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Temporary Remote Occupational Therapy Utilization Review Jobs in Virginia

Sentara Healthcare

UTILIZATION REVIEW NURSE

Norfolk, VA · On-site +1

The Utilization Review Nurse is responsible for utilization management services within the scope of ... For positions that are available as remote work, Sentara Health employs associates in the following ...

Prestige

LPN Case Manager

Richmond, VA · Remote

$75K/yr

... therapy, social services, dietary) * Coordinate and communicate with insurance companies and ... utilization review * Facilitate timely and safe discharge planning * Serve as primary point of ...

Cushman & Wakefield

Occupancy Planner

Arlington, VA · On-site +1

... utilization data, presenting recommendations to clients, and serving as the primary occupancy planning partner for stakeholders within their assigned region. *East Coast remote eligible for the right ...

Cushman & Wakefield

Occupancy Planner

Arlington, VA · On-site +1

... utilization data, presenting recommendations to clients, and serving as the primary occupancy planning partner for stakeholders within their assigned region. *East Coast remote eligible for the right ...

Cushman & Wakefield

Occupancy Planner

Arlington, VA · On-site +1

... utilization data, presenting recommendations to clients, and serving as the primary occupancy planning partner for stakeholders within their assigned region. *East Coast remote eligible for the right ...

Cushman & Wakefield

Occupancy Planner

Arlington, VA · On-site +1

... utilization data, presenting recommendations to clients, and serving as the primary occupancy planning partner for stakeholders within their assigned region. *East Coast remote eligible for the right ...

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All JobsOccupational Therapy Utilization Review JobsTemporary Remote Occupational Therapy Utilization Review JobsTemporary Remote Occupational Therapy Utilization Review Jobs in Virginia

Temporary Remote Occupational Therapy Utilization Review information

What is the difference between Temporary Remote Occupational Therapy Utilization Review vs Temporary Remote Occupational Therapy Case Manager?

AspectTemporary Remote Occupational Therapy Utilization ReviewTemporary Remote Occupational Therapy Case Manager
CredentialsOccupational Therapy License, Certification in Utilization ReviewOccupational Therapy License, Case Management Certification
Work EnvironmentRemote, reviewing medical records and insurance policiesRemote, coordinating patient care and discharge planning
Employer & IndustryInsurance companies, healthcare organizationsHealthcare providers, insurance companies

While both roles are remote and require occupational therapy credentials, the Utilization Review focuses on assessing medical necessity for services, whereas the Case Manager manages patient care plans and discharge processes. Understanding these differences helps professionals choose the right job based on their skills and career goals.

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

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Temporary Remote Occupational Therapy Utilization Review jobs near you
Infographic showing various Temporary Remote Occupational Therapy Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 9% In-person, and 91% Remote job distribution.

UTILIZATION REVIEW NURSE

Sentara Healthcare

Norfolk, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 417 frontline employees who took The Breakroom Quiz

495th of 898 rated healthcare providers

Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse.
The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary functions of prior authorization, retrospective review, medical director referrals and execution of member/provider approval and/or denial letter. Reviews provider requests for services requiring authorization. Conducts pre-certification, care coordination for appropriateness of treatment, set reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Responsible for written and/or verbal notification to members and providers. Ensures medical director written decision is consistent with criteria (CMS, state, medical policy, clinical criteria). Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards.
Education:
• BSN (preferred)
Certification:
• Registered Nurse (required)
Experience:
• 3 years of acute care clinical experience (required)
• Previous Utilization Review experience (preferred)
• Milliman experience (preferred)
• Knowledge of NCQA (preferred)
• Microsoft suite (Word, Excel, Outlook) (preferred)
• Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
Keywords: Talroo- Health, Utilization Review Nurse, RN, Care Coordination, or Discharge Planning, Case Management, Milliman, NCQA
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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