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Weekend Utilization Review Jobs (NOW HIRING)

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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Weekend Utilization Review information

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How much do weekend utilization review jobs pay per hour?

As of Jul 10, 2026, the average hourly pay for weekend utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

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.

More about Weekend Utilization Review jobs
What cities are hiring for Weekend Utilization Review jobs? Cities with the most Weekend Utilization Review job openings:
What are the most commonly searched types of Utilization Review jobs? The most popular types of Utilization Review jobs are:
What states have the most Weekend Utilization Review jobs? States with the most job openings for Weekend Utilization Review jobs include:
Infographic showing various Weekend Utilization Review job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Specialist

Recovery Unplugged Florida

Fort Lauderdale, FL โ€ข On-site, Remote

$30K - $40K/yr

Other

Posted yesterday

New


Job description

Description

Utilization Review Specialist (Part-Time - Weekends)ย 


Location: Remote

Preferred Residence: Candidates residing in Florida, Tennessee, Texas, Virginia, South Carolina, or New Jersey are strongly encouraged to apply.


Job Details

Job Type: Part-Time

Schedule:

  • 16-24 hours per week
  • Weekend availability required
  • Ideal schedule is Friday through Monday, working 2-3 days within that timeframe
  • Schedule may vary based on business needs
About Recovery Unplugged

Recovery Unplugged is a national leader in drug and alcohol addiction treatment, offering an innovative, evidence-based approach that integrates the healing power of music into recovery. With treatment centers across Florida, Texas, Virginia, New Jersey, South Carolina, and Tennessee, we are committed to delivering compassionate care that helps individuals build lasting recovery.


Position Summary

Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This position plays a critical role in ensuring patients receive the appropriate level of care by obtaining and maintaining insurance authorizations, communicating with managed care organizations, and collaborating with clinical teams throughout the treatment process.

The ideal candidate has prior experience in behavioral health utilization review, understands managed care guidelines, and is comfortable advocating for patients with insurance providers.


Essential Responsibilities
  • Conduct utilization reviews for admissions and continued stays to establish medical necessity and obtain insurance authorizations.
  • Review clinical documentation to support the appropriate level of care and length of stay.
  • Present clinical information to insurance companies and managed care representatives to obtain or extend authorizations.
  • Communicate with insurance case managers regarding benefits, coverage, and authorization status.
  • Collaborate with clinical staff to ensure documentation meets payer requirements.
  • Provide guidance to treatment teams regarding insurance criteria, continued stay requirements, and discharge planning.
  • Maintain accurate, timely, and organized documentation in accordance with company policies and regulatory standards.
  • Work collaboratively with multidisciplinary teams to support quality patient care and reimbursement.
  • Protect patient confidentiality and comply with all HIPAA and organizational policies.
  • Perform other duties as assigned.

Compensation
  • $30,000-$40,000 annually, depending on experience, qualifications, and whether the selected candidate works a 2-day or 3-day weekend schedule.
  • Benefits may be available based on eligibility.

Join a team that's transforming addiction treatment through compassionate, evidence-based care and the healing power of music. If you're passionate about advocating for patients and navigating the utilization review process, we'd love to hear from you.


Recovery Unplugged is an Equal Opportunity Employer.


Requirements

  • ย Previous experience in Utilization Review, Managed Care, Behavioral Health, or a related healthcare setting required.
  • Experience working with substance use disorder or behavioral health treatment programs is strongly preferred.
  • Strong knowledge of insurance authorization processes and reimbursement practices.
  • Excellent verbal and written communication skills.
  • Strong organizational skills with the ability to manage multiple cases simultaneously.
  • Proficiency with electronic medical records (EMR) systems and Microsoft Office.
  • Current clinical licensure is preferred but not required. Candidates with significant utilization review experience will be considered.