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Remote Psychiatric Utilization Review Jobs in Virginia

Beacon Talent

Remote Psychiatrist

Cumberland, VA · Remote

$150 - $200/hr

Conduct comprehensive initial psychiatric evaluations via video * Provide ongoing medication ... Document within our behavioral health EMR to the standard required for payer review * Escalate ...

Beacon Talent

Remote Psychiatrist

Lexington, VA · Remote

$150 - $200/hr

Conduct comprehensive initial psychiatric evaluations via video * Provide ongoing medication ... Document within our behavioral health EMR to the standard required for payer review * Escalate ...

Prestige

LPN Case Manager

Richmond, VA · Remote

$75K/yr

... utilization review * Facilitate timely and safe discharge planning * Serve as primary point of ... This is a Remote Position. * Competitive Salary * Medical, Dental, and Vision Insurance * 401K ...

Maximus Federal & VES

Psychiatry, Psychiatry

Mclean, VA · Remote

$250 - $400/wk

This is a flexible, fully remote opportunity ideal for physicians interested in case review work ... Board Certification in Psychiatry for more than 5 years. * Over 5 years experience in Transgender ...

For People

Software Engineer, Medicaid

Arlington, VA · On-site +1

$100K - $120K/yr

Our entire team is remote across the United States, from the West Coast to the East Coast. There ... Contribute to the next version of the program's drug utilization review tools * Help lead the team ...

UVA Health

Physician Advisor (Remote)

Manassas, VA · Remote

$250K - $350K/yr

... across Utilization Management (UM), Clinical Documentation Integrity (CDI), Coding, and Case ... Perform medical necessity reviews using MCG and/or InterQual * Support CMS compliance, including ...

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Remote Psychiatric Utilization Review information

What is a remote psychiatric utilization review?

A Remote Psychiatric Utilization Review position involves evaluating mental health treatment plans and services to ensure they are medically necessary and meet insurance or regulatory guidelines. Professionals in this role typically review clinical documentation, assess the appropriateness of care, and make recommendations regarding the coverage of psychiatric services, all while working remotely. They collaborate with healthcare providers, insurance companies, and sometimes patients, to facilitate quality care and manage costs. Strong knowledge of mental health diagnoses, treatment protocols, and insurance policies is essential for success in this position.

What are the key skills and qualifications needed to thrive as a remote psychiatric utilization review specialist?

To thrive as a Remote Psychiatric Utilization Review specialist, you need a clinical background in nursing, social work, or mental health counseling, typically with relevant licensure (such as RN, LCSW, or LPC) and experience in psychiatric care. Familiarity with utilization review platforms, electronic health records (EHRs), and managed care systems is essential, along with certifications like CCM (Certified Case Manager) being advantageous. Strong analytical thinking, attention to detail, and effective verbal and written communication skills are crucial for evaluating cases and coordinating with providers. These competencies ensure accurate assessments, compliance with regulations, and optimal patient outcomes while managing costs in a remote work environment.

What are some common challenges faced by professionals in remote psychiatric utilization review roles, and how can they be addressed?

Professionals in Remote Psychiatric Utilization Review often encounter challenges such as interpreting clinical documentation remotely, ensuring timely case reviews, and maintaining effective communication with providers and insurance companies. Staying organized and developing strong time-management skills are key to managing caseloads efficiently. Regularly participating in team meetings and leveraging secure digital communication tools can help bridge the gap between remote team members and facilitate collaboration. Continuous education on evolving mental health regulations and payer guidelines is also essential to remain effective in the role.

What is the difference between Remote Psychiatric Utilization Review vs Remote Mental Health Case Manager?

AspectRemote Psychiatric Utilization ReviewRemote Mental Health Case Manager
CredentialsLicensed Psychiatrist, Psychologist, or Certified Utilization Review ProfessionalLicensed Clinical Social Worker, Mental Health Counselor, or Case Management Certification
Work EnvironmentReviewing medical records, insurance documentation, and making utilization decisions remotelyCoordinating care, assessing client needs, and providing support remotely
Employer & Industry UsageInsurance companies, health plans, and utilization review organizationsHealthcare providers, community agencies, and insurance companies

Remote Psychiatric Utilization Review focuses on evaluating medical necessity for psychiatric services, often within insurance and healthcare organizations. In contrast, Remote Mental Health Case Managers actively coordinate and support patient care. Both roles require mental health credentials but differ in daily tasks and focus areas.

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

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

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

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

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

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

Remote Psychiatric Utilization Review jobs near you

Remote Psychiatrist

Cumberland, VA • Remote

Beacon Talent
See more jobs at Beacon Talentexternal

$150 - $200/hr

Part-time

Posted 11 days ago

Job description

Location: Remote (United States) Type: 1099 Independent Contractor, Part-Time or Full-Time Compensation: $150–$200 per hour, or $1,500–$2,000 per 8-hour shift

About the Role

Our client is expanding its behavioral health capacity and hiring board-certified psychiatrists to deliver virtual psychiatric care. The work is primarily diagnostic evaluation and ongoing medication management for an adult outpatient population.


You'll work with a full intake and assessment team, so your time goes to clinical decision-making rather than scheduling, insurance verification, or chasing records.

Clinical Responsibilities

  • Conduct comprehensive initial psychiatric evaluations via video

  • Provide ongoing medication management and titration across mood, anxiety, ADHD, and substance use presentations

  • Prescribe controlled substances in accordance with federal and state law, including current telehealth prescribing rules

  • Coordinate with therapists, care navigators, and primary care where indicated

  • Document within our behavioral health EMR to the standard required for payer review

  • Escalate acute safety concerns per protocol, with 24/7 crisis-team backup

Practice Environment

  • Full admissions and assessment support on every case

  • Average of [XX] encounters per shift, with protected documentation time

  • Flexible scheduling, including evening and weekend availability

  • Malpractice coverage provided

  • No inpatient responsibility, no call

Qualifications

  • MD or DO with completion of an ACGME-accredited psychiatry residency

  • Board certified or board eligible in Psychiatry by the ABPN

  • Active, unrestricted medical license and DEA registration authorizing all applicable schedules

  • 2+ years of outpatient psychiatric practice post-residency

  • Comfort with telepsychiatry workflows and remote medication management

  • Active, unrestricted medical licensure in a minimum of three U.S. states

  • Professional working proficiency in Spanish, sufficient to conduct a complete clinical encounter without an interpreter

  • Subspecialty training in child and adolescent psychiatry or addiction medicine is welcome but not required