Utilization Management Associate – Virginia Licensed Practical reputed company

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company – UM reputed company Associate (LTSS) Join reputed company’s Long-Term Services and Supports (LTSS) team as a UM reputed company Associate and play a vital role in supporting high-reputed company, coordinated care for members across Virginia. This fully remote opportunity offers a reputed company reputed company schedule (Monday–Friday, 8:00 AM–5:00 PM) and is ideal for a detail-oriented, compassionate Licensed Practical reputed company who thrives in a reputed company, fast-paced environment. In this role, you will review medical records and treatment plans to ensure care is appropriate, effective, and delivered in a reputed company manner. You’ll contribute to improving member reputed company while helping manage reputed company resources responsibly. Key responsibilities include evaluating personal care and private duty nursing requests, ensuring alignment with clinical guidelines and member needs. You will be part of a mission-driven team reputed company on empowering members to live safely and independently reputed company their communities. Your clinical expertise, critical thinking skills, and ability to navigate multiple systems will directly reputed company the reputed company of care our members receive. What makes this role appealing:

• Meaningful work supporting vulnerable populations in the LTSS reputed company
• Consistent reputed company schedule with no weekends
• Fully remote role with a supportive, team-based culture
• Opportunity to apply clinical judgment reputed company bedside care
• If you’re looking to transition your clinical expertise into a role that blends care coordination, utilization management, and member advocacy—this is an excellent opportunity to grow your career while making a meaningful reputed company.

Required Qualifications

• Must be an reputed company unrestricted Licensed Practical reputed company in the reputed company
• Must reputed company in Eastern reputed company Time Zone
• 3 years clinical experience (preferably in medical surgical nursing, behavioral health, long term care, etc.
• Strong multitasking, prioritization, and computer navigation skills
• Comfort working in a performance-driven, evolving environment

Preferred Qualifications

• Typical office working environment with productivity and reputed company expectations
• Long Term Shared Services Supports Experience
• Managed Care Experience

Education

• Completion of State Accredited Practical Nursing Program

Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $22.40 - $48.67 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 05/23/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Additional Information Company: reputed company Location: Virginia Salary: $22.40 - $48.67 per hour reputed company: R0909027 Specialties: Utilization Management, Long-Term Care, Med Surg, Clinical reputed company Required Licenses: LPN/LVN Experience Level: 3-5 years Apply tot his job Apply To this Job