Utilization Review Associate
Augusta, AR · On-site
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... No routine nights or weekends for most positions. (Some clinical roles may have limited weekend ...
Augusta, AR · On-site
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... No routine nights or weekends for most positions. (Some clinical roles may have limited weekend ...
Augusta, AR · On-site
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... No routine nights or weekends for most positions. (Some clinical roles may have limited weekend ...
Augusta, AR · On-site
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... No routine nights or weekends for most positions. (Some clinical roles may have limited weekend ...
Augusta, AR · On-site
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... No routine nights or weekends for most positions. (Some clinical roles may have limited weekend ...
$33.41 - $44.11/hr
Job Summary and Responsibilities The Utilization Review Nurse plays a crucial role in coordinating patient care and ensuring appropriate resource utilization. Their primary responsibilities include ...
$33.41 - $44.11/hr
Job Summary and Responsibilities The Utilization Review Nurse plays a crucial role in coordinating patient care and ensuring appropriate resource utilization. Their primary responsibilities include ...
The Utilization Review Nurse plays a crucial role in coordinating patient care and ensuring appropriate resource utilization. Their primary responsibilities include facilitating effective ...
The Utilization Review Nurse plays a crucial role in coordinating patient care and ensuring appropriate resource utilization. Their primary responsibilities include facilitating effective ...
$33.41 - $44.11/hr
Job Summary and Responsibilities The Utilization Review Nurse plays a crucial role in coordinating patient care and ensuring appropriate resource utilization. Their primary responsibilities include ...
$33.41 - $44.11/hr
Job Summary and Responsibilities The Utilization Review Nurse plays a crucial role in coordinating patient care and ensuring appropriate resource utilization. Their primary responsibilities include ...
Little Rock, AR · On-site
$33.41 - $44.11/hr
Job Summary and Responsibilities The Utilization Review Nurse plays a crucial role in coordinating patient care and ensuring appropriate resource utilization. Their primary responsibilities include ...
Little Rock, AR · On-site
$33.41 - $44.11/hr
Job Summary and Responsibilities The Utilization Review Nurse plays a crucial role in coordinating patient care and ensuring appropriate resource utilization. Their primary responsibilities include ...
Supports LCMC Health's mission of delivering exceptional patient care by ensuring the appropriate utilization of healthcare services through timely and accurate medical necessity reviews. * Serves as ...
Supports LCMC Health's mission of delivering exceptional patient care by ensuring the appropriate utilization of healthcare services through timely and accurate medical necessity reviews. * Serves as ...
Supports utilization review processes by planning, analyzing data, and setting goals to ensure appropriate reimbursement and adherence to guidelines. Essential Functions Abstracts and assembles data ...
Supports utilization review processes by planning, analyzing data, and setting goals to ensure appropriate reimbursement and adherence to guidelines. Essential Functions Abstracts and assembles data ...
Responsibilities PRN - Registered Nurse (RN): Utilization Review Coordinator Needed ! Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville, Arkansas, provides ...
Responsibilities PRN - Registered Nurse (RN): Utilization Review Coordinator Needed ! Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville, Arkansas, provides ...
Responsibilities PRN - Registered Nurse (RN): Utilization Review Coordinator Needed! Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville, Arkansas, provides ...
Responsibilities PRN - Registered Nurse (RN): Utilization Review Coordinator Needed! Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville, Arkansas, provides ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Overview Provides discharge planning and utilization review services in compliance with patient's discharge planning needs and the hospital's utilization review program. SAFETY SENSITIVE POSITION:
Overview Provides discharge planning and utilization review services in compliance with patient's discharge planning needs and the hospital's utilization review program. SAFETY SENSITIVE POSITION:
Overview Provides discharge planning and utilization review services in compliance with patient's discharge planning needs and the hospital's utilization review program. SAFETY SENSITIVE POSITION:
Overview Provides discharge planning and utilization review services in compliance with patient's discharge planning needs and the hospital's utilization review program. SAFETY SENSITIVE POSITION:
Help maintain a quality control system to assure effective utilization of hospital facilities and services. Assist in the promotion and maintenance of high quality care through review of clinical ...
Quick apply
Help maintain a quality control system to assure effective utilization of hospital facilities and services. Assist in the promotion and maintenance of high quality care through review of clinical ...
Conway, AR · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Conway, AR · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
The Utilization Management Manager will be responsible for oversight of the hospital's concurrent review process, medical necessity audits to manage the length of stay, and denial and appeal ...
The Utilization Management Manager will be responsible for oversight of the hospital's concurrent review process, medical necessity audits to manage the length of stay, and denial and appeal ...
$17.69 - $21.27
2% of jobs
$21.27 - $24.85
9% of jobs
$27.29 is the 25th percentile. Wages below this are outliers.
$24.85 - $28.42
21% of jobs
The median wage is $31.32 / hr.
$28.42 - $32
23% of jobs
$32 - $35.58
13% of jobs
$38.36 is the 75th percentile. Wages above this are outliers.
$35.58 - $39.16
10% of jobs
$39.16 - $42.74
8% of jobs
$42.74 - $46.31
5% of jobs
$46.31 - $49.89
5% of jobs
$49.89 - $53.47
2% of jobs
$53.47 - $57.05
2% of jobs
$17
$34
$57
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.
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.
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.

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 9 days ago
7.0
Based on 32 frontline employees who took The Breakroom Quiz
417th of 890 rated healthcare providers
Job Title: Utilization Review Associate
Job Type: Full-time, 40 hours per week required (hourly
POSITION SUMMARY
Assist with planning and coordinating the duties of Utilization Review. This position is responsible for assisting with HEDIS measures, GICA, AWVs, reporting, and other collaborative projects with both internal and external entities such as third-party payers.
ESSENTIAL FUNCTIONS
Reasonable Accommodations Statement
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Essential Functions Statement(s)
SKILLS & ABILITIES
Education: High school diploma
Experience: two years experience with Microsoft Office and office work
Computer Skills: Able to learn and utilize electronic medical record, electronic data systems, and electronic communications. Proficient in Microsoft Office.
About Arcare
Founded on the belief that healthcare is a right, not a privilege, Arcare exists to make comprehensive, high-quality care accessible to everyone, especially in rural and underserved communities. What began in the rural Arkansas delta has grown into a multi-state healthcare network, but our mission remains the same: Health for All. That mission drives everything we do, from accepting every patient, regardless of insurance status or ability to pay, to expanding access to care and improving health outcomes in the communities we serve
We believe strong communities start with strong teams. We foster a supportive, collaborative environment where employees are valued, encouraged to grow, and empowered to make a meaningful impact through their work. We invest in our people by supporting professional development, encouraging leadership growth, and providing opportunities to build long-term careers within the organization. A healthy work-life balance and a predictable schedule are part of our workplace culture.
Whether caring for patients in the clinic, supporting operations behind the scenes, or serving communities through outreach and education, our teams are united by a shared purpose: delivering compassionate, accessible care that improves lives.
Arcare offers competitive pay and a strong company-paid benefits package for full-time employees, including:
Loan Repayment Opportunities
Many Arcare locations serve medically underserved communities. Eligible clinical team members may qualify for federal loan repayment programs through HRSA, including the National Health Service Corps Loan Repayment Program and the Nurse Corps Loan Repayment Program. Eligibility and award approval are determined by HRSA based on role, location, discipline, and program requirements.
Application Assistance:
If you need assistance with the application process, please email humanresources@arcare.net.
Equal Opportunity Employer:
Arcare is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.