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Weekend Quality Review Nurse Jobs (NOW HIRING)

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 ...

Leon Medical Centers

Concurrent Review Nurse

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 ...

University of Utah

Utilization Review Nurse

... 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 ...

Analog Devices

Weekend Quality Inspector

Chelmsford, MA · On-site

$23 - $32/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... a Quality Inspector. The work assignments will include several of the following operations ... Documentation Review * Mechanical Dimensions * Ability to accurately read and interpret prints ...

US Tech Solutions

Utilization Review Nurse

Chicago, IL · On-site

Improve quality products and services, by using measurement and analysis to process, evaluate and ... Do you have experience with Utilization Review? * Do you have an Active Registered Nurse License?

US Tech Solutions

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

... Nurse to support outpatient utilization review and prior authorization activities for a leading ... Monitor cases for quality, compliance, and adherence to organizational policies. * Identify ...

MNCP Staffing

Utilization Review Nurse

Las Vegas, NV

Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance ... May work shifts and weekends. Reasonable accommodations may be made to enable individuals with ...

Analogdevices

Weekend Quality Inspector

Chelmsford, MA

$23 - $32/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... 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 ...

Umpqua Health

Utilization Review Nurse

$85K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Utilization Review Nurse Remote Ability to travel on-site to 3031 NE Stephens St., Roseburg OR ... Our collaborative approach ensures members receive high-quality, personalized care while supporting ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... Our collaborative approach ensures members receive high-quality, personalized care while supporting ...

Umpqua Health

Utilization Review Nurse

$85K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... Our collaborative approach ensures members receive high-quality, personalized care while supporting ...

HandsOn Global Management

Be Seen First

UM Review Nurse

Tampa, FL · Remote

$36 - $40/hr

  • Medical

  • PTO

PURPOSE AND SCOPE: The UM Nurse Reviewer is responsible for the medical necessity review of ... Adheres to quality standards and confidentiality policies and procedures. * Ensures compliance with ...

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Weekend Quality Review Nurse information

See salary details

$29.5K

$90.3K

$170K

How much do weekend quality review nurse jobs pay per year?

As of Aug 19, 2026, the average yearly pay for weekend quality review nurse in the United States is $90,275.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,500.00 and $102,500.00 per year, depending on experience, location, and employer.

What is a Weekend Quality Review nurse?

Weekend Quality Review Nurses are registered nurses who work primarily on weekends to review and assess the quality of patient care within healthcare facilities. Their responsibilities include auditing medical charts, ensuring compliance with healthcare regulations, evaluating the effectiveness of patient care, and identifying areas for improvement. They play a key role in maintaining high standards of care by providing feedback to staff and helping implement quality improvement initiatives. Their work supports patient safety and helps healthcare organizations meet regulatory and accreditation requirements.

What are the primary responsibilities of a Weekend Quality Review nurse, and how does this role interact with other healthcare team members?

A Weekend Quality Review Nurse is primarily responsible for conducting thorough reviews of patient care documentation, ensuring compliance with healthcare regulations, and identifying areas for quality improvement during weekend shifts. This role often involves collaborating closely with bedside nurses, medical staff, and quality assurance teams to address care concerns and implement best practices. Effective communication is crucial, as you may need to provide real-time feedback or guidance to staff while also preparing reports for leadership. The unique weekend schedule can present challenges such as limited administrative support, but it also offers autonomy and the opportunity to resolve issues proactively.

What are the key skills and qualifications needed to thrive as a Weekend Quality Review nurse, and why are they important?

To thrive as a Weekend Quality Review Nurse, you need a solid nursing background with a valid RN license, strong clinical assessment skills, and experience in quality assurance or utilization review. Familiarity with electronic health records (EHRs), data analysis tools, and knowledge of regulatory standards such as CMS or Joint Commission guidelines are typically required. Exceptional attention to detail, critical thinking, and effective communication are crucial soft skills for identifying care gaps and collaborating remotely with healthcare teams. These skills ensure accurate quality evaluations, compliance with healthcare standards, and continuous improvement in patient care outcomes during weekend shifts.

What is the difference between Weekend Quality Review Nurse vs Weekend Case Reviewer?

AspectWeekend Quality Review NurseWeekend Case Reviewer
CertificationsRN license, possibly quality or review certificationsRN license, case review certifications
Work EnvironmentHealthcare facilities, clinics, or insurance companiesInsurance companies, healthcare organizations
Job FocusAssessing care quality, compliance, and patient outcomesReviewing 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.

What cities are hiring for Weekend Quality Review Nurse jobs?

Cities with the most Weekend Quality Review Nurse job openings:

What are the most commonly searched types of Quality Review Nurse jobs?

The most popular types of Quality Review Nurse jobs are:

What states have the most Weekend Quality Review Nurse jobs?

States with the most job openings for Weekend Quality Review Nurse jobs include:

Weekend Quality Review Nurse jobs near you

Utilization Review Nurse

Oscar Health

Tempe, AZ • Remote

$35 - $45.94/hr

Full-time

Re-posted 8 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

259th of 310 rated insurance

Job description

Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.

About the role:

You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.

You will report into the Supervisor, Utilization Review.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

  • Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines
  • Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines
  • Meet required decision-making SLAs
  • Refer members for further care engagement when needed
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
  • Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Nursing Diploma Program in Accredited School of Nursing
  • Ability to obtain additional state licenses to meet business needs
  • 1+ year of utilization review experience in a managed care setting
  • Strong experience utilizating MCG (Milliman Care Gudielines)
  • 1+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital)
  • Weekend availability is required; all applicants must be able to work at least one weekend day (Saturday or Sunday) each week.

Bonus points:

  • BSN
  • Previous experience conducting concurrent or inpatient reviews for a managed care plan

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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