PT, social workers, family and key caregivers to ... Facilitates patient/family conferences to review treatment goals, optimize resource utilization ...

Centra Health

LPN II-CSH (LTAC)-PT/7a-7p

Lynchburg, VA

$25 - $34/hr

... reviews nursing professional publications; established personal networks and participate in professional societies. Resource Utilization and Stewardship * Supports organizational efforts regarding ...

Centra Health

LPN II-CSH (LTAC)-PT/7a-7p

Lynchburg, VA

$25 - $34/hr

... reviews nursing professional publications; established personal networks and participate in professional societies. Resource Utilization and Stewardship * Supports organizational efforts regarding ...

Centra Health

LPN II-CSH (LTAC)-PT/7a-7p

Lynchburg, VA · On-site

$25 - $34/hr

... reviews nursing professional publications; established personal networks and participate in professional societies. Resource Utilization and Stewardship * Supports organizational efforts regarding ...

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Showing results 41-60

All JobsPt Utilization Review JobsPt Utilization Review Jobs in Virginia

Pt Utilization Review information

What is a PT Utilization Review?

Pt Utilization Review jobs involve reviewing patient medical records and treatment plans to ensure that the care provided is medically necessary, appropriate, and in line with insurance policies or regulatory guidelines. Professionals in these roles, often physical therapists or nurses, assess whether ongoing physical therapy services are justified and help facilitate communication between healthcare providers and insurance companies. Their goal is to promote quality patient care while managing healthcare costs and ensuring compliance with regulations.

What are the key skills and qualifications needed to thrive as a PT Utilization Review specialist?

To thrive as a PT Utilization Review Specialist, you need a background in physical therapy (often requiring a DPT degree and state licensure) and strong analytical skills to assess medical necessity and treatment appropriateness. Familiarity with electronic medical records (EMRs), utilization management software, and knowledge of insurance guidelines are typically required. Exceptional communication, critical thinking, and attention to detail help facilitate collaboration with providers and ensure accurate case reviews. These skills are crucial for ensuring patients receive appropriate, evidence-based care while maintaining compliance with regulatory and payer requirements.

What are the typical challenges faced by PT Utilization Review professionals, and how can they be managed?

Physical Therapy Utilization Review professionals often encounter challenges such as balancing clinical judgment with payer guidelines, managing high caseloads, and communicating effectively with both therapists and insurance representatives. Navigating differing opinions about medical necessity and ensuring timely reviews are also common hurdles. Building strong organizational skills, staying updated on insurance policies, and fostering collaborative relationships with clinical teams can help manage these challenges and ensure optimal patient care.

What is the difference between Pt Utilization Review vs Physical Therapist?

AspectPt Utilization ReviewPhysical Therapist
CredentialsTypically requires licensure, certification in utilization review or case managementRequires a Doctor of Physical Therapy (DPT) degree and state licensure
Work EnvironmentHealthcare facilities, insurance companies, case management settingsHospitals, outpatient clinics, rehab centers
Job FocusReviewing medical necessity, approving or denying treatments, ensuring complianceAssessing and treating patients' physical conditions, developing rehab plans

While both roles operate within healthcare, Pt Utilization Review focuses on evaluating treatment necessity and insurance compliance, whereas Physical Therapists provide direct patient care and rehabilitation services.

What are popular job titles related to Pt Utilization Review jobs in Virginia?

For Pt Utilization Review jobs in Virginia, the most frequently searched job titles are:

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

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

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

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

Pt Utilization Review jobs near you
Infographic showing various Pt Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Patient Services Coord III-PT & Powell

UVA Health Northern VA & Culpeper

Culpeper, VA • On-site

$16 - $23.39/hr

Full-time, Part-time

Re-posted 4 days ago

Job description


Patient Services Coord III
Job Code: PF1220
Full Time Days
M-Th 9:30-6, F 9:30-5
ABOUT US
We are welcoming a new era in healthcare where achieving good health is just the beginning. At UVA Health Northern VA & Culpeper, we believe in caring for the whole person by getting to know - and making connections with - our patients. By combining the talent and expertise of our people, the breadth of capabilities across our system, and our commitment to helping our communities get better and stay healthy, we are improving the patient experience.
As a UVA Health Northern VA & Culpeper team member, you will have a voice in patient care decisions, support the most advanced medical technologies and feel a strong sense of satisfaction from making a difference in people's lives every day.
JOB TYPE
Classification: Non Exempt
Supervises Positions:
JOB SUMMARY
The following is a summary of the major essential functions of the job. The team member may perform other duties, both major and minor, that are not mentioned below; and specific functions may change from time to time:Schedules and registrars patients for the outpatient clinic. Verifies eligibility for patients and ensures all pre-authorizations, referrals, and pre-certifications are obtained as necessary by working closely with the physician offices, Utilization Review and Business Office Departments.Perform other job-related duties as directed by the Supervisor.
QUALIFICATIONS
Education: High School Diploma or GED required.
Experience: 1 year of clerical experience in medical office setting required. Other related experience may be considered in lieu of medical office experience. Refer to the Life Support Training Policy for additional details.
Licensure: None
Additional Skills/Requirements Required: Knowledge of basic medical terminology. Ability to communicate both verbally and in writing and possess a high degree of excellent customer service skills. Background of insurance knowledge is required for certain tasks assigned. Ability to comprehend insurance cards and benefit details. Ability to deal directly with the public in a professional and empathetic manner.
Additional Skills/Requirements Preferred: Background/knowledge of government/state and patient assistance programs is preferred. Working knowledge of ICD-10 and CPT coding is preferred. Strong computer skills. Proficiency in Windows and Microsoft Office preferred.
Competencies
  • Communications: Communicates effectively with all levels of clinic staff and visitors.
    • Greets and assists visitors to the department.
    • Answers all incoming telephone calls and provides accurate information as needed.
    • Attends assigned meetings and contributes positively to serve as communication ambassadors for the organization.
  • Teamwork:Works within a team to achieve patient and team goals.
    • Shares and initiates regular and professional communication with co-workers.
    • Facilitates and participates in regular staff meetings.
    • Demonstrates a willingness to adjust activities to accommodate the needs of team members/internal customers.
    • Resolves conflicts independently, as appropriate.
    • Accepts responsibility for actions and acts positively upon feedback from others.

The incumbent may be asked to perform additional duties as assigned.
PHYSICAL DEMANDS
Physical Demand Code: Medium to Heavy Physical Demand: The job requires constant standing, frequently walking, and bending/stooping. Proficient communicative, auditory, and visual skills. Attention to detail and ability to write legibly. Ability to lift/push/pull 100 lbs. For any weight over 35 lbs., use Safe Handling Equipment. This job description may not include all assigned duties, responsibilities, or aspects of the job described. It may be amended at any time at the sole discretion of UVA Community Health.
OTHER
  • May require the use of safety equipment, such as HEPA mask, for infection prevention: Yes
  • On call responsibilities as directed: No
  • Ability to travel between campus buildings, remote facilities, and out of town as needed: Yes
    The base compensation range for this role is $16.00 - $23.39 hourly.
    Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education. Please note that the pay range does not include any applicable incentive compensation programs such as shift differentials, clinical ladders, and other incentives that may be available for those in eligible positions.

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