Prepare recommendations for prescribers to optimize therapy and reduce risk. * Document reviews and ensure compliance with state, federal, and health-plan requirements. * Contribute to quality ...
Prepare recommendations for prescribers to optimize therapy and reduce risk. * Document reviews and ensure compliance with state, federal, and health-plan requirements. * Contribute to quality ...
The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity ... or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off ...
The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity ... or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off ...
The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity ... or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off ...
The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity ... or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off ...
... 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 ...
... 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 ...
Director of Utilization Management
Danville, VA · On-site
$79K - $95K/yr
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 ...
Director of Utilization Management
Danville, VA · On-site
$79K - $95K/yr
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 ...
UTILIZATION REVIEW COORDINATOR
Danville, VA · On-site
$26 - $35/hr
... Assist in preparing Utilization Review Reports as necessary. • Coordinates and makes ... with families, payors, therapists and physicians both verbally and in writing. Must also ...
UTILIZATION REVIEW COORDINATOR
Danville, VA · On-site
$26 - $35/hr
... 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 ...
Quick apply
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
$45 - $58/hr
Participate in care planning and utilization review meetings * Educate residents, families, and staff on therapy goals and plans * Maintain productivity and documentation standards * Support ...
Quick apply
Physical Therapist
$45 - $58/hr
Participate in care planning and utilization review meetings * Educate residents, families, and staff on therapy goals and plans * Maintain productivity and documentation standards * Support ...
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
$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 ...
Therapy Coordinator
$38 - $52/hr
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
Therapy Coordinator
$38 - $52/hr
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
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 ...
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 ...
Therapy Coordinator
$38 - $52/hr
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
Therapy Coordinator
$38 - $52/hr
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
Therapy Coordinator
Colonial Beach, VA · On-site
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
Therapy Coordinator
Colonial Beach, VA · On-site
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
Therapy Coordinator
Colonial Beach, VA · On-site
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
Therapy Coordinator
Colonial Beach, VA · On-site
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
Therapy Coordinator
Colonial Beach, VA · On-site
$38 - $52/hr
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
Therapy Coordinator
Colonial Beach, VA · On-site
$38 - $52/hr
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
Therapy Coordinator
Colonial Beach, VA · On-site
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
Therapy Coordinator
Colonial Beach, VA · On-site
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
Therapy Coordinator
Colonial Beach, VA · On-site
$38 - $52/hr
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
Therapy Coordinator
Colonial Beach, VA · On-site
$38 - $52/hr
As a leading rehab therapy provider for skilled nursing facilities (SNFs), Reliant therapists ... Participate in utilization review, quality assurance, resident care conferences, admission meetings ...
Clinical Supervisor
Roanoke, VA · On-site
Provide oversight to Utilization Review Specialist Workflow * Input authorization approvals into ... (LCSW, LPC, LMFT, etc.) preferred. * Minimum 2-3 years of experience in behavioral health or ...
Quick apply
Clinical Supervisor
Roanoke, VA · On-site
Provide oversight to Utilization Review Specialist Workflow * Input authorization approvals into ... (LCSW, LPC, LMFT, etc.) preferred. * Minimum 2-3 years of experience in behavioral health or ...
Clinical Supervisor
Roanoke, VA · On-site
Provide oversight to Utilization Review Specialist Workflow * Input authorization approvals into ... (LCSW, LPC, LMFT, etc.) preferred. * Minimum 2-3 years of experience in behavioral health or ...
Clinical Supervisor
Roanoke, VA · On-site
Provide oversight to Utilization Review Specialist Workflow * Input authorization approvals into ... (LCSW, LPC, LMFT, etc.) preferred. * Minimum 2-3 years of experience in behavioral health or ...
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 ...
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 ...
Therapy Utilization Review information
See Virginia salary details
$15.49 - $18.91
14% of jobs
$21.74 is the 25th percentile. Wages below this are outliers.
$18.91 - $22.34
14% of jobs
$22.34 - $25.76
17% of jobs
The median wage is $27.64 / hr.
$25.76 - $29.18
11% of jobs
$29.18 - $32.61
8% of jobs
$32.61 - $36.03
6% of jobs
$38.60 is the 75th percentile. Wages above this are outliers.
$36.03 - $39.45
7% of jobs
$39.45 - $42.88
7% of jobs
$42.88 - $46.30
5% of jobs
$46.30 - $49.72
5% of jobs
$49.72 - $53.15
5% of jobs
$15
$31
$53
How much do therapy utilization review jobs pay per hour?
What is therapy utilization review?
What are the key skills and qualifications needed to thrive as a therapy utilization review specialist?
What are some common challenges faced by professionals in therapy utilization review, and how can they be managed?
What is the difference between Therapy Utilization Review vs Speech-Language Pathologist?
| Aspect | Therapy Utilization Review | Speech-Language Pathologist |
|---|---|---|
| Credentials | Typically requires healthcare or insurance-related certifications | Requires a master's degree in speech-language pathology and state licensure |
| Work Environment | Insurance companies, healthcare organizations, or utilization review departments | Hospitals, clinics, schools, or private practice |
| Industry Usage | Focuses on evaluating therapy necessity and coverage | Provides 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.
What are popular job titles related to Therapy Utilization Review jobs in Virginia?
For Therapy Utilization Review jobs in Virginia, the most frequently searched job titles are:
- Optum Clinical Claim Review Nurse
- Weekend Physician Advisor Utilization Review
- Per Diem Remote Chart Review Nurse
- Remote Medical Review Nurse
- Telecommute Hedis Review Nurse
- Night Shift Remote Utilization Review Nurse
- Remote Chart Review Nurse
- Home Based Utilization Review Nurse
- Hedis Registered Nurse
- Overnight Utilization Review Nurse
What job categories do people searching Therapy Utilization Review jobs in Virginia look for?
The top searched job categories for Therapy Utilization Review jobs in Virginia are:
- Utilization Review No Experience
- Case Manager Utilization Review Nurse
- Remote Hca Utilization Review
- Chart Utilization Review
- Fulltime Cigna Utilization Review Nurse
- Temporary Aetna Utilization Review Nurse
- Remote Navihealth Utilization Review
- Entry Level Rn Utilization Review Nurse
- Remote Aetna Utilization Review Nurse
- From Home International Utilization Review Nurse

Other
Posted 14 days ago
Job description
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
- Conduct prospective, concurrent, and retrospective drug utilization reviews.
- Evaluate prescribing patterns against clinical guidelines and formulary criteria.
- Identify potential drug interactions, therapeutic duplications, and inappropriate therapy.
- Prepare recommendations for prescribers to optimize therapy and reduce risk.
- Document reviews and ensure compliance with state, federal, and health-plan requirements.
- 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.