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Remote Weekend Utilization Review Jobs in Cleveland, OH

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 ...

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

New

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 ...

Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...

Available to work evenings and weekends based on position needs, and to travel domestically ... review of market conditions * Flexible working hours and work arrangements * Remote and hybrid ...

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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 Aug 14, 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 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:

Infographic showing various Remote Weekend Utilization Review job openings in Cleveland, OH as of August 2026, with employment types broken down into 6% As Needed, 55% Full Time, and 39% Part Time. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $85,293 per year, or $41 per hour.

Pre Access Specialist

Akron Children's Hospital

Akron, OH • On-site, Remote

Full-time

Re-posted 17 days ago


Akron Children's Hospital rating

7.4

Company rating: 7.4 out of 10

Based on 97 frontline employees who took The Breakroom Quiz

348th of 1,059 rated hospitals


Job description

Full-time, 40 hours/week
11:30am-8:00pm
Fully Remote but Onsite in Mahoning Valley for 60 days training
Summary:
Pre Access Specialist is responsible for performing functions to facilitate the patient's seamless movement through the Revenue Cycle process. This role ensures demographic and insurance requirements are current, supports reimbursement processes, and minimizes claim denials by verifying coverage and communicating details downstream accurately and efficiently.
Responsibilities:
1. Manage Epic work queues and reports for Pre-Access tasks; to make outbound calls or send communications to patients and/or responsibility parties to collect information to update Epic and/or share information within required timeframes, etc.
2. Register complete and accurate demographic, guarantor and financial information to create the patient's record in the system for billing purposes.
3. Verify patient insurance coverage and eligibility using electronic systems or payer portals or phone calls.
4. Process, triage and document incoming calls, voicemails, faxes, and/or emails per standard protocols in the appropriate system or tool.
5. Apply approved scripting for patient interactions and handle unique scenarios professionally.
6. Collaborate with Patient Access team members, clinical departments, case management, utilization review, and clinical teams to gather necessary information and expedite services when needed.
7. Escalate issues related to coverage, status, denials, delays or repeated trends to leadership for review.
8. Create and send estimates as needed or refer cases to Financial Counseling when potential for patient liability exists.
9. Meet departmental standards for productivity, quality, and timeliness.
10. Other Duties as assigned
Other information:
Technical Expertise
1. Knowledge of medical terminology, CPT/ICD-10 codes, and pediatric insurance benefits
2. Strong interpersonal communication skills to support families with empathy and clarity
3. Ability to navigate multiple systems (EHR, payer portals); Epic experience preferred
4. Strong understanding of insurance types (Medicare, Medicaid, commercial, managed care)
5. Excellent communication, organizational, and time management skills
6. Ability to work independently in a fast-paced environment.
7. Familiarity with EHR systems (e.g., Epic, Cerner) and payer portals and guidelines (i.e. Medicaid, managed care, and commercial plans)
Education and Experience
1. High school diploma or equivalent required; associate degree or healthcare certification preferred.
2. Minimum 1 year in a Clinical, Revenue Cycle, Patient Access or Insurance company role that perform work related to; registration, insurance verification, billing, scheduling, patient service rep, customer service, etc. required.
3. Pediatric healthcare access roles preferred.
4. Certification in healthcare access (e.g., CHAA or CMAA) preferred.
5. Experience in hospital admissions or emergency department settings preferred.
• Familiarity with pediatric insurance policies, including Medicaid, managed care, and commercial plans preferred.
Full Time
FTE: 1.000000
Status: Remote

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About Akron Children's Hospital

Sourced by ZipRecruiter

Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation's best by U.S. News & World Report. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we're making it easier for today's busy families to find the high-quality care they need. In 2020, our health care system provided more than 1.1 million patient encounters. We also operate neonatal and pediatric units in the hospitals of our regional health care partners. Every year, our Children's Home Care Group nurses provide thousands of in-home visits, and our School Health nurses manage clinic visits for students from preschool through high school. With our Quick Care Online virtual visits and Akron Children's Anywhere app, we're here for families whenever and wherever they need us. Learn more at akronchildrens.org.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Akron, OH, US

Year founded

1890