The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring ...
Reviewing and making approval/denial determinations for all member transportation requests that are outside of the geographical mileage guidelines and reviewing requests to non-covered Medicaid ...
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Reviewing and making approval/denial determinations for all member transportation requests that are outside of the geographical mileage guidelines and reviewing requests to non-covered Medicaid ...
Perform the utilization and review process, for continued stay, in an appropriate and timely manner. * Maintain appropriate records of the review process for the purpose of preparing and submitting ...
Perform the utilization and review process, for continued stay, in an appropriate and timely manner. * Maintain appropriate records of the review process for the purpose of preparing and submitting ...
Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem To coordinate and direct Utilization Review functions, monitoring the utilization and continuum ...
Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem To coordinate and direct Utilization Review functions, monitoring the utilization and continuum ...
Utilization Review * Discipline: Therapy * Start Date: 06/29/2026 * Duration: 13 weeks * 40 hours ... maybe a weekend SYSTEMS EPIC START DATE ASAP Facility Location With its alluring charm and ...
Utilization Review * Discipline: Therapy * Start Date: 06/29/2026 * Duration: 13 weeks * 40 hours ... maybe a weekend SYSTEMS EPIC START DATE ASAP Facility Location With its alluring charm and ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the patient chart ...
The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the patient chart ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Utilization Specialist
Valdosta, GA · On-site
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist
Valdosta, GA · On-site
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
The position combines utilization review, care coordination, insurance authorization management, and administrative oversight within behavioral health services. Location/Schedule: 3575 Fulton Mill ...
The position combines utilization review, care coordination, insurance authorization management, and administrative oversight within behavioral health services. Location/Schedule: 3575 Fulton Mill ...
The position combines utilization review, care coordination, insurance authorization management, and administrative oversight within behavioral health services. Location/Schedule: 3575 Fulton Mill ...
The position combines utilization review, care coordination, insurance authorization management, and administrative oversight within behavioral health services. Location/Schedule: 3575 Fulton Mill ...
Utilization Specialist
Valdosta, GA · 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 ...
Utilization Specialist
Valdosta, GA · 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 ...
Utilization Specialist
Valdosta, GA · 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 ...
Utilization Specialist
Valdosta, GA · 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 ...
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 ...
ALL PRN'S MUST BE AVAILABLE FOR 6 SHIFTS PER MONTH (3 WEEKDAY SHIFTS AND 3 WEEKEND SHIFTS). DAY ... Utilization Review or Care Management experience Preferred Licenses and Certifications * Current ...
ALL PRN'S MUST BE AVAILABLE FOR 6 SHIFTS PER MONTH (3 WEEKDAY SHIFTS AND 3 WEEKEND SHIFTS). DAY ... Utilization Review or Care Management experience Preferred Licenses and Certifications * Current ...
Weekend Utilization Review information
See Georgia salary details
$18.06 - $21.72
2% of jobs
$21.72 - $25.37
9% of jobs
$27.87 is the 25th percentile. Wages below this are outliers.
$25.37 - $29.03
21% of jobs
The median wage is $31.98 / hr.
$29.03 - $32.68
23% of jobs
$32.68 - $36.33
13% of jobs
$39.17 is the 75th percentile. Wages above this are outliers.
$36.33 - $39.99
10% of jobs
$39.99 - $43.64
8% of jobs
$43.64 - $47.29
5% of jobs
$47.29 - $50.95
5% of jobs
$50.95 - $54.60
2% of jobs
$54.60 - $58.25
2% of jobs
$18
$35
$58
How much do weekend utilization review jobs pay per hour?
What does a typical weekend shift look like for a Utilization Review professional?
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 job?
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, and why are they important?
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.
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Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 12 days ago
Universal Health Services rating
6.7
Based on 248 frontline employees who took The Breakroom Quiz
527th of 872 rated healthcare providers
Job description
Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years. Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.
Website: https://www.LighthouseCareCenters.com
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued stay reviews.
Job Duties/ Responsibilities:
- Review clinical content of medical records, participate in treatment team meetings, and collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved.
- Ensure input of pre-certifications and continued stay reviews into Midas, follow-up on unfinished pre-certifications from the day before, coordinate with the treatment team on any follow-ups necessary, verify insurance coverage at the first of the month, and post patient payments into MS4.
- Trained in all aspects relative to timely gathering of clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems, in addition to other job duties.
Benefit Highlights
- Referral Bonus Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career development opportunities within UHS and its 300+ Subsidiaries!
- More information is available on our Benefits Guest Website: uhsguest.com
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
EDUCATION AND EXPERIENCE
Masters level education in social science field (social work, counseling, sociology, psychology). Must be license-eligible or licensed in Georgia.
Nurses with a current GA or Multistate RN license encouraged to apply.
Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review.
CERTIFICATIONS, LICENSES, REGISTRATION
LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.
Qualifications:EDUCATION AND EXPERIENCE
Masters level education in social science field (social work, counseling, sociology, psychology). Must be license-eligible or licensed in Georgia.
Nurses with a current GA or Multistate RN license encouraged to apply.
Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review.
CERTIFICATIONS, LICENSES, REGISTRATION
LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.
Education:UNAVAILABLEEmployment Type: FULL_TIMEWhat Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US