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Hourly Weekend Utilization Review Jobs (NOW HIRING)

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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.

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Hourly Weekend Utilization Review information

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How much do hourly weekend utilization review jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for hourly weekend utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is the difference between Hourly Weekend Utilization Review vs Medical Billing Specialist?

AspectHourly Weekend Utilization ReviewMedical Billing Specialist
CredentialsTypically requires healthcare-related certifications, such as RHIT or RHIARequires coding certifications like CPC or CCS
Work EnvironmentHealthcare facilities, insurance companies, or utilization review organizations, often during weekendsMedical offices, billing companies, or hospitals, primarily weekdays
Job FocusAssessing patient care and resource utilization during weekendsProcessing 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.

What cities are hiring for Hourly Weekend Utilization Review jobs? Cities with the most Hourly Weekend Utilization Review job openings:
What are the most commonly searched types of Weekend Utilization Review jobs? The most popular types of Weekend Utilization Review jobs are:
What states have the most Hourly Weekend Utilization Review jobs? States with the most job openings for Hourly Weekend Utilization Review jobs include:
Utilization Review Coordinator

Full-time

Posted 19 days ago


Franciscan Health rating

6.8

Company rating: 6.8 out of 10

Based on 266 frontline employees who took The Breakroom Quiz

494th of 885 rated healthcare providers


Job description

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 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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