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Weekend Occupational Therapy Utilization Review Jobs

IntePros

Utilization Review Nurse

Philadelphia, PA · On-site

PA RN License Required We are seeking an experienced Care Management Coordinator to join our Infusion Therapy team. This role is responsible for performing utilization management reviews to determine ...

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Weekend availability is required; all applicants must be able to work at least one weekend day ...

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Weekend availability is required; all applicants must be able to work at least one weekend day ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Weekend availability is required; all applicants must be able to work at least one weekend day ...

ECU Health

Utilization Review Specialist

Greenville, NC · On-site

$65K - $95K/yr

Position Summary The Utilization Review Specialist will ensure regulatory compliance with CMS ... occupational health screening, criminal record check, education, reference, and licensure ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Weekend availability is required; all applicants must be able to work at least one weekend day ...

ARcare

Utilization Review Associate

Augusta, AR · On-site

Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... No routine nights or weekends for most positions. (Some clinical roles may have limited weekend ...

Banyan

Utilization Review Specialist

Pompano Beach, FL · On-site

$50K - $65K/yr

Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend Availability as Needed) Banyan Treatment Centers is seeking an experienced and detail-driven ...

ECU Health

Supervisor - Utilization Review

Greenville, NC · On-site

$79K - $116K/yr

Pay Range $79664.00 - $116116.00 Other Information Hybrid - weekdays - call on weekends rotating ... occupational health screening, criminal record check, education, reference, and licensure ...

Umpqua Health

Utilization Review Clinician

UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) with Behavioral Health ...

New

ARcare

Utilization Review Associate

Augusta, AR · On-site

Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... No routine nights or weekends for most positions. (Some clinical roles may have limited weekend ...

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All JobsOccupational Therapy Utilization Review JobsWeekend Occupational Therapy Utilization Review Jobs

Weekend Occupational Therapy Utilization Review information

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How much do weekend occupational therapy utilization review jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for weekend occupational therapy utilization review in the United States is $45.37, according to ZipRecruiter salary data. Most workers in this role earn between $38.70 and $50.96 per hour, depending on experience, location, and employer.

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 cities are hiring for Weekend Occupational Therapy Utilization Review jobs? Cities with the most Weekend Occupational Therapy Utilization Review job openings:
What are the most commonly searched types of Occupational Therapy Utilization Review jobs? The most popular types of Occupational Therapy Utilization Review jobs are:
What states have the most Weekend Occupational Therapy Utilization Review jobs? States with the most job openings for Weekend Occupational Therapy Utilization Review jobs include:
Weekend Occupational Therapy Utilization Review jobs near you

Utilization Review Nurse

IntePros

Philadelphia, PA • On-site

Other

This job post has expired today. Applications are no longer accepted.

Job description

PA RN License Required


We are seeking an experienced Care Management Coordinator to join our Infusion Therapy team. This role is responsible for performing utilization management reviews to determine the medical necessity of requested healthcare services, ensuring members receive appropriate, evidence-based care while maintaining compliance with regulatory and accreditation standards.

This position is ideal for a clinically strong RN who thrives in a collaborative environment, enjoys critical thinking, and is passionate about improving patient outcomes through high-quality utilization management.


Key Responsibilities

  • Conduct medical necessity reviews for infusion therapy services using InterQual, medical policies, and evidence-based clinical guidelines.
  • Review medical records, treatment plans, and clinical documentation to authorize medically necessary services.
  • Collaborate with physicians and providers to obtain additional clinical information and clarify treatment plans when needed.
  • Present cases that do not meet medical necessity criteria to the Medical Director for final determination.
  • Identify discharge planning needs and collaborate with case management to support appropriate transitions of care.
  • Ensure authorization decisions comply with federal, state, and accreditation requirements while meeting established turnaround times.
  • Identify utilization trends, quality concerns, and opportunities for process improvement.
  • Accurately document all clinical reviews and maintain the integrity of care management systems.
  • Serve as a clinical resource and advocate for members navigating the healthcare system.


Qualifications

  • Active Pennsylvania Registered Nurse (RN) license required.
  • Previous experience in Utilization Management, Care Management, Case Management, or Prior Authorization.
  • Strong understanding of medical necessity review, healthcare regulations, and evidence-based clinical criteria.
  • Experience utilizing InterQual or similar medical necessity guidelines strongly preferred.
  • Excellent critical thinking, clinical assessment, communication, and documentation skills.
  • Ability to independently prioritize a high-volume workload while meeting regulatory turnaround times.


Preferred Experience

  • Infusion therapy, specialty pharmacy, oncology, or complex care management.
  • Managed care, health plan, or payer experience.
  • Experience reviewing inpatient, outpatient, or specialty service authorizations.


This is an excellent opportunity for an experienced RN who enjoys combining clinical expertise with analytical decision-making to ensure members receive timely, appropriate, and high-quality care while supporting organizational quality and compliance

initiatives.

Apply