Utilization Review Specialist Schedule: • Full Time, Friday - Monday (weekends) with potential for bonus • 8:30am to 05:00pm Utilization Review Specialist Compensation: • Hourly rate ...
Utilization Review Specialist Schedule: • Full Time, Friday - Monday (weekends) with potential for bonus • 8:30am to 05:00pm Utilization Review Specialist Compensation: • Hourly rate ...
Utilization Review Location/s:Main Campus Jackson Job Title:RN - Utilization Review - Utilization Review Job Summary:RN-Utilization Review is accountable to perform utilization management services ...
Utilization Review Location/s:Main Campus Jackson Job Title:RN - Utilization Review - Utilization Review Job Summary:RN-Utilization Review is accountable to perform utilization management services ...
Utilization Review Coordinator
Steamboat Springs, CO · On-site
$63K - $85K/yr
Business hours, with potential for weekend rotation Job Summary: The Utilization Review Coordinator supports utilization review functions by obtaining and tracking authorizations, maintaining ...
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Utilization Review Coordinator
Steamboat Springs, CO · On-site
$63K - $85K/yr
Business hours, with potential for weekend rotation Job Summary: The Utilization Review Coordinator supports utilization review functions by obtaining and tracking authorizations, maintaining ...
Utilization Review Location/s: Main Campus Jackson Job Title: RN - Utilization Review - Utilization Review Job Summary: RN-Utilization Review is accountable to perform utilization management services ...
Utilization Review Location/s: Main Campus Jackson Job Title: RN - Utilization Review - Utilization Review Job Summary: RN-Utilization Review is accountable to perform utilization management services ...
Utilization Review Nurse
Las Vegas, NV · On-site
Salary: $40-$63 Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 $63/hour ... May require shifts and weekends
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Utilization Review Nurse
Las Vegas, NV · On-site
Salary: $40-$63 Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 $63/hour ... May require shifts and weekends
Utilization Review Nurse
Las Vegas, NV · On-site
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...
Utilization Review Nurse
Las Vegas, NV · On-site
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...
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Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...
Salary: Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday Friday Overview Diversified Treatment Alternative ...
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Salary: Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday Friday Overview Diversified Treatment Alternative ...
Utilization Review Specialist
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... As Scheduled (may include weekends and holidays) Shift Start & End Time: 8-1630
New
Utilization Review Specialist
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... As Scheduled (may include weekends and holidays) Shift Start & End Time: 8-1630
New
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Utilization Review Specialist
Pompano Beach, FL · Remote
$45K - $65K/hr
Schedule: Full-Time, Weekdays (Weekend availability as needed). * Location: Remote Key ... As a Utilization Review Specialist , you'll help ensure that each client leaves treatment with a ...
Utilization Review Specialist
Pompano Beach, FL · Remote
$45K - $65K/hr
Schedule: Full-Time, Weekdays (Weekend availability as needed). * Location: Remote Key ... As a Utilization Review Specialist , you'll help ensure that each client leaves treatment with a ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle ...
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Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle ...
Director, Utilization Review
South Burlington, VT · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational execution, and regulatory compliance of the Utilization Review (UR) program. This role ensures clinically ...
New
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Director, Utilization Review
South Burlington, VT · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational execution, and regulatory compliance of the Utilization Review (UR) program. This role ensures clinically ...
New
Utilization Review Specialist
Manhattan, NY · On-site
$65K - $75K/yr
Director of Utilization Review DEPARTMENT: Clinical LOCATION : George Rosenfield Center for Recovery - 13 Hell Gate Circle, Ward's Island, NY 10035 MAJOR FUNCTIONS: Under the direction of the ...
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Utilization Review Specialist
Manhattan, NY · On-site
$65K - $75K/yr
Director of Utilization Review DEPARTMENT: Clinical LOCATION : George Rosenfield Center for Recovery - 13 Hell Gate Circle, Ward's Island, NY 10035 MAJOR FUNCTIONS: Under the direction of the ...
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible for ensuring that clients receiving substance use disorder (SUD) treatment services meet clinical ...
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible for ensuring that clients receiving substance use disorder (SUD) treatment services meet clinical ...
Nurse Utilization Review
Midland, TX · On-site
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care services. Through regular utilization reviews and audits, the UR nurse ensures that patients ...
Nurse Utilization Review
Midland, TX · On-site
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care services. Through regular utilization reviews and audits, the UR nurse ensures that patients ...
Utilization Review Specialist Status: Full Time, Days Schedule: Mon-Fri, Days. New hire will have the option to choose a schedule of either 7:30am to 4:00pm or 8:00am to 4:30pm. Are you experienced ...
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Utilization Review Specialist Status: Full Time, Days Schedule: Mon-Fri, Days. New hire will have the option to choose a schedule of either 7:30am to 4:00pm or 8:00am to 4:30pm. Are you experienced ...
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care services. Through regular utilization reviews and audits, the UR nurse ensures that patients ...
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care services. Through regular utilization reviews and audits, the UR nurse ensures that patients ...
Weekend Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do weekend utilization review jobs pay per hour?
What does a typical weekend shift look like for a Utilization Review professional?
Weekend Utilization Review professionals typically work independently, reviewing patient cases for medical necessity, appropriateness of care, and compliance with payer guidelines during non-standard business hours. You will analyze patient charts, interact with clinical staff, and document findings, often collaborating remotely with other care coordinators or medical teams. While much of the role is desk-based, quick decision-making and effective communication are essential due to faster-paced weekend workflows. This schedule can offer greater autonomy and flexibility, but may also require prioritizing tasks and managing multiple cases efficiently to ensure continuous patient care.
What is a Weekend Utilization Review job?
A Weekend Utilization Review job involves assessing patient care and medical services during weekends to ensure they meet medical necessity and insurance guidelines. Professionals in this role review clinical documentation, coordinate with healthcare providers, and determine appropriate levels of care for patients. They typically work for hospitals, insurance companies, or other healthcare organizations. Strong analytical skills, medical knowledge, and familiarity with regulatory requirements are essential for success in this role.
What are the key skills and qualifications needed to thrive in the Weekend Utilization Review position, and why are they important?
Success as a Weekend Utilization Review professional requires a strong background in nursing or healthcare, critical thinking skills, and a thorough understanding of medical necessity criteria, such as InterQual or Milliman guidelines. Familiarity with electronic medical records (EMR) systems and utilization management software is highly beneficial, and RN or healthcare-related licensure is often required. Exceptional communication, attention to detail, and the ability to work independently on weekends are crucial soft skills. Mastering these areas allows efficient and accurate reviews of patient care, supporting optimal healthcare resource allocation outside of standard work hours.
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Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 13 days ago
Job description
Position Title: Utilization Review Specialist
Founded in 2003, Praesum Healthcare provides administrative services for healthcare providers in key geographical locations throughout the Northeast, mid-Atlantic, and Southeast regions. Praesum is an established leader in the healthcare industry. With a solid, growth-focused business model, strong finances, and expert management team, Praesum will continue to grow in the years to come. Praesum currently provides services to behavioral health facilities providing all levels of care from inpatient psychiatric and substance abuse detoxification, through SUD and mental health outpatient clinics.
Utilization Review Specialist Job description:
Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care settings.
Utilization Review Specialist Duties/Responsibilities:
• Initiate pre-certification and continued stay authorizations based on ASAM criteria
• Communicate directly with facility regarding patients' needs and symptomology
• Maintain daily census scheduling all new admissions and concurrent reviews
• Input of authorizations and appropriate demographic information to EHR for billing purposes
• Completing "peer to peer" reviews and scheduling "Doctor to Doctor" reviews when needed
• Confirm insurance coverage of each patient
• Organize weekend census of all detox and residential patients for all our impatient facilities
• Collect all appropriate clinical data for each patient that requires precertification
Utilization Review Specialist Requirements:
• High School Diploma
• A minimum of 3-5 years of utilization review experience.
• Individual must be computer literate with proficiency in Microsoft Office applications.
Utilization Review Specialist Schedule:
• Full Time, Friday - Monday (weekends) with potential for bonus
• 8:30am to 05:00pm
Utilization Review Specialist Compensation:
• Hourly rate competitive with experience and location
Full time employees may be eligible for the following:
• Insurance: Medical, Dental, Vision, and STD options
• Medical FSA and Dependent Care Account
• 401k with company match up to 5%
• Accrued Paid Time Off (PTO)
• Education reimbursement
• Career Advancement Opportunities
*** This job does NOT sponsor visa's and we are unable to consider out of country applicants ***
About Praesum Healthcare
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
51 - 200 Employees
Headquarters location
Lake Worth, FL, US
Year founded
2003