Work From Home Work From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for ...
Work From Home Work From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for ...
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization ...
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The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization ...
Utilization Review Specialist
Tulsa, OK · On-site
The Utilization Review Specialist is responsible for assessing and submitting clinical documentation to ensure that services provided meet medical necessity, payer requirements, and organizational ...
Utilization Review Specialist
Tulsa, OK · On-site
The Utilization Review Specialist is responsible for assessing and submitting clinical documentation to ensure that services provided meet medical necessity, payer requirements, and organizational ...
Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...
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Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...
Mountain View Hospital is looking for a Utilization Review Coordinator to join our team! JOB SUMMARY: As a member of the Utilization Management Team, the UR Coordinator helps establish and maintain ...
Mountain View Hospital is looking for a Utilization Review Coordinator to join our team! JOB SUMMARY: As a member of the Utilization Management Team, the UR Coordinator helps establish and maintain ...
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization ...
Quick apply
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization ...
Utilization Review Specialist
Wichita, KS · On-site
$18/hr
Job Summary The Utilization Review department manages all aspects of a patient's stay related to initial authorization, concurrent reviews and discharge coordination with health plans. The UR ...
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Utilization Review Specialist
Wichita, KS · On-site
$18/hr
Job Summary The Utilization Review department manages all aspects of a patient's stay related to initial authorization, concurrent reviews and discharge coordination with health plans. The UR ...
Utilization Review Nurse
Murray, UT · On-site +1
Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ... One year Utilization Review or Case Management experience. Licenses Required * Current license to ...
Utilization Review Nurse
Murray, UT · On-site +1
Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ... One year Utilization Review or Case Management experience. Licenses Required * Current license to ...
Utilization Review Nurse
Omaha, NE · On-site
Utilization Review Nurse We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ...
Utilization Review Nurse
Omaha, NE · On-site
Utilization Review Nurse We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Utilization Review Nurse
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Utilization Review Nurse
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Mountain View Hospital is looking for a Utilization Review Coordinator to join our team! JOB SUMMARY: As a member of the Utilization Management Team, the UR Coordinator helps establish and maintain ...
Mountain View Hospital is looking for a Utilization Review Coordinator to join our team! JOB SUMMARY: As a member of the Utilization Management Team, the UR Coordinator helps establish and maintain ...
Utilization Review Specialist
Tulsa, OK · On-site
The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to limit possible recoupment from third party pay sources including Medicare, Medicaid, HMO or private ...
Utilization Review Specialist
Tulsa, OK · On-site
The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to limit possible recoupment from third party pay sources including Medicare, Medicaid, HMO or private ...
Utilization Review Specialist
Tulsa, OK · On-site
The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to limit possible recoupment from third party pay sources including Medicare, Medicaid, HMO or private ...
Utilization Review Specialist
Tulsa, OK · On-site
The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to limit possible recoupment from third party pay sources including Medicare, Medicaid, HMO or private ...
Utilization Review Coordinator Reports to: Director of Revenue Cycle Management Department/Location: Remote, but only considering candidates in PST. FLSA Status: Exempt Travel Requirement: None ...
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Utilization Review Coordinator Reports to: Director of Revenue Cycle Management Department/Location: Remote, but only considering candidates in PST. FLSA Status: Exempt Travel Requirement: None ...
The Utilization Review case manager collaborates with all components of the healthcare system, managing appropriate use of acute care to aid in the achievement of quality outcomes, fiscal ...
The Utilization Review case manager collaborates with all components of the healthcare system, managing appropriate use of acute care to aid in the achievement of quality outcomes, fiscal ...
Utilization Review Nurse Job Summary The Utilization Nurse is responsible for conducting ... Ability to meet coverage needs (evenings/weekends/holidays as required by census and regulatory ...
Utilization Review Nurse Job Summary The Utilization Nurse is responsible for conducting ... Ability to meet coverage needs (evenings/weekends/holidays as required by census and regulatory ...
Utilization Review Nurse
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Utilization Review Nurse
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Utilization Review Specialist
Towson, MD · On-site
$26.04/hr
Responsible for supporting the utilization review system including data analysis, report writing, and program improvement. * UR Specialist will develop and maintain a VOD Tracking and Receipt system.
Utilization Review Specialist
Towson, MD · On-site
$26.04/hr
Responsible for supporting the utilization review system including data analysis, report writing, and program improvement. * UR Specialist will develop and maintain a VOD Tracking and Receipt system.
Utilization Review Nurse
Miami, FL · On-site
Utilization Review Nurse Job Summary The Utilization Nurse is responsible for conducting ... Ability to meet coverage needs (evenings/weekends/holidays as required by census and regulatory ...
Utilization Review Nurse
Miami, FL · On-site
Utilization Review Nurse Job Summary The Utilization Nurse is responsible for conducting ... Ability to meet coverage needs (evenings/weekends/holidays as required by census and regulatory ...
Hourly Weekend Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do hourly weekend utilization review jobs pay per hour?
What is the difference between Hourly Weekend Utilization Review vs Medical Billing Specialist?
| 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.
Franciscan Health rating
6.8
Based on 266 frontline employees who took The Breakroom Quiz
494th of 885 rated healthcare providers
Job description
Work From Home Work From Home, Indiana 46544
The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for appropriateness of setting and utilization.
WHO WE ARE
With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
- Schedule: Monday - Friday, 8am - 4:30pm EST
- Perform concurrent reviews for appropriateness of utilization to optimize clinical and financial outcomes.
- Communicate with physicians, patients, members of the Healthcare team, Coordinated Business Office staff, Denial Management staff, and third-party payors to justify the admission or continued stay.
- Notify appropriate staff members of any admission, service, length of stay, lack of medical necessity criteria, as well as denials/appeals and issuing of letters to patients.
- Provide Physician, Patient, Family, Staff and Student education.
- Act as a resource person for the case management department regarding payer rules, regulations, policies and procedures, and utilization issues.
- Perform admission necessity screening using criteria as established by the various federal, state and private sector programs.
QUALIFICATIONS
- Associate degree in nursing/patient care required
- Bachelor's Degree in nursing/patient care preferred
- Registered Nurse (RN - Indiana licensure) required
- 3 years of nursing/patient care experience required
- 2 years of Utilization or Case Management experience preferred
TRAVEL IS REQUIRED:
Never or Rarely
JOB RANGE:
Utilization Review Coordinator $56971.20-$84749.60
INCENTIVE:
Not Applicable
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
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