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Remote Utilization Review Rn Jobs in Springfield, VA

Associate's degree in Nursing with an active RN license. * Required Work Experience : 5 years ... Sound clinical review judgement. Independent thinking and strong organizational skills. * Required ...

Along with excellent benefits, McGuireWoods offers most employees a hybrid remote option allowing ... Lead the annual benefits renewal process, including plan design evaluation, utilization review ...

Along with excellent benefits, McGuireWoods offers most employees a hybrid remote option allowing ... Lead the annual benefits renewal process, including plan design evaluation, utilization review ...

BCBA (Part-time)

Fairfax, VA ยท On-site +1

$80 - $110/hr

... Hybrid (Remote + In-person) A rare opportunity to join a growing ABA practice as an early team ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

BCBA

Fairfax, VA ยท On-site +1

$90K - $110K/yr

Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ... Remote and in-clinic Job Types: Full-time

Showing results 41-60

Remote Utilization Review Rn information

See Springfield, VA salary details

$22

$44

$72

How much do remote utilization review rn jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for remote utilization review rn in Springfield, VA is $44.16, according to ZipRecruiter salary data. Most workers in this role earn between $34.90 and $50.72 per hour, depending on experience, location, and employer.

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

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What is a remote utilization review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What is the difference between Remote Utilization Review Rn vs Remote Case Manager Rn?

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are some common challenges remote utilization review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.
What are popular job titles related to Remote Utilization Review Rn jobs in Springfield, VA? For Remote Utilization Review Rn jobs in Springfield, VA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Springfield, VA look for? The top searched job categories for Remote Utilization Review Rn jobs in Springfield, VA are:
What cities near Springfield, VA are hiring for Remote Utilization Review Rn jobs? Cities near Springfield, VA with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Springfield, VA as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, and 4% Contract. Highlights an 89% Physical, 4% Hybrid, and 7% Remote job distribution, with an average salary of $91,862 per year, or $44.2 per hour.

Board Certified Behavior Analyst (BCBA) - Remote

All Care Therapies

Washington, DC โ€ข Remote

$43 - $56/hr

Part-time

Posted 3 days ago

New


Job description



All Care Therapies is a leading provider of Physical, Occupational, Speech, and ABA therapy services, delivering care through virtual, in-home, and clinic-based settings across California, Texas, and Nevada. We serve individuals of all ages, combining innovative technology with a collaborative, patient-centered approach. Our dedicated clinicians provide flexible, high-quality care that meets patients where they are, supporting recovery, enhancing communication, and driving meaningful, long-term outcomes.


Job Description


The Board Certified Behavior Analyst (BCBA) is a licensed clinical professional responsible for designing, implementing, supervising, and evaluating Applied Behavior Analysis (ABA) therapy programs for patients across the lifespan. The BCBA at ACT works in alignment with our mission to deliver individualized, compassionate care and maintains clinical excellence in accordance with the BACB's ethical and professional standards.

This role may be performed via tele health, in a clinic environment, in the patient's home, or on-site at a school or care facility — providing maximum flexibility to match the BCBA's preferred work style with ACT's patient population needs.


Qualifications


Clinical Practice

  • Conduct comprehensive functional behavior assessments (FBA) and skill assessments (e.g., VB-MAPP, ABLLS-R, PEAK) to identify treatment priorities.
  • Develop individualized ABA treatment plans with measurable goals based on assessment findings, patient needs, and family priorities.
  • Design, implement, and modify behavior intervention plans (BIPs) using evidence-based ABA methodologies.
  • Deliver direct ABA therapy services to patients as clinically indicated and within the scope of the BCBA's practice.
  • Monitor patient progress through consistent data collection and analysis; adjust treatment plans accordingly.
  • Collaborate with interdisciplinary team members including SLPs, OTs, PTs, physicians, and educators to coordinate holistic care.

Supervision & Team Leadership

  • Supervise and mentor Registered Behavior Technicians (RBTs) and BCaBA candidates in accordance with BACB supervision requirements.
  • Provide ongoing training, performance feedback, and professional development support to supervisees.
  • Conduct regular session observations and ensure fidelity to treatment plans across all service settings.

Documentation & Compliance

  • Complete all clinical documentation accurately and within required timeframes, including session notes, progress reports, treatment plans, and authorization requests.
  • Maintain compliance with all applicable federal, state, and payer-specific regulations, including HIPAA and Medicaid/insurance billing standards.
  • Participate in utilization review and authorization processes in coordination with ACT's billing and operations teams.

Family & Caregiver Collaboration

  • Provide caregiver training and coaching to support generalization of ABA strategies across home, school, and community settings.
  • Engage families as active partners in treatment planning and progress review.
  • Conduct regular parent/caregiver meetings to review goals, data trends, and next steps.

Requirements:

  • Active BCBA certification in good standing with the BACB
  • Active state licensure where required by the state of practice
  • Master's degree in Applied Behavior Analysis, Psychology, Education, or a related field
  • Minimum 2 years of ABA clinical experience, including direct therapy and supervision
  • Proficiency in ABA assessment tools (FBA, VB-MAPP, ABLLS-R, or equivalent)
  • Experience with electronic health records (EHR) and data collection platforms
  • Excellent written and verbal communication skills
  • Ability to obtain a background clearance per ACT and state requirements

Why Join Us

  • We are a therapist-owned and operated organization
  • Career Advancement - We believe in recognizing high-performing teams
  • Efficient web-based documentation system
  • Growing company in a new model of service delivery
  • Monthly team meetings
  • Supportive collaboration with the Clinical team and Supervisors
  • Training, assessments, and materials provided


Additional information


All your information will be kept confidential according to EEO guidelines.


All Care Therapies is an equal opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.