Phoenix, AZ · Remote
$42 - $43.50/hr
Bachelor's degree in Nursing or healthcare-related field * Experience in clinical quality, utilization review, or case review * Familiarity with federal or government healthcare programs * Experience ...
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Phoenix, AZ · Remote
$42 - $43.50/hr
Bachelor's degree in Nursing or healthcare-related field * Experience in clinical quality, utilization review, or case review * Familiarity with federal or government healthcare programs * Experience ...
$34.73 - $45.15/hr
Refers to designated physician advisor those patients not meeting criteria as well as quality of ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...
$34.73 - $45.15/hr
Refers to designated physician advisor those patients not meeting criteria as well as quality of ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...
Washington, DC · Remote
$36 - $42/hr
Perform verification, secondary, and quality reviews for Long-Term Services & Supports (LTSS) cases ... Occasional evening, weekend, or holiday work may be required to meet operational deadlines. Why ...
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Washington, DC · Remote
$36 - $42/hr
Perform verification, secondary, and quality reviews for Long-Term Services & Supports (LTSS) cases ... Occasional evening, weekend, or holiday work may be required to meet operational deadlines. Why ...
New Lenox, IL · On-site
$34.73 - $45.15/hr
Refers to designated physician advisor those patients not meeting criteria as well as quality of ... Various, Day; weekend rotation; holiday rotation; occasional on site requirement for meetings and ...
New Lenox, IL · On-site
$34.73 - $45.15/hr
Refers to designated physician advisor those patients not meeting criteria as well as quality of ... Various, Day; weekend rotation; holiday rotation; occasional on site requirement for meetings and ...
... a Quality Inspector. The work shift is Friday, Saturday, Sunday from 7AM-7PM, 12-hour days. The ... Documentation Review * Mechanical Dimensions * Ability to accurately read and interpret prints ...
... a Quality Inspector. The work shift is Friday, Saturday, Sunday from 7AM-7PM, 12-hour days. The ... Documentation Review * Mechanical Dimensions * Ability to accurately read and interpret prints ...
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 ...
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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 ...
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 ...
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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 ...
Las Vegas, NV · On-site
$41 - $60/hr
Monitor resource utilization while supporting quality patient care and organizational goals. * Stay ... Occasional weekend or shift work may be required based on operational needs. - ST Company ...
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Las Vegas, NV · On-site
$41 - $60/hr
Monitor resource utilization while supporting quality patient care and organizational goals. * Stay ... Occasional weekend or shift work may be required based on operational needs. - ST Company ...
New Lenox, IL · On-site
$34.73 - $45.15/hr
Refers to designated physician advisor those patients not meeting criteria as well as quality of ... Various, Day; weekend rotation; holiday rotation; occasional on site requirement for meetings and ...
New Lenox, IL · On-site
$34.73 - $45.15/hr
Refers to designated physician advisor those patients not meeting criteria as well as quality of ... Various, Day; weekend rotation; holiday rotation; occasional on site requirement for meetings and ...
Newport Beach, CA · On-site +1
The Quality Management (QM) Nurse is responsible for preparing, reviewing, and presenting findings on all potential quality management events reported to the department and all grievances submitted ...
Newport Beach, CA · On-site +1
The Quality Management (QM) Nurse is responsible for preparing, reviewing, and presenting findings on all potential quality management events reported to the department and all grievances submitted ...
Las Vegas, NV · On-site
About the job Utilization Review Nurse Sign on bonus may apply up to $15,000 Position Summary ... May work shifts and weekends. Reasonable accommodations may be made to enable individuals with ...
Las Vegas, NV · On-site
About the job Utilization Review Nurse Sign on bonus may apply up to $15,000 Position Summary ... May work shifts and weekends. Reasonable accommodations may be made to enable individuals with ...
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 ...
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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 ...
Murray, UT · On-site +1
... quality and trust that are integral to our mission. EO/AA This position is responsible for ... Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ...
Murray, UT · On-site +1
... quality and trust that are integral to our mission. EO/AA This position is responsible for ... Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ...
Miami, FL · On-site
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...
Miami, FL · On-site
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...
... quality and trust that are integral to our mission. EO/AA This position is responsible for ... Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ...
... quality and trust that are integral to our mission. EO/AA This position is responsible for ... Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ...
Southfield, MI · On-site
$42 - $46/hr
Perform quality assurance (QA) on physician reports to ensure accuracy, clarity, completeness, and ... Some weekend coverage may be needed occasionally. Open to overtime if required and candidates are ...
Southfield, MI · On-site
$42 - $46/hr
Perform quality assurance (QA) on physician reports to ensure accuracy, clarity, completeness, and ... Some weekend coverage may be needed occasionally. Open to overtime if required and candidates are ...
... quality and trust that are integral to our mission. EO/AA This position is responsible for ... Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ...
... quality and trust that are integral to our mission. EO/AA This position is responsible for ... Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ...
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...
Doral, FL · On-site
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...
Doral, FL · On-site
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...
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 ...
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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 ...
$29.5K - $42.3K
2% of jobs
$42.3K - $55K
0% of jobs
$66.3K is the 25th percentile. Wages below this are outliers.
$55K - $67.8K
26% of jobs
The median wage is $76.8K / yr.
$67.8K - $80.6K
31% of jobs
$80.6K - $93.4K
11% of jobs
$98K is the 75th percentile. Wages above this are outliers.
$93.4K - $106.1K
11% of jobs
$106.1K - $118.9K
5% of jobs
$118.9K - $131.7K
7% of jobs
$131.7K - $144.5K
2% of jobs
$144.5K - $157.2K
1% of jobs
$157.2K - $170K
2% of jobs
$29.5K
$90.3K
$170K
| Aspect | Weekend Quality Review Nurse | Weekend Case Reviewer |
|---|---|---|
| Certifications | RN license, possibly quality or review certifications | RN license, case review certifications |
| Work Environment | Healthcare facilities, clinics, or insurance companies | Insurance companies, healthcare organizations |
| Job Focus | Assessing care quality, compliance, and patient outcomes | Reviewing case details, determining coverage or treatment appropriateness |
The Weekend Quality Review Nurse and Weekend Case Reviewer roles both involve healthcare review tasks, often requiring RN licensure. The Quality Review Nurse focuses on evaluating care quality and compliance, while the Case Reviewer concentrates on case details and coverage decisions. Both roles are common in insurance and healthcare settings, with overlapping skills but different primary responsibilities.
Cities with the most Weekend Quality Review Nurse job openings:
The most popular types of Quality Review Nurse jobs are:
States with the most job openings for Weekend Quality Review Nurse jobs include:
$42 - $43.50/hr
Full-time
Re-posted 29 days ago
Overview:
TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role focuses on reviewing clinical cases, identifying potential quality or safety concerns, and supporting quality improvement initiatives across a complex healthcare delivery network. This is an excellent opportunity for a licensed clinical professional with experience in clinical review, utilization management, or healthcare quality within health plans, hospital systems, or government-supported programs.
What you will be doing:
Review medical records to identify potential quality, safety, and utilization concerns
Conduct detailed case analysis and prepare clear, well-documented summaries and recommendations
Support peer review processes and quality improvement initiatives
Analyze trends and assist in identifying patterns in care delivery and outcomes
Collaborate with clinical leadership, including Medical Directors, to review findings
Participate in quality committees and performance improvement efforts
Ensure compliance with regulatory requirements and program standards
Coordinate with cross-functional teams such as case management, care coordination, and program integrity
What you must have:
Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW)
Minimum 3+ years of clinical experience (medical/surgical and/or behavioral health)
U.S. Citizenship required
Ability to obtain and maintain a Department of Defense (DoD) background clearance
Strong analytical and critical thinking skills
Excellent written communication skills
Nice to have:
Bachelor’s degree in Nursing or healthcare-related field
Experience in clinical quality, utilization review, or case review
Familiarity with federal or government healthcare programs
Experience with clinical criteria tools (InterQual or similar)
Exposure to healthcare data analysis or reporting
Technical Skills
Proficiency with Microsoft Office (Word, Excel, Outlook)
Comfortable working across multiple systems and electronic medical records
What makes you successful
Strong clinical judgment and attention to detail
Ability to work independently and manage multiple priorities
Analytical mindset with problem-solving ability
Clear and professional communication skills
Comfortable working in a structured, compliance-driven environment
Other Information:
Remote or onsite depending on business needs
Must have a secure home office setup if remote
Occasional extended hours may be required
Salary/Rate Range: $85,000 – $92,000 annually; Hourly Equivalent: Approximately $41 – $44/hour
