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Utilization Jobs in Virginia (NOW HIRING)

PONOS MGMT INC

VA-Director of Pharmacy

Richmond, VA · On-site

$115K - $140K/yr

This role provides oversight for drug utilization review, medication safety programs, and pharmacy-related compliance initiatives. The Senior Director of Pharmacy collaborates closely with physicians ...

Evolent

Radiology Physician

Arlington, VA

$368K - $460K/yr

As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...

Evolent

Internal Medicine Physician

Arlington, VA

As a FMD, Radiology, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can ...

kgs

Data Analyst/Dashboard Developer

Hampton, VA · On-site

Token and license utilization by wing and directorate * AI and RPA workflow development and transition status * Help desk response and resolution rates * Travel execution against approved wing visit ...

Koniag, Inc.

Data Analyst/Dashboard Developer

Hampton, VA · On-site

$104K - $120K/yr

Token and license utilization by wing and directorate * AI and RPA workflow development and transition status * Help desk response and resolution rates * Travel execution against approved wing visit ...

kgs

Data Analyst/Dashboard Developer

Hampton, VA

Token and license utilization by wing and directorate * AI and RPA workflow development and transition status * Help desk response and resolution rates * Travel execution against approved wing visit ...

State of Virginia

RNCA

Petersburg, VA · On-site

$84K - $116K/yr

RNCA Apply now Job no: 5107284 Work type: Full-Time (Salaried) Location: Petersburg, Virginia Categories: Health and Human Services Title: RNCA State Role Title: 49113 Hiring Range: $84,418-$116,497;

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All JobsUtilization JobsUtilization Jobs in Virginia

Utilization information

See Virginia salary details

$21

$41

$68

How much do utilization jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for utilization in Virginia is $41.92, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 per hour, depending on experience, location, and employer.

What is the difference between Utilization vs Resource Coordinator?

AspectUtilizationResource Coordinator
Primary FocusMeasuring and optimizing how staff time is usedManaging and assigning resources for projects
Required CredentialsOften no specific credentials, but industry experience helpsTypically requires organizational or project management skills
Work EnvironmentCorporate, healthcare, or consulting firmsProject teams, staffing agencies, or departments
Common UsageTracking staff utilization ratesAllocating resources to projects or tasks

Utilization focuses on measuring how effectively staff time is used, often to improve productivity. Resource Coordinator involves actively managing and assigning resources to ensure project needs are met. While related, utilization is more about analysis, and resource coordination is about execution and management.

What are utilization specialists?

Utilization specialists are professionals who review and evaluate the necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities. They work closely with healthcare providers, insurance companies, and patients to ensure that care is delivered according to established guidelines and that resources are used effectively. Their goal is to help manage costs while ensuring patients receive the appropriate level of care.

What are some of the common challenges faced by Utilization Review Specialists when assessing medical necessity of services?

Utilization Review Specialists often encounter the challenge of balancing patient advocacy with cost-effective care. They must stay updated on evolving insurance policies and clinical guidelines, which can be complex and change frequently. Additionally, coordinating with physicians and healthcare staff to obtain necessary documentation and clarifying treatment plans can be time-consuming. Strong communication skills and attention to detail are essential to ensure timely and accurate reviews, while also maintaining positive working relationships with clinical teams.

What are the key skills and qualifications needed to thrive as a Utilization Review Specialist, and why are they important?

To thrive as a Utilization Review Specialist, you need a background in healthcare (often as an RN or LPN/LVN), strong analytical skills, and knowledge of insurance and medical necessity criteria. Familiarity with utilization management software, ICD-10/CPT coding, and regulatory guidelines like Medicare and Medicaid is typically required. Excellent attention to detail, critical thinking, and effective communication skills set top performers apart in this role. These abilities are crucial to accurately evaluating patient care needs, ensuring regulatory compliance, and optimizing resource use within healthcare organizations.
What are the most commonly searched types of Utilization jobs in Virginia? The most popular types of Utilization jobs in Virginia are:
What cities in Virginia are hiring for Utilization jobs? Cities in Virginia with the most Utilization job openings:
Utilization jobs near you
Infographic showing various Utilization job openings in Virginia as of July 2026, with employment types broken down into 1% As Needed, 85% Full Time, 13% Part Time, and 1% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $87,192 per year, or $41.9 per hour.
Travel Nurse RN - Case Management - $2,280 per week

Travel Nurse RN - Case Management - $2,280 per week

Prime Staffing

Charlottesville, VA • On-site

$2.2K/wk

Other

Posted 21 days ago

Job description

Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Charlottesville, Virginia.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

We are seeking an experienced RN Case Manager to join a leading Acute Care Hospital for a 13-week assignment. The ideal candidate will have a strong background in inpatient case management, care coordination, discharge planning, and utilization management within an acute care hospital setting.
Minimum Qualifications

  • Active RN License (Virginia License or Compact License)
  • Pending Virginia License Accepted (Must be active before start date)
  • Minimum of 2 years of recent Acute Care Hospital Inpatient Case Management experience
  • Experience with:
    • Care Coordination
    • Discharge Planning
    • Utilization Review
    • Interdisciplinary Care Management
  • Epic EMR experience required
  • Strong communication and organizational skills

Key Responsibilities

  • Coordinate patient care throughout hospitalization and discharge.
  • Assess patient needs and identify barriers to discharge.
  • Collaborate with physicians, nursing staff, social workers, and ancillary departments.
  • Develop and implement individualized discharge plans.
  • Facilitate transitions of care to post-acute facilities, home health agencies, and community resources.
  • Perform utilization management activities to ensure appropriate level of care and resource utilization.
  • Maintain accurate and timely documentation in Epic.
  • Advocate for patients while supporting quality and regulatory standards.

Preferred Skills

  • Acute Care Inpatient Case Management
  • Care Coordination
  • Discharge Planning
  • Utilization Review
  • Epic EMR
  • Patient Advocacy
  • Resource Management
  • Interdisciplinary Collaboration
  • Clinical Documentation
  • Critical Thinking

Candidate Highlights

✔ 13-Week Contract
✔ 5x8 Day Shifts
✔ Every 4th Weekend Required
✔ Every Other Holiday Required
✔ Acute Care Hospital Inpatient Case Management Experience Required
✔ Epic Experience Required
✔ Up to 40 Hours of Requested Time Off (RTO) May Be Approved
✔ Virginia License Pending Accepted (Must Be Active by Start Date)

The ideal candidate is an experienced Acute Care Hospital RN Case Manager with recent inpatient case management experience and proficiency in Epic. Candidates should be comfortable managing complex patient populations, coordinating multidisciplinary care plans, and facilitating safe, efficient discharges across the continuum of care.

About Prime Staffing

At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.

We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.

Apply