Healthcare Utilization Specialist
6 days ago
We are seeking a skilled Healthcare Utilization Specialist to join our team at the State of Virginia. In this role, you will play a critical part in promoting regulatory compliance and ensuring the highest quality care for patients.
About the RoleThe ideal candidate will have a strong background in nursing and experience working in acute care settings. You will be responsible for conducting medical necessity reviews, collaborating with healthcare teams, and utilizing your clinical expertise to make informed decisions.
Key Responsibilities- Conduct initial concurrent and retrospective medical necessity reviews
- Collaborate with physicians and other healthcare professionals to promote regulatory compliance
- Analyze and evaluate complex medical documentation
- Utilize judgment and critical thinking to determine case referrals and appeals
To be successful in this role, you will need:
- A Bachelor of Science in Nursing from an accredited program
- At least 2 years of acute care hospital experience
- Licensure to practice as a Registered Nurse in the Commonwealth of Virginia
Prior experience working in med/surg or adult patient settings is highly desirable.
CompensationThe estimated salary for this position is $95,000 - $125,000 annually, depending on experience and qualifications.
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Healthcare Utilization Management Specialist
1 week ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timeJob SummaryThe Commonwealth of Virginia is seeking a highly skilled Healthcare Utilization Management Specialist to join our team. This role is responsible for promoting and adhering to regulatory compliance, conducting medical necessity reviews, and collaborating with physicians and other healthcare professionals.Key Responsibilities* Analyze and evaluate...
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Healthcare Utilization Specialist
6 days ago
Charlottesville, Virginia, United States Incredible Health Full timeIncredible Health is actively seeking a highly skilled and experienced Healthcare Utilization Specialist - Clinical Expert to join our team in Charlottesville, VA.About the RoleWe are looking for an exceptional nurse with expertise in clinical pathways, navigation, and utilization review. If you have experience in these areas, we encourage you to apply for...
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Healthcare Support Specialist
3 days ago
Charlottesville, Virginia, United States Sentara Healthcare Full timeAbout the RoleWe are seeking a skilled Healthcare Support Specialist to join our team at Sentara Healthcare.This is a unique opportunity for individuals who want to make a difference in patient care and support our healthcare professionals in delivering exceptional patient experiences.
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Medication Utilization Specialist
1 month ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timeJob SummaryAs a Medication Utilization Specialist, you will play a critical role in optimizing medication management practices at the Commonwealth of Virginia. The primary focus of this position is to manage the completion of formulary activities, support medication utilization projects, and ensure timely policy management within the department of...
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Travel Healthcare Specialist
3 days ago
Charlottesville, Virginia, United States Go Healthcare Full timeJob Title: Travel Healthcare SpecialistAbout the Role:We are seeking an experienced Travel Cath Lab Technologist to join our team in Charlottesville, Virginia. This is a 10-hour shift, day position that requires a strong skill set and attention to detail.Employment Type: Travel EmploymentPay Package: The pay package for this position is based on 10 hour...
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Electrophysiology Technician
7 days ago
Charlottesville, Virginia, United States Springboard Healthcare Full timeAbout the RoleWe are seeking an experienced Electrophysiology Technician to join our team as a healthcare specialist in Charlottesville, Virginia.Key Responsibilities:Deliver high-quality electrophysiology services to patients.Collaborate with medical professionals to ensure seamless patient care.This is a 13-week contract position requiring 40 hours of work...
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Travel Healthcare Specialist
6 hours ago
Charlottesville, Virginia, United States University of Virginia Medical Center Full timeAbout the Role:">As a healthcare professional, you will be working as a travel specialist providing support to patients in need. ">About the Position:">We are seeking a highly skilled and dedicated individual to join our team of travel specialists.This is a temporary position lasting 13 weeks with opportunities for flexible scheduling.The ideal candidate...
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Highly Skilled Travel RN Specialist
3 days ago
Charlottesville, Virginia, United States Genie Healthcare Full timeGenie Healthcare is a leading provider of travel nursing services, seeking a highly skilled Travel RN Specialist to join our team in Charlottesville, Virginia.Job SummaryWe are looking for a dedicated and compassionate RN to work in Neonatal ICU (NICU) for a 13-week travel assignment. As a Travel RN Specialist with Genie Healthcare, you will have the...
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Healthcare Support Specialist
3 days ago
Charlottesville, Virginia, United States Sentara Healthcare Full time**Company Overview**Sentara Healthcare is a leading healthcare organization committed to improving health every day. With a diverse and inclusive workforce, we strive to provide exceptional patient care and services.Estimated Salary: $45,000 - $60,000 per yearJob DescriptionSupport the admissions and discharge process under the direct supervision of a...
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Charlottesville, Virginia, United States ADEX Healthcare Staffing LLC Full timeWe are seeking a skilled Diagnostic Imaging Specialist to join our team for a travel assignment in Virginia.About the JobThis 13-week contract will have you working as a Special Procedures Technologist, utilizing your expertise to capture high-quality medical images and support patient care. The position requires a strong foundation in imaging procedures,...
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Critical Care Travel Nurse RN Specialist
4 days ago
Charlottesville, Virginia, United States Planet Healthcare Full timeWe are seeking a highly skilled Critical Care Travel Nurse RN Specialist to join our team at Planet Healthcare. This is a 13-week contract opportunity in Charlottesville, Virginia.The ideal candidate will work 40 hours per week, with a tax-free stipend and the flexibility to manage cases effectively. As a key member of our healthcare team, you will be...
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Charlottesville, Virginia, United States Medical Solutions Full timeMedical Solutions is a leading provider of total workforce solutions in the healthcare industry, seeking an experienced Travel Nurse RN Specialist to join our team. This 13-week contract position requires a skilled Case Manager with inpatient experience.About the RoleThis Level 1 Trauma Center in Virginia needs a dedicated professional to manage patient...
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Travel Healthcare Specialist
6 days ago
Charlottesville, Virginia, United States Host Healthcare Full timeAbout the RoleHost Healthcare is seeking a highly skilled Cath Lab Technologist to join their team on a 13-week travel assignment in Charlottesville, VA.Key DetailsSpecialty: Cath Lab TechnologistDiscipline: Allied Health ProfessionalStart Date: January 2025Duration: 13 weeksHours per week: 40Shift: 10 hours, daysEmployment Type: TravelAbout the CompanyAt...
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Travel Healthcare Specialist
6 days ago
Charlottesville, Virginia, United States PRN Healthcare Full timeAbout This RolePRN Healthcare is seeking a dedicated and compassionate travel nurse RN for a NICU - Neonatal Intensive Care position in Charlottesville, Virginia.This opportunity offers a 13-week contract with guaranteed hours, ensuring a stable income. The shift will be 12 hours per night, allowing for a good work-life balance.We are looking for a skilled...
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Travel Healthcare Specialist
7 days ago
Charlottesville, Virginia, United States Ethos Medical Staffing Full timeOperating Room Nurse Travel Job in Charlottesville, VirginiaEthos Medical Staffing is a nurse-owned and operated company focused on providing exceptional care to those who care for our communities.We are seeking an experienced Operating Room nurse to join our team as a travel healthcare specialist in Charlottesville, Virginia. This 13-week assignment offers...
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Travel Healthcare Specialist
4 days ago
Charlottesville, Virginia, United States Nationwide Therapy Group Full timeNationwide Therapy Group is a leading provider of healthcare staffing solutions, and we are seeking an experienced Travel Healthcare Specialist to join our team. As an Oncology Nurse, you will have the opportunity to work with patients and families affected by cancer, providing high-quality care and support in a dynamic and rewarding environment.As a Travel...
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Travel Healthcare Specialist
3 days ago
Charlottesville, Virginia, United States Host Healthcare Full timeAbout This OpportunityWe are seeking a skilled Registered Nurse - Oncology to join our team in Charlottesville, Virginia.This is a 13-week travel nursing assignment with a guaranteed 40 hours per week, offering the perfect opportunity for nurses looking to explore new locations and gain valuable experience.Key DetailsJob Title: Registered Nurse...
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Healthcare Professional RN Oncology Traveler
1 week ago
Charlottesville, Virginia, United States SkyBridge Healthcare Full timeJob OpportunityA travel nurse RN oncology specialist is needed for a 13-week assignment in the Charlottesville, Virginia area.Key RequirementsSpecialty: OncologyDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelAbout the AssignmentThis opportunity offers a competitive pay package based on 12-hour shifts and 36...
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Charlottesville, Virginia, United States Springboard Healthcare Full timeJob OpportunityWe are seeking a skilled Radiology Imaging Specialist for a travel assignment in Charlottesville, Virginia.Key Details:Specialty: Radiology Imaging SpecialistDuration: 13 weeksShift: 8 hours per dayEmployment Type: TravelAbout the Role:The selected candidate will work as an Interventional Radiology Technologist, utilizing their expertise to...
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Travel Healthcare Specialist
6 days ago
Charlottesville, Virginia, United States MedPro Healthcare Staffing Full timeCompany Overview:MedPro Healthcare Staffing is a reputable staffing agency that specializes in providing top-notch healthcare professionals to facilities nationwide. With over three decades of experience, we have established ourselves as a trusted partner for hospitals and healthcare organizations.Estimated Salary: $110,000 - $140,000 per yearJob...