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Weekday Optum Utilization Review Jobs (NOW HIRING)

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Weekday Optum Utilization Review information

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How much do weekday optum utilization review jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for weekday optum 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 Weekday Optum Utilization Review vs Weekday Optum Claims Reviewer?

AspectWeekday Optum Utilization ReviewWeekday Optum Claims Reviewer
Primary RoleAssess medical necessity and appropriateness of healthcare servicesReview and process insurance claims for accuracy and compliance
CredentialsTypically requires nursing or healthcare-related certificationsUsually requires insurance or claims processing experience, with some certifications preferred
Work EnvironmentOffice-based, healthcare settings, remote optionsOffice or remote, insurance company environment
Industry UsageHealthcare insurance, utilization managementInsurance 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.

More about Weekday Optum Utilization Review jobs
What cities are hiring for Weekday Optum Utilization Review jobs? Cities with the most Weekday Optum Utilization Review job openings:
What are the most commonly searched types of Optum Utilization Review jobs? The most popular types of Optum Utilization Review jobs are:
What states have the most Weekday Optum Utilization Review jobs? States with the most job openings for Weekday Optum Utilization Review jobs include:
Infographic showing various Weekday Optum Utilization Review job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Summer. Highlights an 92% Physical, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Registered Nurse - Utilization Review, Per Diem

Registered Nurse - Utilization Review, Per Diem

Trinity Health

Langhorne, PA

Part-time

Posted 16 days ago


Trinity Health rating

6.5

Company rating: 6.5 out of 10

Based on 353 frontline employees who took The Breakroom Quiz

607th of 886 rated healthcare providers


Job description

Employment Type:Part timeShift:Day ShiftDescription:

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

Sourced by ZipRecruiter

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