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Utilization Review Ot Jobs in Virginia (NOW HIRING)

Encompass Health Corporation

Case Manager

Fredericksburg, VA · On-site

$19.75 - $25.50/hr

Participate in utilization review process: data collection, trend review, and resolution actions ... RN, SW, OT, PT, ST, and Rehabilitation Counseling). * If licensure is required for one ...

Elevance Health

Med Mgmt Nurse (contract)

Richmond, VA · Remote

... utilization review, or managed care experience; or any combination of education and experience ... No weekends, holidays or OT * Prefer candidates who hold an active compact license and reside in a ...

Elevance Health

Med Mgmt Nurse (contract)

Richmond, VA · Remote

... utilization review, or managed care experience; or any combination of education and experience ... No weekends, holidays or OT * Prefer candidates who hold an active compact license and reside in a ...

Reliant Rehabilitation

Occupational Therapist

Fairfax, VA · On-site

$42 - $50/hr

Annual Performance Reviews * Maternity Support Program * Company-sponsored continuing education ... Provide occupational therapy (OT) and related services for patients while maintaining positive ...

Reliant Rehabilitation

Occupational Therapist

Fairfax, VA · On-site

$41.50 - $54.50/hr

Annual Performance Reviews * Maternity Support Program * Company-sponsored continuing education ... Provide occupational therapy (OT) and related services for patients while maintaining positive ...

Reliant Rehabilitation

Occupational Therapist

Woodbridge, VA · On-site

$39.75 - $52.50/hr

Annual Performance Reviews * Maternity Support Program * Company-sponsored continuing education ... Provide occupational therapy (OT) and related services for patients while maintaining positive ...

Reliant Rehabilitation

Occupational Therapist

Fairfax, VA

$40 - $52.50/hr

Annual Performance Reviews * Maternity Support Program * Company-sponsored continuing education ... Provide occupational therapy (OT) and related services for patients while maintaining positive ...

Reliant Rehabilitation

Occupational Therapist

Woodbridge, VA · On-site

$39.75 - $52.50/hr

Annual Performance Reviews * Maternity Support Program * Company-sponsored continuing education ... Provide occupational therapy (OT) and related services for patients while maintaining positive ...

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Showing results 21-40

All JobsUtilization Review Ot JobsUtilization Review Ot Jobs in Virginia

Utilization Review Ot information

What is the difference between Utilization Review Ot vs Physical Therapist?

AspectUtilization Review OtPhysical Therapist
CredentialsOccupational Therapy license, certification in utilization review (e.g., URAC)Physical Therapy license, Doctor of Physical Therapy (DPT)
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, clinics, outpatient centers, private practices
Primary FocusAssessing medical necessity, reviewing treatment plans for insurance approvalProviding therapeutic interventions to improve mobility and function

Utilization Review Ot and Physical Therapists both require healthcare licenses, but their roles differ. Utilization Review OTs focus on evaluating treatment necessity for insurance purposes, while Physical Therapists deliver direct patient care. Their work environments and daily tasks reflect these differences, with utilization review emphasizing administrative review and physical therapy emphasizing patient rehabilitation.

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Infographic showing various Utilization Review Ot job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Case Manager

Encompass Health Corporation

Fredericksburg, VA • On-site

$19.75 - $25.50/hr

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 16 hours ago

Encompass Health rating

7.0

Company rating: 7.0 out of 10

Based on 423 frontline employees who took The Breakroom Quiz

416th of 893 rated healthcare providers

Job description


Case Manager Career Opportunity
Recognized for your abilities as a Case Manager
Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes.
A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
Starting Perks and Benefits
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:
  • Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
  • Generous paid time off that accrues over time.
  • Opportunities for tuition reimbursement and continuous education.
  • Company-matching 401(k) and employee stock purchase plans.
  • Flexible spending and health savings accounts.
  • A vibrant community of individuals passionate about the work they do!

Become the Case Manager you always wanted to be
  • Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.
  • Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans.
  • Participate in planning for and the execution of patient discharge experience.
  • Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.
  • Facilitate team conferences weekly and coordinate all treatment plan modifications.
  • Complete case management addendums and all required documentation.
  • Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
  • Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions.
  • Understand commercial contract levels, exclusions, payor requirements, and recertification needs.
  • Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.
  • Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs of admission.
  • Perform assessment of goals and complete case management addendum within 48 hours of admission.
  • Educate patient/family on rehabilitation and Case Manager role; establish communication plan.
  • Schedule and facilitate family conferences as needed.
  • Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.
  • Monitor compliance with regulations for orthotics and prosthetics ordering and payment.
  • Make appropriate/timely referrals, including documentation to post discharge providers/physicians.
  • Ensure accuracy of discharge and payor-related information in the patient record.
  • Participate in utilization review process: data collection, trend review, and resolution actions.
  • Participate in case management on-call schedule as needed.

Qualifications
  • Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
  • If licensure is required for one's discipline within the state, individual must hold an active license.
  • Must meet eligibility requirements for CCM® or ACM™ certification upon entry into this position OR within two years of entry into the position.
  • CCM® or ACM™ certification required OR must be obtained within two years of being placed in the Case Manager II position.
  • For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an Associate Degree.
  • For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred.
  • 2 years of rehabilitation experience preferred.

We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!

What Encompass Health employees say

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Benefits

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About Encompass Health

Sourced by ZipRecruiter

Helping patients regain hope and independence, Encompass Health is a national leader in post-acute care. We operate rehabilitation hospitals in 36 states as well as Puerto Rico. Following the Encompass Way, we are driven by our core values: We proudly set the standard, lead with empathy, do what's right, focus on the positive, and remain stronger together.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Birmingham, AL, US

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