Utilization Review Nurse
Oxford, NC · On-site
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
Oxford, NC · On-site
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
Oxford, NC · On-site
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
Utilization and Quality Management/Outcomes experience preferred. Previous work experience with a ... Prior experience in case management, home health, discharge planning, or Concurrent review.
Utilization and Quality Management/Outcomes experience preferred. Previous work experience with a ... Prior experience in case management, home health, discharge planning, or Concurrent review.
Case Manager - Utilization Review Location: Granville Health System, Oxford NC About Granville Health System: For over a century, Granville Health System has been at the forefront of quality health ...
Case Manager - Utilization Review Location: Granville Health System, Oxford NC About Granville Health System: For over a century, Granville Health System has been at the forefront of quality health ...
Case Manager - Utilization Review Location: Granville Health System, Oxford NC About Granville Health System: For over a century, Granville Health System has been at the forefront of quality health ...
Case Manager - Utilization Review Location: Granville Health System, Oxford NC About Granville Health System: For over a century, Granville Health System has been at the forefront of quality health ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
Morrisville, NC · Remote
$68K - $86K/yr
Conduct utilization reviews to monitor adherence to clinical practice guidelines and best practice standards * Notify members of adverse benefit determinations while preserving members' Due Process ...
Morrisville, NC · Remote
$68K - $86K/yr
Conduct utilization reviews to monitor adherence to clinical practice guidelines and best practice standards * Notify members of adverse benefit determinations while preserving members' Due Process ...
Morrisville, NC · On-site +1
Oversee the UM Unit reviewing physical health services * Ensure consistent application of medical ... Advise the Utilization Management Committee regarding service line trends and operational key ...
Morrisville, NC · On-site +1
Oversee the UM Unit reviewing physical health services * Ensure consistent application of medical ... Advise the Utilization Management Committee regarding service line trends and operational key ...
Morrisville, NC · Remote
Oversee the UM Unit reviewing physical health services * Ensure consistent application of medical ... Advise the Utilization Management Committee regarding service line trends and operational key ...
Morrisville, NC · Remote
Oversee the UM Unit reviewing physical health services * Ensure consistent application of medical ... Advise the Utilization Management Committee regarding service line trends and operational key ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
Raleigh, NC · On-site
$35.87 - $51.57/hr
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
Raleigh, NC · On-site
$35.87 - $51.57/hr
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
Raleigh, NC · On-site
$33.37 - $47.97/hr
... utilization review, and effective patient flow activities. Schedule: Weekend-only position; shifts are scheduled every Saturday and Sunday. Responsibilities: 1. Incoming Transfer Requests ...
Raleigh, NC · On-site
$33.37 - $47.97/hr
... utilization review, and effective patient flow activities. Schedule: Weekend-only position; shifts are scheduled every Saturday and Sunday. Responsibilities: 1. Incoming Transfer Requests ...
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Durham, NC · On-site
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Durham, NC · On-site
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Durham, NC · On-site
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Durham, NC · On-site
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Quick apply
Apply Early
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Apply Early
Durham, NC · On-site
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Durham, NC · On-site
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
$20.80 - $25
2% of jobs
$25 - $29.21
9% of jobs
$32.09 is the 25th percentile. Wages below this are outliers.
$29.21 - $33.42
21% of jobs
The median wage is $36.82 / hr.
$33.42 - $37.62
23% of jobs
$37.62 - $41.83
13% of jobs
$45.10 is the 75th percentile. Wages above this are outliers.
$41.83 - $46.03
10% of jobs
$46.03 - $50.24
8% of jobs
$50.24 - $54.45
5% of jobs
$54.45 - $58.65
5% of jobs
$58.65 - $62.86
2% of jobs
$62.86 - $67.06
2% of jobs
$20
$41
$67
| Aspect | Hourly Weekend Utilization Review | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications, such as RHIT or RHIA | Requires coding certifications like CPC or CCS |
| Work Environment | Healthcare facilities, insurance companies, or utilization review organizations, often during weekends | Medical offices, billing companies, or hospitals, primarily weekdays |
| Job Focus | Assessing patient care and resource utilization during weekends | Processing insurance claims, coding, and billing |
Hourly Weekend Utilization Review involves evaluating patient care and resource use during weekends, often requiring healthcare certifications. In contrast, Medical Billing Specialists focus on coding and billing processes, mainly during weekdays. Both roles are essential in healthcare operations but differ in focus, credentials, and work hours.

8.6
Based on 5 frontline employees who took The Breakroom Quiz
Get the full story on Breakroom