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Weekend Occupational Therapy Utilization Review Jobs in Michigan

Medix

Utilization Review Nurse

Southfield, MI · On-site

$42 - $46/hr

Job Summary Our client is seeking a Utilization Review Nurse. This role involves managing the full ... Some weekend coverage may be needed occasionally. Open to overtime if required and candidates are ...

Pacs

Occupational Therapist

Cedar River, MI · On-site

$37.25 - $49/hr

Evaluate residents to determine occupational therapy needs, functional limitations, and ... Participates in Resident Care conferences, Utilization Review meetings, and Rehabilitation meetings ...

PACS Inc

Occupational Therapist

Cedarville, MI · On-site

$37.75 - $49.75/hr

Evaluate residents to determine occupational therapy needs, functional limitations, and ... Participates in Resident Care conferences, Utilization Review meetings, and Rehabilitation meetings ...

Abotts Consulting

Occupational Therapy

Port Huron, MI · On-site

$37.75 - $49.75/hr

Days 08:00 - 16:30 Exp Req: 2 years Occupational Therapist - Traveler; 1.0 FTE, 8:00a-4:30p M-F with alternating weekends, Must be licensed in the state of MI and have BLS

McLaren Flint

Occupational Therapist Weekend

Flint, MI · On-site

$46.35/hr

Department: Occupational Therapy Rate: $46.35 Position Summary: The occupational therapist ... This process may also include performing relevant systems review and selecting and administering ...

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Weekend Occupational Therapy Utilization Review information

What is a Weekend Occupational Therapy Utilization Review?

A Weekend Occupational Therapy Utilization Review is a specialized role where occupational therapists or clinicians review patient cases and treatment plans over the weekend to ensure that therapy services are medically necessary, efficient, and compliant with insurance or regulatory standards. The primary goal is to assess the appropriateness of ongoing occupational therapy services, provide recommendations, and support discharge planning or continued care decisions. These reviews help healthcare facilities optimize resource use and maintain high-quality patient care, even outside traditional weekday hours.

What are some common challenges faced in a Weekend Occupational Therapy Utilization Review role and how can they be managed?

One of the main challenges in a Weekend Occupational Therapy Utilization Review role is the need to make timely, evidence-based decisions with potentially limited direct access to providers or full records, as some staff may not be available on weekends. Navigating time constraints while ensuring compliance with insurance and regulatory guidelines requires strong organizational and communication skills. To manage these challenges, it's important to establish clear communication channels with weekday staff, maintain thorough documentation, and stay updated on relevant clinical criteria and payer policies. Proactive collaboration and adaptability help ensure a smooth workflow and high-quality patient care, even outside of typical business hours.

What is the difference between Weekend Occupational Therapy Utilization Review vs Weekend Occupational Therapy Case Manager?

AspectWeekend Occupational Therapy Utilization ReviewWeekend Occupational Therapy Case Manager
Primary RoleReview and approve occupational therapy services for insurance or healthcare providersCoordinate and manage occupational therapy services for patients, including planning and communication
CredentialsOccupational therapy license, possibly certification in utilization reviewOccupational therapy license, case management certification often preferred
Work EnvironmentHealthcare facilities, insurance companies, or utilization review organizationsHospitals, clinics, or outpatient facilities
FocusReviewing service necessity and compliancePatient care coordination and service management

Weekend Occupational Therapy Utilization Review primarily involves evaluating the necessity of therapy services, while Weekend Occupational Therapy Case Managers focus on coordinating and managing patient care. Both roles require occupational therapy credentials but differ in responsibilities and work settings.

What are the key skills and qualifications needed to thrive as a Weekend Occupational Therapy Utilization Review specialist?

To thrive as a Weekend Occupational Therapy Utilization Review specialist, you need a valid occupational therapy license, a strong understanding of clinical guidelines, and experience in utilization management. Familiarity with medical review software, electronic health records (EHRs), and knowledge of insurance policies and coding systems (like ICD-10 and CPT) are typically required. Excellent analytical, communication, and time-management skills help you provide clear recommendations and manage cases efficiently, especially in a remote or fast-paced environment. These skills ensure accurate, timely reviews that support patient care quality and compliance with payer requirements.
What are the most commonly searched types of Occupational Therapy Utilization Review jobs in Michigan? The most popular types of Occupational Therapy Utilization Review jobs in Michigan are:
Weekend Occupational Therapy Utilization Review jobs near you

Utilization Review Nurse

Medix

Southfield, MI • On-site

$42 - $46/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 16 days ago

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a Utilization Review Nurse. This role involves managing the full lifecycle of Independent Review Organization (IRO) cases, ensuring compliance with regulatory deadlines and maintaining accurate case tracking. The position requires collaboration with various stakeholders to support case progression and process optimization.
Key Responsibilities
  • Manage the full lifecycle of IRO cases from intake through final case closure.
  • Review incoming clinical documentation, verify completeness, and prepare concise case summaries for physician reviewers.
  • Coordinate and route cases to the appropriate physician specialty while managing requests for additional medical records.
  • Perform quality assurance (QA) on physician reports to ensure accuracy, clarity, completeness, and defensibility.
  • Monitor regulatory deadlines, case status, and documentation to ensure timely, compliant case completion.
  • Maintain accurate case tracking and documentation within internal systems and state IRO programs.
  • Collaborate with physicians, clients, and internal teams to resolve documentation gaps and support case progression.
  • Contribute to workflow improvements, new state program implementation, and process optimization as the organization grows.

Qualifications
  • Active RN license and BSN required.
  • Experience with Independent Review Organizations (IROs), or Utilization Review/Appeals within a Health Plan or TPA.
  • Strong clinical documentation review, case summary writing, and quality assurance (QA) skills.
  • Excellent written communication with exceptional attention to detail and ability to identify gaps in physician documentation.
  • Ability to independently manage multiple cases while meeting regulatory turnaround times and deadlines.

Skills
  • Technical skills: Experience with IROs, clinical documentation review, case summary writing, quality assurance.
  • Soft skills: Excellent written communication, attention to detail, ability to manage multiple cases effectively.

Additional Requirements
M-F 8-5 schedule preferred CST/MST time zones for training; flexible with time zones. Some weekend coverage may be needed occasionally. Open to overtime if required and candidates are willing.
Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
* As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient's residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

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Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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