Riverview Regional Medical Center - Gadsden, AL We are seeking an Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...
Riverview Regional Medical Center - Gadsden, AL We are seeking an Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...
Utilization Review Technician
Gadsden, AL · On-site
Riverview Regional Medical Center - Gadsden, AL We are seeking an Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...
Utilization Review Technician
Gadsden, AL · On-site
Riverview Regional Medical Center - Gadsden, AL We are seeking an Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...
Utilization Review Technician
Gadsden, AL · On-site
Riverview Regional Medical Center - Gadsden, AL We are seeking a n Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...
Utilization Review Technician
Gadsden, AL · On-site
Riverview Regional Medical Center - Gadsden, AL We are seeking a n Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...
Utilization Review Technician
Gadsden, AL · On-site
Riverview Regional Medical Center - Gadsden, AL We are seeking an Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...
Utilization Review Technician
Gadsden, AL · On-site
Riverview Regional Medical Center - Gadsden, AL We are seeking an Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...
Utilization Review Technician
Gadsden, AL · On-site
Riverview Regional Medical Center - Gadsden, AL We are seeking an Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...
Utilization Review Technician
Gadsden, AL · On-site
Riverview Regional Medical Center - Gadsden, AL We are seeking an Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...
RN Utilization Review
Huntsville, AL · On-site
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
RN Utilization Review
Huntsville, AL · On-site
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
RN Utilization Review
Huntsville, AL · On-site
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
RN Utilization Review
Huntsville, AL · On-site
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
The Utilization Review Nurse utilizes clinical knowledge to support the coordination and documentation and communication of medical services and/or benefits. The Utilization Nurse also serves on the ...
The Utilization Review Nurse utilizes clinical knowledge to support the coordination and documentation and communication of medical services and/or benefits. The Utilization Nurse also serves on the ...
The Utilization Review Nurse utilizes clinical knowledge to support the coordination and documentation and communication of medical services and/or benefits. The Utilization Nurse also serves on the ...
The Utilization Review Nurse utilizes clinical knowledge to support the coordination and documentation and communication of medical services and/or benefits. The Utilization Nurse also serves on the ...
The Utilization Review Nurse utilizes clinical knowledge to support the coordination and documentation and communication of medical services and/or benefits. The Utilization Nurse also serves on the ...
The Utilization Review Nurse utilizes clinical knowledge to support the coordination and documentation and communication of medical services and/or benefits. The Utilization Nurse also serves on the ...
Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL licensure as RN or LPN Knowledge, Skills, and Abilities * Knowledge of third-party payer ...
Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL licensure as RN or LPN Knowledge, Skills, and Abilities * Knowledge of third-party payer ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL licensure as RN or LPN Knowledge, Skills, and Abilities * Knowledge of third-party payer ...
Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL licensure as RN or LPN Knowledge, Skills, and Abilities * Knowledge of third-party payer ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
New
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
New
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures ...
Weekend Utilization Review information
What is a weekend utilization review?
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 does a weekend utilization review professional do?
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 are the key skills and qualifications needed to thrive in the weekend utilization review position?
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.
What are the most commonly searched types of Utilization Review jobs in Alabama?
The most popular types of Utilization Review jobs in Alabama are:
What are popular job titles related to Weekend Utilization Review jobs in Alabama?
For Weekend Utilization Review jobs in Alabama, the most frequently searched job titles are:
- Remote Medical Review Nurse
- Flex Schedule Remote Utilization Review Nurse
- Remote Utilization Review Rn
- Non Exempt No Experience Utilization Management Nurse
- Night Utilization Review Nurse
- Registered Nurse Utilization Review
- Insurance Review Nurse
- Weekend Physician Advisor Utilization Review
- Part Time Utilization Review Nurse
- Telecommute Hedis Review Nurse
What job categories do people searching Weekend Utilization Review jobs in Alabama look for?
The top searched job categories for Weekend Utilization Review jobs in Alabama are:
- Utilization Review
- Registered Nurse Case Review
- Online Utilization Review
- Insurance Utilization Review
- Lpn Utilization Review Work From Home
- Lpn Utilization Review
- Remote Utilization Review Nurse Practitioner
- Per Diem Optum Utilization Review
- Optum Utilization Review Nurse
- From Home Anthem Utilization Review Nurse
What cities in Alabama are hiring for Weekend Utilization Review jobs?
Cities in Alabama with the most Weekend Utilization Review job openings:

Utilization Review Technician
Gadsden, AL
6.4
Based on 286 frontline employees who took The Breakroom Quiz
645th of 895 rated healthcare providers
Free food
People enjoy working here
Recommended by students
Recommended by parents
Respectful managers
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 17 days ago
Job description
Department: Social Work Services
Shifts Available: Days
Employment Type: Full Time
Hours: 8-hour shift – 7:30am to 3:30pm
Location: Riverview Regional Medical Center – Gadsden, AL
We are seeking an Utilization Review Technician II, sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator II. The Utilization Review Technician II supports the utilization review, appeals, and denial management process by coordinating communication and tracking payer-related activity. This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals, and denials. The position also assists with payer audits, Release of Information, discharge coordination, and other departmental needs.
- Coordinate phone calls, data entry, and tracking related to authorizations, expedited reviews, appeals, and denials
- Document and track all communication attempts with insurance providers and health plans
- Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams
- Maintain accurate tracking of government and payer audits, including RAC, MAC, CERT, ADR, QIO, Medicaid, and pre/post-payment reviews
- Provide support with Release of Information, discharge coordination, and other assigned departmental duties
- High School Diploma or equivalent
- Two years of relevant experience
- Accurate alphabetic, numeric, and/or terminal-digit filing skills
- Computer data entry with 10-key, with accurate typing speed of 35 wpm
- Associates Degree or higher, preferred
- Excel skills. highly preferred
- Knowledge of terminal digit filing and medical terminology, preferred
- Knowledge of State and Federal regulatory requirements for medical staff documentation, preferred
- Completion of a medical terminology course, preferred
- Background in business and office training, preferred
Here are some of the benefits of working at Prime Healthcare:
- Health, dental, and vision insurance options
- Paid vacation, sick time and holidays
- Bereavement leave, FMLA and other leave options
- Employer 401K options
- Tuition reimbursement options
- Life, disability, and other insurance options
- Many other amazing benefits
Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/
#LI-MP1
Full Time
Days
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
About Prime Healthcare
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Ontario, CA, US
Website
What Prime Healthcare employees say
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Benefits
Hours and flexibility
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