Nurse Case Manager (RN)
$62K - $101K/yr
Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross ...
$62K - $101K/yr
Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross ...
$62K - $101K/yr
Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross ...
$62K - $101K/yr
Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross ...
$62K - $101K/yr
Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross ...
$62K - $101K/yr
Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross ...
$62K - $101K/yr
Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross ...
$115K - $185K/yr
Responsibilities Monday through Friday position with no weekends or on-call! InnovAge PACE (Program ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
Quick apply
$115K - $185K/yr
Responsibilities Monday through Friday position with no weekends or on-call! InnovAge PACE (Program ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
$62K - $101K/yr
Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross ...
$62K - $101K/yr
Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross ...
Arvada, CO · On-site +1
... when conducting utilization review or an appeals consideration and cannot be located on a US ... Option for weekend work (as available/needed; scheduling to be determined) Elevance Health operates ...
Arvada, CO · On-site +1
... when conducting utilization review or an appeals consideration and cannot be located on a US ... Option for weekend work (as available/needed; scheduling to be determined) Elevance Health operates ...
No on-call or weekend hours required. You will * Confidently and swiftly navigate ambiguous ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
No on-call or weekend hours required. You will * Confidently and swiftly navigate ambiguous ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits HOPE ...
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits HOPE ...
Lakewood, CO · On-site
$58 - $62/hr
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
Lakewood, CO · On-site
$58 - $62/hr
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
Lakewood, CO · On-site
$55 - $60/hr
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
Lakewood, CO · On-site
$55 - $60/hr
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
Lakewood, CO · On-site
$1K - $2K/wk
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
Lakewood, CO · On-site
$1K - $2K/wk
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
$19.50 - $26.25/hr
... Utilization Management/Utilization Review, Admissions, Insurance Verification, and Financial ... Availability for evenings, weekends, and holidays is required. What you will do: * Patient ...
$19.50 - $26.25/hr
... Utilization Management/Utilization Review, Admissions, Insurance Verification, and Financial ... Availability for evenings, weekends, and holidays is required. What you will do: * Patient ...
Denver, CO · On-site
$100 - $125/hr
Participate in quality assurance, utilization management, and peer review programs to ensure high ... Schedule: 8-hour shift Day shift Sat-Sun Job Type: Part-time Salary: $1,000.00 per day Weekends ...
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Denver, CO · On-site
$100 - $125/hr
Participate in quality assurance, utilization management, and peer review programs to ensure high ... Schedule: 8-hour shift Day shift Sat-Sun Job Type: Part-time Salary: $1,000.00 per day Weekends ...
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
$1K - $2K/wk
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
$1K - $2K/wk
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
Lakewood, CO · On-site
$55 - $60/hr
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
Lakewood, CO · On-site
$55 - $60/hr
... care, utilization review, case management, administrative staff/department head, and family ... Must be able to work varying hours and shifts, including weekends and holidays. * Attends all ...
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits OASIS ...
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits OASIS ...
Denver, CO · On-site
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits OASIS ...
Denver, CO · On-site
Participates in utilization review of medical records as assigned. * Gives total patient care as needed. * Takes on-call duty nights, weekends and holidays as assigned. * Completes and submits OASIS ...
$22.50 - $27.05
2% of jobs
$27.05 - $31.60
9% of jobs
$34.71 is the 25th percentile. Wages below this are outliers.
$31.60 - $36.15
21% of jobs
The median wage is $39.83 / hr.
$36.15 - $40.70
23% of jobs
$40.70 - $45.25
13% of jobs
$48.78 is the 75th percentile. Wages above this are outliers.
$45.25 - $49.80
10% of jobs
$49.80 - $54.35
8% of jobs
$54.35 - $58.90
5% of jobs
$58.90 - $63.45
5% of jobs
$63.45 - $67.99
2% of jobs
$67.99 - $72.54
2% of jobs
$22
$44
$72
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.

$62K - $101K/yr
Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 8 days ago
Sourced by ZipRecruiter
Software development
11 - 50 Employees
San Francisco, CA, US
2017