Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Botox Utilization Review Specialist - Phoenix, AZ
Phoenix, AZ · On-site
$20 - $25/hr
Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time, Monday ... The role offers a consistent weekday schedule and the opportunity to work closely with clinical ...
Botox Utilization Review Specialist - Phoenix, AZ
Phoenix, AZ · On-site
$20 - $25/hr
Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time, Monday ... The role offers a consistent weekday schedule and the opportunity to work closely with clinical ...
Botox Utilization Review Specialist - Phoenix, AZ
Phoenix, AZ · On-site
$20 - $25/hr
Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time, Monday ... The role offers a consistent weekday schedule and the opportunity to work closely with clinical ...
Quick apply
Botox Utilization Review Specialist - Phoenix, AZ
Phoenix, AZ · On-site
$20 - $25/hr
Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time, Monday ... The role offers a consistent weekday schedule and the opportunity to work closely with clinical ...
Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Utilization Review Specialist (RN) - Work From Home
Jacksonville, FL · On-site
$65K - $85K/yr
Prior QA, Utilization Review, or Clinical Auditing experience Schedule Options Weekday Position * Monday-Friday * Occasional weekend rotation (1 weekend/month) Weekend Position * Three 12-hour shifts ...
Utilization Review Specialist (RN) - Work From Home
Jacksonville, FL · On-site
$65K - $85K/yr
Prior QA, Utilization Review, or Clinical Auditing experience Schedule Options Weekday Position * Monday-Friday * Occasional weekend rotation (1 weekend/month) Weekend Position * Three 12-hour shifts ...
RN Utilization Review Case Manager
Granite City, IL · On-site
$32 - $48/hr
Utilization Review Specialist RN Full-Time | Case Management | Gateway Regional Medical Center ... Stable weekday schedule (no nights or weekends, if applicable you can insert) * Supportive case ...
RN Utilization Review Case Manager
Granite City, IL · On-site
$32 - $48/hr
Utilization Review Specialist RN Full-Time | Case Management | Gateway Regional Medical Center ... Stable weekday schedule (no nights or weekends, if applicable you can insert) * Supportive case ...
RN Utilization Review Case Manager
Granite City, IL · On-site
$32 - $48/hr
Utilization Review Specialist RN Full-Time | Case Management | Gateway Regional Medical Center ... Stable weekday schedule (no nights or weekends, if applicable you can insert) * Supportive case ...
Quick apply
RN Utilization Review Case Manager
Granite City, IL · On-site
$32 - $48/hr
Utilization Review Specialist RN Full-Time | Case Management | Gateway Regional Medical Center ... Stable weekday schedule (no nights or weekends, if applicable you can insert) * Supportive case ...
RN Utilization Review Case Manager
Granite City, IL · On-site
$32 - $48/hr
Utilization Review Specialist RN Full-Time | Case Management | Gateway Regional Medical Center ... Stable weekday schedule (no nights or weekends, if applicable you can insert) * Supportive case ...
RN Utilization Review Case Manager
Granite City, IL · On-site
$32 - $48/hr
Utilization Review Specialist RN Full-Time | Case Management | Gateway Regional Medical Center ... Stable weekday schedule (no nights or weekends, if applicable you can insert) * Supportive case ...
This position reviews applicable guidelines regarding payment and coverage, and makes ... Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Saturday and Sunday core hours, weekdays available to ...
This position reviews applicable guidelines regarding payment and coverage, and makes ... Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Saturday and Sunday core hours, weekdays available to ...
This position reviews applicable guidelines regarding payment and coverage, and makes ... Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Saturday and Sunday core hours, weekdays available to ...
This position reviews applicable guidelines regarding payment and coverage, and makes ... Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Saturday and Sunday core hours, weekdays available to ...
This position reviews applicable guidelines regarding payment and coverage, and makes ... Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Saturday and Sunday core hours, weekdays available to ...
This position reviews applicable guidelines regarding payment and coverage, and makes ... Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Saturday and Sunday core hours, weekdays available to ...
ALL PRN'S MUST BE AVAILABLE FOR 6 SHIFTS PER MONTH (3 WEEKDAY SHIFTS AND 3 WEEKEND SHIFTS). DAY ... Utilization Review or Care Management experience Preferred Licenses and Certifications * Current ...
ALL PRN'S MUST BE AVAILABLE FOR 6 SHIFTS PER MONTH (3 WEEKDAY SHIFTS AND 3 WEEKEND SHIFTS). DAY ... Utilization Review or Care Management experience Preferred Licenses and Certifications * Current ...
ALL PRN'S MUST BE AVAILABLE FOR 6 SHIFTS PER MONTH (3 WEEKDAY SHIFTS AND 3 WEEKEND SHIFTS). DAY ... Utilization Review or Care Management experience Preferred Licenses and Certifications * Current ...
ALL PRN'S MUST BE AVAILABLE FOR 6 SHIFTS PER MONTH (3 WEEKDAY SHIFTS AND 3 WEEKEND SHIFTS). DAY ... Utilization Review or Care Management experience Preferred Licenses and Certifications * Current ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
Weekday Optum 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 weekday optum utilization review jobs pay per hour?
What is the difference between Weekday Optum Utilization Review vs Weekday Optum Claims Reviewer?
| Aspect | Weekday Optum Utilization Review | Weekday Optum Claims Reviewer |
|---|---|---|
| Primary Role | Assess medical necessity and appropriateness of healthcare services | Review and process insurance claims for accuracy and compliance |
| Credentials | Typically requires nursing or healthcare-related certifications | Usually requires insurance or claims processing experience, with some certifications preferred |
| Work Environment | Office-based, healthcare settings, remote options | Office or remote, insurance company environment |
| Industry Usage | Healthcare insurance, utilization management | Insurance claims processing, customer service |
While both roles are integral to healthcare insurance operations, Weekday Optum Utilization Review focuses on evaluating the medical necessity of services, whereas Weekday Optum Claims Reviewer handles claims processing and verification. Understanding these differences helps job seekers target the right position based on their skills and credentials.
- Evening Optum Utilization Review
- Internship Remote Utilization Review
- Senior Specialist Cigna Utilization Review
- Remote Aetna Utilization Review
- Clinical Health Network Remote
- Director Chiropractic Utilization Review
- Full Time Cigna Utilization Review
- Remote Dental Utilization Management
- Per Diem Medical Utilization Review Physician
- Remote International Nurse

Part-time
Posted 16 days ago
Trinity Health rating
6.5
Based on 353 frontline employees who took The Breakroom Quiz
607th of 886 rated healthcare providers
Job description
Job Title:Registered Nurse
Department:Utilization Review
Employment Type:Per Diem
Shift:8-hour shifts - Coverage for weekday and weekends
Location: St. Mary Medical Center - Langhorne, PA
Position Purpose
The UM Registered Nurse is responsible for the coordinating and facilitating all aspects of reimbursement as related to the clinical review and level of care. Management of all review and appeals utilizing a modified approach based on specific needs of the patient population. Facilitates achievement of efficient resource consumption, and acceptable clinical outcomes,through integration and implementation of utilization management.
Minimum Qualifications:
Bachelor's degree in nursing required.
Active PA RN License required.
Previous experience in Utilization review required.
CCM or Accredited Case Manager certification preferred.
Demonstrates ability to use problem solving, critical thinking, and priority setting skills.
Must be able to work independently and on a team.
Ability to perform diversified duties with time limitations with a high degree of accuracy
Position Highlights:
Work/Life balance with flexible schedules.
Free onsite parking.
Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.
Referral Rewards Program
About us:
St. Mary Medical Centeris a beautiful 53-acrestate-of-the-artfacilitycomprisedof more than 700 physicians,nearly 3,000colleagues, and 1,100 volunteers committed to providing quality care delivered with compassion and respect.St. Mary attracts top doctors, introducescutting-edgetechnologiesand implements advanced procedures to meet the healthcare needs of the people it serves, including thenearly630,000residentsof Bucks County.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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About Trinity Health
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Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Livonia, MI, US