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Weekend Utilization Review Jobs in Florida (NOW HIRING)

Acadia Healthcare

Utilization Specialist

Ocklawaha, FL · On-site

$20 - $24/hr

We are looking to for a Full Time Utilization Review Specialist to join our team. The UR specialist proactively monitors utilization of services for patients to optimize reimbursement for the ...

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Weekend Utilization Review information

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 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 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 Florida? The most popular types of Utilization Review jobs in Florida are:
What are popular job titles related to Weekend Utilization Review jobs in Florida? For Weekend Utilization Review jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Weekend Utilization Review jobs in Florida look for? The top searched job categories for Weekend Utilization Review jobs in Florida are:
What cities in Florida are hiring for Weekend Utilization Review jobs? Cities in Florida with the most Weekend Utilization Review job openings:
Weekend Utilization Review jobs near you
Infographic showing various Weekend Utilization Review job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution.

Utilization Review Manager (On-site) (279)

LifeStream Behavioral Center

Leesburg, FL • On-site

$34.05/hr

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Job Purpose:
- The Utilization Review Manager - RN at LIFESTREAM BEHAVIORAL CENTER is responsible for overseeing the utilization review process to ensure that patient care services are delivered efficiently and effectively. This role involves collaborating with healthcare providers to optimize patient outcomes and resource utilization while ensuring compliance with regulatory and accreditation standards.
Key Responsibilities:
- Lead and manage the utilization review team to ensure timely and accurate assessments of patient care plans.
- Develop and implement utilization review policies and procedures in accordance with organizational and regulatory requirements.
- Collaborate with clinical staff to review patient cases and determine the appropriateness of care and services provided.
- Analyze data and prepare reports on utilization trends, recommending improvements to enhance patient care and resource management.
- Serve as a liaison between the healthcare team and insurance providers to facilitate authorizations and resolve any coverage issues.
- Provide education and training to staff on utilization review processes and best practices.
- Ensure compliance with all relevant regulations, standards, and guidelines related to utilization management.
- Participate in quality improvement initiatives to enhance the efficiency and effectiveness of patient care delivery.
Required Education:
- Current Registered Nurse (RN) license in the state of Florida or Florida Licensure as a clinical social worker, mental health counselor, or marriage and family therapist. Master's degree preferred.
Required Experience:
- Minimum of 3 years of clinical nursing experience, social work, or psychology preferably in a behavioral health or psychiatric setting.
- Minimum of 3 years of experience in utilization review or case management within a hospital and/or behavioral health.
- 3+ years of supervisory or management experience required.
Required Skills and Abilities:
- Strong understanding of utilization review processes and healthcare regulations.
- Excellent analytical skills to assess patient care needs and determine appropriate levels of service.
- Proficient in electronic medical records (EMR) systems and healthcare management software.
- Exceptional communication and interpersonal skills to collaborate with healthcare providers, patients, and insurance companies.
- Ability to lead and motivate a team, ensuring compliance with organizational policies and procedures.
- Detail-oriented with strong organizational skills to manage multiple cases simultaneously.
- Ability to handle sensitive information with confidentiality and professionalism.
LifeStream Benefits
  • Health/Dental/Vision Insurance
  • Short Term Disability
  • Pension Plan
  • 403(b)
  • PTO (Over 4 weeks your 1st year!)
  • Flexible Work Schedules
  • Tuition Reimbursement Program
  • Free Telehealth Services
  • HRSA
  • And More!

Important Notice
As part of our hiring process and in compliance with Section 435.04, Florida Statutes, certain positions require a Level 2 background screening. Employment offers are contingent upon meeting applicable requirements. For more details on Level 2 background screening requirements, please visit: Florida Care Provider Background Screening Clearinghouse
LifeStream is an equal opportunity employer and does not discriminate against any applicant based on age, citizenship, color, covered veteran status, disability, gender identity, genetic information, marital status, race, religion, sex, sexual orientation, or other protected status in accordance with applicable federal, state, and local laws.

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