VHC Health · 1 month ago
Utilization Review Manager
Arlington, VA
Full-time
Onsite
Mid, Senior Level
3+ years expVHC Health is a healthcare organization seeking a Utilization Review Manager. The Utilization Review Manager oversees the utilization review process, ensuring efficient use of hospital resources and compliance with regulatory requirements.
Health CareRehabilitationTherapeuticsWellness
Responsibilities
Manage the utilization review team and processes
Conduct reviews of patient care and resource utilization
Collaborate with healthcare providers and hospital staff
Ensure compliance with regulatory requirements and accreditation standards
Analyze data to identify trends and opportunities for improvement
Develop and implement strategies to optimize resource utilization and patient care
Qualification
Required
Bachelor's of Nursing is required
Three (3) years Utilization Review management experience; hospital and/or insurance considered
Licensed as a Registered Nurse with the Virginia Department of Health Professions is required
Compact State Nursing License is required
Company
VHC Health
VHC Health® is a leading not-for-profit health system serving the Washington, DC metropolitan area since 1944.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
J
John L. Zabrowski III
System Senior Vice President, Chief Financial Officer and Chief Strategy Officer
A
Alex Eremia
Senior Vice President and Chief Legal Officer
Recent News
ARLnow | Arlington, Va. local news
2025-04-16
Business Journals
2022-01-20
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