Richmond, VA · On-site +1
$60.20K - $107.40K/yr
Capacity Path is seeking a dedicated Behavioral / Mental Health Care Advocate to oversee case management and utilization review in Richmond, Virginia. This role offers the flexibility to work ...
New
Richmond, VA · On-site +1
$60.20K - $107.40K/yr
Capacity Path is seeking a dedicated Behavioral / Mental Health Care Advocate to oversee case management and utilization review in Richmond, Virginia. This role offers the flexibility to work ...
New
... remote staff up to 12 direct reports and oversight up to 50) Call Center experience preferred ... Utilization Manager experience preferred Previous Managed Care experience preferred EDUCATION The ...
... remote staff up to 12 direct reports and oversight up to 50) Call Center experience preferred ... Utilization Manager experience preferred Previous Managed Care experience preferred EDUCATION The ...
Mclean, VA · Remote
$28.37 - $39.19/hr
Job Summary Clinical Reviewer - Substance Use - LPCC, LMFT, LICSW - PRN (Remote U.S.) Responsible ... Review (UR) or Utilization Management (UM) or Prior Authorization experience. In-depth ...
Mclean, VA · Remote
$28.37 - $39.19/hr
Job Summary Clinical Reviewer - Substance Use - LPCC, LMFT, LICSW - PRN (Remote U.S.) Responsible ... Review (UR) or Utilization Management (UM) or Prior Authorization experience. In-depth ...
Reston, VA · On-site +1
Oversee project budgets and staffing utilization. * Review monthly financial reports and support ... Experience managing remote or distributed teams. * Excellent written and verbal communication ...
Reston, VA · On-site +1
Oversee project budgets and staffing utilization. * Review monthly financial reports and support ... Experience managing remote or distributed teams. * Excellent written and verbal communication ...
Arlington, VA · On-site +1
$91.70K - $163.70K/yr
While Role is Remote, for consideration candidate MUST reside within the state of VA. Candidates ... Experience in utilization review, concurrent review and/or risk management *All employees working ...
Arlington, VA · On-site +1
$91.70K - $163.70K/yr
While Role is Remote, for consideration candidate MUST reside within the state of VA. Candidates ... Experience in utilization review, concurrent review and/or risk management *All employees working ...
Arlington, VA · Remote
$91.70K - $163.70K/yr
While Role is Remote, for consideration candidate MUST reside within the state of VA. Candidates ... Experience in utilization review, concurrent review and/or risk management *All employees working ...
Arlington, VA · Remote
$91.70K - $163.70K/yr
While Role is Remote, for consideration candidate MUST reside within the state of VA. Candidates ... Experience in utilization review, concurrent review and/or risk management *All employees working ...
Mclean, VA · On-site +1
$113K - $188K/yr
The Loan Review Managing Consultant will support the U.S. Small Business Administration (SBA ... Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ...
New
Mclean, VA · On-site +1
$113K - $188K/yr
The Loan Review Managing Consultant will support the U.S. Small Business Administration (SBA ... Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ...
New
Mclean, VA · On-site +1
$113K - $188K/yr
The Loan Review Managing Consultant will support the U.S. Small Business Administration (SBA ... Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ...
New
Mclean, VA · On-site +1
$113K - $188K/yr
The Loan Review Managing Consultant will support the U.S. Small Business Administration (SBA ... Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ...
New
Richmond, VA · Remote
$54.10K - $155.54K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...
Richmond, VA · Remote
$54.10K - $155.54K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...
Richmond, VA · Remote
$54.10K - $155.54K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...
Richmond, VA · Remote
$54.10K - $155.54K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...
Annandale, VA · Remote
$58 - $69.50/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Annandale, VA · Remote
$58 - $69.50/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Ashburn, VA · Remote
$59.50 - $71.50/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Ashburn, VA · Remote
$59.50 - $71.50/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote Start Date: Negotiable Experience & Qualifications Fluency in French Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Remote Start Date: Negotiable Experience & Qualifications Fluency in French Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Remote Start Date: Negotiable Experience & Qualifications Fluency in Hebrew Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Remote Start Date: Negotiable Experience & Qualifications Fluency in Hebrew Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Fairfax, VA · Remote
$50 - $70/hr
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hindi Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Fairfax, VA · Remote
$50 - $70/hr
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hindi Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Chantilly, VA · On-site +1
Remote Start Date: Negotiable Experience & Qualifications Fluency in Portuguese Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Chantilly, VA · On-site +1
Remote Start Date: Negotiable Experience & Qualifications Fluency in Portuguese Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Chantilly, VA · Remote
$70/hr
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hebrew Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Chantilly, VA · Remote
$70/hr
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hebrew Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Chantilly, VA · Remote
$34/hr
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Portuguese Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Chantilly, VA · Remote
$34/hr
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Portuguese Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Arlington, VA · On-site +1
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS Fluency in Portuguese Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Arlington, VA · On-site +1
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS Fluency in Portuguese Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Arlington, VA · Remote
$50 - $70/hr
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hindi Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Arlington, VA · Remote
$50 - $70/hr
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hindi Familiarity with ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
| Aspect | Remote Utilization Review Manager | Remote Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license, certifications like URAC or AAPC, and management experience | Licensed Registered Nurse (RN) with utilization review certification often preferred |
| Work Environment | Oversees review teams, manages processes, and ensures compliance remotely | Performs case reviews, assesses medical necessity, and documents findings remotely |
| Employer & Industry Usage | Health insurance companies, third-party administrators, healthcare organizations |
The Remote Utilization Review Manager focuses on overseeing review teams and managing processes, while the Remote Utilization Review Nurse conducts case assessments and medical necessity reviews. Both roles require nursing credentials and are integral to healthcare utilization management, but differ in responsibilities and leadership levels.
$60.20K - $107.40K/yr
Full-time
This job post has expired today. Applications are no longer accepted.
Capacity Path is seeking a dedicated Behavioral / Mental Health Care Advocate to oversee case management and utilization review in Richmond, Virginia. This role offers the flexibility to work remotely while impacting the lives of members by recommending and managing care throughout treatment. The ideal candidate will possess a Master's degree in a relevant health discipline or an RN license and have over 2 years of related experience.
Competitive salary ranging from $60,200 to $107,400 annually. #J-18808-Ljbffr
