1

Therapy Utilization Review Jobs in Virginia (NOW HIRING)

... review and respond to concerns expressed by customers. Together with the appropriate Department ... with families, payors, therapists and physicians both verbally and in writing. Must also ...

Three to five years of experience in utilization review and case management. RN, LCSW, LPC, LMFT, or LCP in Virginia required. EEO Statement All UHS subsidiaries are committed to providing an ...

... Assist in preparing Utilization Review Reports as necessary. • Coordinates and makes ... with families, payors, therapists and physicians both verbally and in writing. Must also ...

VA-Director of Pharmacy

Richmond, VA · On-site

$115K - $140K/yr

This role provides oversight for drug utilization review, medication safety programs, and pharmacy ... Collaborate with providers to promote safe and effective medication therapy management * Evaluate ...

Physical Therapist

Dunn Loring, VA · On-site

$1.6K - $2.1K/wk

... and utilization review meetings • Educate residents, families, and staff on therapy goals and plans • Maintain productivity and documentation standards • Support regulatory compliance and ...

Physical Therapist

Dunn Loring, VA · On-site

$45 - $58/hr

... and utilization review meetings • Educate residents, families, and staff on therapy goals and plans • Maintain productivity and documentation standards • Support regulatory compliance and ...

Program Therapist

Mclean, VA · On-site

$78K - $88K/yr

Completes appropriate number of therapy sessions weekly for patients, including family/support ... Provides utilization reviews to insurance companies, providing appropriate clinical information to ...

next page

Showing results 1-20

Therapy Utilization Review information

See Virginia salary details

$15

$31

$53

How much do therapy utilization review jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for therapy utilization review in Virginia is $31.67, according to ZipRecruiter salary data. Most workers in this role earn between $22.16 and $40.29 per hour, depending on experience, location, and employer.

What is therapy utilization review?

Therapy Utilization Review is a process used by healthcare organizations and insurance companies to evaluate the necessity, efficiency, and appropriateness of therapy services being provided to patients. This review ensures that treatments such as physical, occupational, or speech therapy are medically necessary and align with established guidelines. The goal is to optimize patient care while managing costs and preventing overuse or misuse of therapy services. Professionals in this role review patient records, treatment plans, and progress notes, often collaborating with therapists and other healthcare providers.

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

To thrive as a Therapy Utilization Review specialist, you need a solid background in clinical therapy practice (such as physical, occupational, or speech therapy), often supported by licensure and clinical experience. Familiarity with medical review software, electronic health records (EHRs), and utilization management systems is typically required, along with knowledge of insurance guidelines and regulatory standards. Strong analytical thinking, attention to detail, and clear communication skills help professionals effectively assess treatment plans and collaborate with both providers and payers. These skills and qualities are essential for ensuring that patients receive medically necessary, cost-effective therapy while maintaining compliance with regulations.

What are some common challenges faced by professionals in therapy utilization review, and how can they be managed?

One of the main challenges in Therapy Utilization Review is balancing the clinical needs of patients with insurance guidelines and organizational policies. Professionals often need to make difficult decisions about treatment approvals while communicating effectively with both therapists and insurance providers. Staying current on clinical guidelines, maintaining strong documentation skills, and developing firm but empathetic communication abilities can help manage these challenges. Collaboration with interdisciplinary teams is also essential to ensure patients receive appropriate care while meeting regulatory requirements.

What is the difference between Therapy Utilization Review vs Speech-Language Pathologist?

AspectTherapy Utilization ReviewSpeech-Language Pathologist
CredentialsTypically requires healthcare or insurance-related certificationsRequires a master's degree in speech-language pathology and state licensure
Work EnvironmentInsurance companies, healthcare organizations, or utilization review departmentsHospitals, clinics, schools, or private practice
Industry UsageFocuses on evaluating therapy necessity and coverageProvides direct therapy services to patients with speech or language disorders

While Therapy Utilization Review involves assessing the necessity of therapy services for insurance coverage, Speech-Language Pathologists provide direct patient care. Both roles require healthcare knowledge, but they differ in focus: one is review-based, the other is clinical service delivery.

Infographic showing various Therapy Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 86% In-person, 9% Hybrid, and 5% Remote job distribution, with an average salary of $65,866 per year, or $31.7 per hour.

Drug Utilization Review (DUR) Pharmacist - Remote

Pharmacy Careers

Arlington, VA • On-site

Other

Posted 14 days ago


Job description

Remote DUR Pharmacist – Safe & Cost-Effective Medication Use

Work From Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers — all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale. Key Responsibilities

  1. Conduct prospective, concurrent, and retrospective drug utilization reviews.
  2. Evaluate prescribing patterns against clinical guidelines and formulary criteria.
  3. Identify potential drug interactions, therapeutic duplications, and inappropriate therapy.
  4. Prepare recommendations for prescribers to optimize therapy and reduce risk.
  5. Document reviews and ensure compliance with state, federal, and health-plan requirements.
  6. Contribute to quality-improvement initiatives and pharmacy program development.

What You'll Bring

  • Education: PharmD or Bachelor of Pharmacy.
  • Licensure: Active U.S. pharmacist license.
  • Experience: Managed care, PBM, or health-plan preferred. Hospital and community pharmacists with strong clinical skills are encouraged to apply.
  • Skills: Analytical mindset, detail orientation, excellent written and verbal communication.

Why This Role?

  • Shape prescribing decisions that affect thousands of patients.
  • Build expertise in managed care and population-health pharmacy.
  • Many DUR roles offer hybrid or fully remote schedules.
  • Competitive salary, benefits, and career advancement.

About Us We are a confidential healthcare partner providing managed-care pharmacy services nationwide. Our DUR pharmacists ensure medications are used safely, appropriately, and cost-effectively. Apply Today Advance your career in managed care — apply now for our Remote Drug Utilization Review Pharmacist opening.