Work Shift The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay.
Work Shift The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay.
Utilization Review Nurse
Warner Robins, GA · On-site
$90 - $110/hr
Work Shift The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay.
Utilization Review Nurse
Warner Robins, GA · On-site
$90 - $110/hr
Work Shift The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay.
Work Shift The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay.
Work Shift The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay.
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay. The ...
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay. The ...
Utilization Review Nurse
Warner Robins, GA · On-site
$80 - $100/hr
Work Shift The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay.
Utilization Review Nurse
Warner Robins, GA · On-site
$80 - $100/hr
Work Shift The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay.
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay. The ...
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay. The ...
Utilization Review Specialist
Decatur, GA · On-site
Description The Utilization Review Specialist coordinates insurance authorizations for individual ... Occasional evening and weekend work is required and working greater than 40 hours per week may be ...
Utilization Review Specialist
Decatur, GA · On-site
Description The Utilization Review Specialist coordinates insurance authorizations for individual ... Occasional evening and weekend work is required and working greater than 40 hours per week may be ...
Utilization Review Specialist
Decatur, GA · On-site
The Utilization Review Specialist coordinates insurance authorizations for individual therapy and ... Occasional evening and weekend work is required and working greater than 40 hours per week may be ...
Utilization Review Specialist
Decatur, GA · On-site
The Utilization Review Specialist coordinates insurance authorizations for individual therapy and ... Occasional evening and weekend work is required and working greater than 40 hours per week may be ...
Utilization Review Specialist
Decatur, GA · On-site
The Utilization Review Specialist coordinates insurance authorizations for individual therapy and ... Occasional evening and weekend work is required and working greater than 40 hours per week may be ...
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Utilization Review Specialist
Decatur, GA · On-site
The Utilization Review Specialist coordinates insurance authorizations for individual therapy and ... Occasional evening and weekend work is required and working greater than 40 hours per week may be ...
Utilization Review Specialist
Decatur, GA · On-site
Description The Utilization Review Specialist coordinates insurance authorizations for individual ... Occasional evening and weekend work is required and working greater than 40 hours per week may be ...
Utilization Review Specialist
Decatur, GA · On-site
Description The Utilization Review Specialist coordinates insurance authorizations for individual ... Occasional evening and weekend work is required and working greater than 40 hours per week may be ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician 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 ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician 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 ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician 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 ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician 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 ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician 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 ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician 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 ...
Utilization Review RN
Atlanta, GA · On-site
$3.0K - $3.1K/wk
Utilization Review Shift: 09:30 AM to 08:00 PM 13 weeks contract Description: * Utilization Review RN - Target Review * Health Plan Insurance (no acute care) * BLS (AHA) * RN state license Company ...
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Utilization Review RN
Atlanta, GA · On-site
$3.0K - $3.1K/wk
Utilization Review Shift: 09:30 AM to 08:00 PM 13 weeks contract Description: * Utilization Review RN - Target Review * Health Plan Insurance (no acute care) * BLS (AHA) * RN state license Company ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
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 ...
New
Quick apply
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 ...
New
Weekend Utilization Review information
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 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 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 Georgia?
The most popular types of Utilization Review jobs in Georgia are:
What are popular job titles related to Weekend Utilization Review jobs in Georgia?
For Weekend Utilization Review jobs in Georgia, the most frequently searched job titles are:
- Remote Utilization Review Social Worker
- Insurance Review Nurse
- No Experience Utilization Review Nurse
- Flex Schedule Remote Utilization Review Nurse
- Remote Per Diem Utilization Review Nurse
- Remote Concurrent Review Nurse
- Seasonal Remote Hedis Review Nurse
- Per Diem Utilization Review Nurse
- Weekend Physician Advisor Utilization Review
- Utilization Review Rn
What job categories do people searching Weekend Utilization Review jobs in Georgia look for?
The top searched job categories for Weekend Utilization Review jobs in Georgia are:
- Remote International Utilization Review Nurse
- Utilization Review
- Utilization Review Manager
- Temporary Aetna Utilization Review Nurse
- Utilization Review 1099
- Lpn Utilization Review Work From Home
- From Home International Utilization Review Nurse
- Review Nurse
- Lpn Utilization Review
- Remote Hca Utilization Review
What cities in Georgia are hiring for Weekend Utilization Review jobs?
Cities in Georgia with the most Weekend Utilization Review job openings:

Full-time
This job post has expired 1 day ago. Applications are no longer accepted.
Job description
Work Shift
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay. The Utilization Reviewer serves as a resource to medical and hospital staff on utilization and regulatory issues and participates in coordination of individualized patient care services. The Utilization Reviewer plays an integral role in discharge planning and maximizing the continuum of care for patients assigned to his/her assigned unit. The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for the patient.
Qualifications
Education & Training: Graduate of an accredited School of Nursing.
Experience:
Three (3) years in an acute care setting.
Required
Certification/Registration/Licensure: Current US state RN license with authorization to practice in the state of GA. Knowledge, Skills & Abilities: Utilizes a variety of standard office equipment to include computer, printer, fax machine, copier, telephone etc. Basic knowledge of statistics encouraged. Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Scheduled Weekly Hours: 40 FTE: 1 Expanded Work Shift: On Call: Please note that one week's advance notice is preferred.