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Therapy Utilization Review Jobs in Virginia (NOW HIRING)

Heritage Pointe

LPN Case Manager

Richmond, VA · On-site

... nursing, therapy, social services, dietary) • Coordinate and communicate with insurance companies and managed care organizations to obtain authorizations and manage utilization review • ...

Heritage Pointe

LPN Case Manager

Richmond, VA · On-site

$75K/yr

... nursing, therapy, social services, dietary) • Coordinate and communicate with insurance companies and managed care organizations to obtain authorizations and manage utilization review • ...

Prestige

LPN Case Manager

Richmond, VA · Remote

$75K/yr

... team (nursing, therapy, social services, dietary) * Coordinate and communicate with insurance companies and managed care organizations to obtain authorizations and manage utilization review

Compass Health Center

Intake Therapist

Falls Church, VA · On-site

$40K - $45K/yr

Chart and communicate with our utilization review department regarding initial insurance authorizations * Facilitate group therapy and family therapy, as needed (e.g., when intake census is lower ...

Friendlyfaces

Clinical Supervisor

Roanoke, VA · On-site

$60 - $80/hr

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 ...

Mainspring Recovery

Clinical Director

Dumfries, VA · On-site

$125K - $135K/yr

Collaborates with nursing, medical, operations, admissions, utilization review, and executive ... Active independent clinical license in the state of Virginia required (LCSW, LPC, LMFT, or ...

QRM Health

Physical Therapist Assistant

Dunn Loring, VA

$28 - $37/hr

... utilization reviews * Instruct residents, families, and nursing staff on restorative or home programs as directed * Assist with maintaining the cleanliness and organization of therapy areas and ...

InnovAge

Occupational Therapist

Salem, VA · On-site

$38.80 - $62.12/hr

Participates in utilization review of medical records as assigned. * Adheres to Agency standards ... Maintains therapy department in a clean and orderly manner and oversees the maintenance of therapy ...

InnovAge

Occupational Therapist

Salem, VA

$38.80 - $62.12/hr

Participates in utilization review of medical records as assigned. * Adheres to Agency standards ... Maintains therapy department in a clean and orderly manner and oversees the maintenance of therapy ...

August Iliff

Physical Therapist Assistant

Dunn Loring, VA · On-site

$30 - $40/hr

... utilization reviews • Instruct residents, families, and nursing staff on restorative or home programs as directed • Assist with maintaining cleanliness and organization of therapy areas and ...

August Iliff

Physical Therapist Assistant

Dunn Loring, VA · On-site

$28 - $37/hr

... utilization reviews • Instruct residents, families, and nursing staff on restorative or home programs as directed • Assist with maintaining cleanliness and organization of therapy areas and ...

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All JobsTherapy Utilization Review JobsTherapy Utilization Review Jobs in Virginia

Therapy Utilization Review information

See Virginia salary details

$15

$31

$53

How much do therapy utilization review jobs pay per hour?

As of Sep 7, 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.

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:

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:

Therapy Utilization Review jobs near you
Infographic showing various Therapy Utilization Review job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $65,866 per year, or $31.7 per hour.

Director of Case Management

Australia-Employment

Fredericksburg, VA • On-site

$100 - $125/hr

Other

Posted 4 days ago

Job description

Director of Case Management

$105000 - $115000 per year | Fredericksburg, VA | On-site | Permanent

Lead a team of Case Managers in a focused inpatient rehabilitation setting where you’ll drive census management, strong patient outcomes, and seamless discharge planning A bit about us:

A dynamic leader in inpatient rehabilitation focused on high-quality interdisciplinary care, strong patient outcomes, and effective census and discharge management in a 58-bed facility with approximately 275 team members.

Why join us?
  • Competitive salary $105,000-$115,000 + quarterly bonus eligibility
  • Lead a Case Management team of 11 direct reports (7 full-time and 4 PRN)
  • Fully onsite leadership role with direct reporting relationship to the CEO
  • Opportunity to oversee interdisciplinary care planning, utilization review, and discharge processes that directly impact census and patient outcomes
  • Build key external relationships with payers and healthcare networks while mentoring staff in a focused rehabilitation environment
Job Details

Job Details / Responsibilities:

  • Assume full responsibility for the day-to-day operations and human resource management of the Case Management department
  • Oversee the interdisciplinary plan of care and the discharge planning process to ensure effectiveness and appropriateness of services, with a central focus on census management, patient care outcomes, and key care indicators
  • Serve as a patient and family advocate to ensure services meet the needs of patients and their families
  • Provide guidance, support, and training to Case Managers and staff on caseload management, regulations, policies, operational procedures, and objectives
  • Review departmental operations to maintain a high level of quality consistent with organizational standards
  • Build and maintain relationships with insurance companies, self-insured employers, case management firms, and other healthcare networks

Qualifications:

  • Must be qualified to independently complete an assessment within the scope of practice of his/her discipline
  • Active license required if licensure is mandated for the discipline in the state
  • Nursing candidates: Bachelor’s degree in Nursing (BSN) with active RN licensure required
  • Other eligible healthcare professionals: Minimum of a bachelor’s degree required; graduate degree preferred
  • Minimum of three years of hospital-based Case Management experience that includes Utilization Review and Discharge Planning (acute care, inpatient rehabilitation, or LTACH only — SNF, assisted living, home health, or insurance experience will not be considered unless combined with predominantly hospital-based experience)
  • Minimum of two years of leadership experience at the supervisor level or above
  • Open to licensed Social Worker, Physical Therapist, Occupational Therapist, or RN (licensed RN with BSN or higher is highly preferred)
  • Stable career history required (no frequent job hopping)
  • This is a fully onsite role with no remote or hybrid option

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

Sometimes Jobot is required to perform background checks with your authorization.

Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

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