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Remote Weekend Utilization Review Jobs in Cleveland, OH

Imh

RN Care Manager PRN

Cleveland, OH · Remote

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

Learner Education

Online Physics Tutor

Cleveland, OH · Remote

$25/hr

Remote Hours: Set Your Own Schedule Pay: $25.00/hr About Learner Education Learner Education is on ... Broader weekday and weekend availability is a plus * Fast and reliable internet connection

Learner Education

Online Biology Tutor

Cleveland, OH · Remote

$25/hr

Remote Hours: Set Your Own Schedule Pay: $25.00/hr About Learner Education Learner Education is on ... Broader weekday and weekend availability is a plus Fast and reliable internet connection Computer ...

Learner Education

Online Physics Tutor

Cleveland, OH · Remote

$25/hr

Remote Hours: Set Your Own Schedule Pay: $25.00/hr About Learner Education Learner Education is on ... Broader weekday and weekend availability is a plus Fast and reliable internet connection Computer ...

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All JobsUtilization Review JobsRemote Weekend Utilization Review JobsRemote Weekend Utilization Review Jobs in Cleveland, OH

Remote Weekend Utilization Review information

See Cleveland, OH salary details

$20

$41

$66

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

As of Sep 4, 2026, the average hourly pay for remote weekend utilization review in Cleveland, OH is $41.01, according to ZipRecruiter salary data. Most workers in this role earn between $32.40 and $47.12 per hour, depending on experience, location, and employer.

What is the difference between Remote Weekend Utilization Review vs Remote Weekday Utilization Review?

AspectRemote Weekend Utilization ReviewRemote Weekday Utilization Review
CredentialsTypically requires a healthcare professional license and utilization review certificationSame as weekend role, healthcare license and utilization review certification
Work EnvironmentRemote, weekend hours, often part-time or flexibleRemote, weekday hours, standard business hours
Employer & IndustryHealth insurance companies, third-party administratorsSame as weekend role, health insurance industry
Work SchedulePrimarily weekends, possibly eveningsWeekdays, regular business hours

Remote Weekend Utilization Review and Remote Weekday Utilization Review roles are similar in credentials and industry but differ mainly in work schedule. Weekend roles focus on reviewing cases during weekends, offering flexibility, while weekday roles follow standard business hours. Both positions require healthcare licensing and utilization review certification, serving health insurance companies and third-party administrators.

What are the most commonly searched types of Weekend Utilization Review jobs in Cleveland, OH?

The most popular types of Weekend Utilization Review jobs in Cleveland, OH are:

What are popular job titles related to Remote Weekend Utilization Review jobs in Cleveland, OH?

For Remote Weekend Utilization Review jobs in Cleveland, OH, the most frequently searched job titles are:

What job categories do people searching Remote Weekend Utilization Review jobs in Cleveland, OH look for?

The top searched job categories for Remote Weekend Utilization Review jobs in Cleveland, OH are:

What cities near Cleveland, OH are hiring for Remote Weekend Utilization Review jobs?

Cities near Cleveland, OH with the most Remote Weekend Utilization Review job openings:

Remote Weekend Utilization Review jobs near you
Infographic showing various Remote Weekend Utilization Review job openings in Cleveland, OH as of August 2026, with employment types broken down into 78% Full Time, and 22% Contract. Highlights an 100% Remote job distribution, with an average salary of $85,293 per year, or $41 per hour.

Director of Managed Care

Nightingale

Garfield Heights, OH • Remote

Full-time

Posted 9 days ago

Job description

Director of Managed Care

Remote Position

RN/LPN Preferred

Job Summary:

We are seeking an experienced, detail-driven Director of Managed Care to oversee prior authorizations, payer coordination, and utilization management across six skilled nursing facilities in Arkansas and Ohio. As a key member of our team, you will ensure timely authorizations, accurate documentation, and strong communication with payers to optimize reimbursement and resident care.

Responsibilities:

  • Manage and process all prior authorizations for admissions, continued stays, therapy services, and specialty care

  • Serve as the primary contact for managed care organizations, insurance plans, and payer representatives

  • Monitor authorization timelines, length of stay, and payer requirements to ensure compliance

  • Collaborate daily with MDS, nursing leadership, therapy, admissions, and regional leadership

  • Track, resolve, and appeal denials, ensuring complete and accurate documentation

  • Provide clear, consistent communication to facility teams regarding authorization status and next steps

  • Identify trends, barriers, and opportunities to strengthen managed care outcomes

  • Maintain organized workflows and reporting across all six facilities

Requirements:

  • Strong background in Managed Care, Utilization Review, Prior Authorization, or MDS within SNF/LTC

  • Deep understanding of Medicare Advantage, commercial plans, and authorization processes

  • Excellent communication, follow-through, and problem-solving skills

  • Ability to manage multiple facilities, deadlines, and payer relationships

  • Highly organized, tech-savvy, and comfortable working fully remote

  • Proactive, positive, team-focused professional who thrives in a collaborative environment

Your expertise ensures residents receive timely approvals, facilities maintain accurate reimbursement, and teams across Arkansas and Ohio stay aligned and supported. You'll be the central hub that keeps managed care operations running smoothly.

Why Join Us:

  • Fully remote role

  • Supportive, mission-driven leadership

  • Opportunity to impact outcomes across multiple communities

  • Competitive compensation

  • A role where your work directly strengthens resident care and operational success

If you're passionate about managed care excellence and excited to support six dedicated healthcare teams across Arkansas and Ohio, we want to meet you. Apply today and help us continue building strong, high-performing communities.