Georgetown, DE · On-site
$55K - $80K/yr
Review customer feedback, surveys, and membership-related interactions to enhance the overall ... Serve as a key escalation resource during evenings, weekends, and after-hours operations when ...
Georgetown, DE · On-site
$55K - $80K/yr
Review customer feedback, surveys, and membership-related interactions to enhance the overall ... Serve as a key escalation resource during evenings, weekends, and after-hours operations when ...
$13.50 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
$13.50 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
$13.50 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
$13.50 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Wilmington, DE · On-site
Exhibit proficiency in the understanding and utilization of the conflicts database; including ... Review the work of junior analysts on a scheduled basis (required for a senior analyst). * Perform ...
Wilmington, DE · On-site
Exhibit proficiency in the understanding and utilization of the conflicts database; including ... Review the work of junior analysts on a scheduled basis (required for a senior analyst). * Perform ...
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$41.28 - $66.05/hr
... Holidays or Weekends! Newark, DE External Candidates are Eligible for a 10K Sign-on Bonus ... Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
Newark, DE · On-site
$13.75 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
Newark, DE · On-site
$13.75 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
$13.50 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
$13.50 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
Rehoboth Beach, DE · On-site
$13.50 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
Rehoboth Beach, DE · On-site
$13.50 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
Newark, DE · On-site
$13.75 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
Newark, DE · On-site
$13.75 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
Rehoboth Beach, DE · On-site
$13.50 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
Rehoboth Beach, DE · On-site
$13.50 - $18.50/hr
Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...
$21.41 - $25.74
2% of jobs
$25.74 - $30.07
9% of jobs
$33.04 is the 25th percentile. Wages below this are outliers.
$30.07 - $34.40
21% of jobs
The median wage is $37.91 / hr.
$34.40 - $38.74
23% of jobs
$38.74 - $43.07
13% of jobs
$46.43 is the 75th percentile. Wages above this are outliers.
$43.07 - $47.40
10% of jobs
$47.40 - $51.73
8% of jobs
$51.73 - $56.06
5% of jobs
$56.06 - $60.39
5% of jobs
$60.39 - $64.72
2% of jobs
$64.72 - $69.05
2% of jobs
$21
$42
$69
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.
$55K - $80K/yr
Full-time
Posted 9 days ago
Sourced by ZipRecruiter
Construction
51 - 200 Employees
Manassas, VA, US
1981
