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Weekend Utilization Review Jobs in Hawaii (NOW HIRING)

AlohaCare

Medical Director

Honolulu, HI · On-site

$151.54 - $185.98/hr

Performs medical review activities pertaining to utilization review, quality assurance, and medical ... May be required to work weekends and holidays in support of business operations, as needed.

Altais, Inc.

Per Diem Medical Director

Honolulu, HI · On-site

This is a Per Diem opportunity covering selected weekdays, weekends and holidays. You will focus on ... Utilization Management Committee, The Quality Management Committee, the Peer Review and Patient ...

AlohaCare

Psychiatrist

Honolulu, HI · On-site

$250 - $350/hr

Performs medical review activities pertaining to health services utilization, quality improvement ... May be required to work weekends and holidays in support of business operations. * Provides ...

Hotel Wailea

Senior Food & Beverage Manager

Kihei, HI · On-site

$90K - $105K/yr

... the optimal utilization of staff and resources. This role leads the team, manages financial ... Nights, weekends, and holidays as needed. * Shifts can be 10+ hours Education: * College degree and ...

Journeys

Store Manager

Honolulu, HI · On-site

$14 - $35/hr

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Ability to work night and weekend shifts * Ability to climb, reach, bend, and lift up to 50 pounds

Genesco

Store Manager

Honolulu, HI · On-site

$14 - $35/hr

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Ability to work night and weekend shifts * Ability to climb, reach, bend, and lift up to 50 pounds

Journeys

Store Manager

Hilo, HI

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Ability to work night and weekend shifts * Ability to climb, reach, bend, and lift up to 50 pounds

Journeys

Store Manager

Honolulu, HI

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Ability to work night and weekend shifts * Ability to climb, reach, bend, and lift up to 50 pounds

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All JobsUtilization Review JobsWeekend Utilization Review JobsWeekend Utilization Review Jobs in Hawaii

Weekend Utilization Review information

See Hawaii salary details

$22

$43

$71

How much do weekend utilization review jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for weekend utilization review in Hawaii is $43.93, according to ZipRecruiter salary data. Most workers in this role earn between $34.71 and $50.43 per hour, depending on experience, location, and employer.

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.

What are the most commonly searched types of Utilization Review jobs in Hawaii? The most popular types of Utilization Review jobs in Hawaii are:
What are popular job titles related to Weekend Utilization Review jobs in Hawaii? For Weekend Utilization Review jobs in Hawaii, the most frequently searched job titles are:
What job categories do people searching Weekend Utilization Review jobs in Hawaii look for? The top searched job categories for Weekend Utilization Review jobs in Hawaii are:
What cities in Hawaii are hiring for Weekend Utilization Review jobs? Cities in Hawaii with the most Weekend Utilization Review job openings:
Weekend Utilization Review jobs near you
Infographic showing various Weekend Utilization Review job openings in Hawaii as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $91,373 per year, or $43.9 per hour.
Utilization Reviewer (Applied Behavior Analysis)

Utilization Reviewer (Applied Behavior Analysis)

Hawaii Medical Service Association

Honolulu, HI • Hybrid

Full-time

Posted 10 days ago

Job description

  1. Applies appropriate medical necessity criteria for Applied Behavior Analysis from an established medical policy and clinical guidelines to render pre- or post-service clinical decisions as described in the Medical Management UM work plan. This detailed analysis includes evaluating the care of members with autism spectrum disorder to determine medical necessity and benefit coverage applicable for all HMSA medical plans and contracted government programs. Responsibilities include, but are not limited to:
    • Demonstrating understanding and application of clinical review criteria, decision rules, medical protocols and other criteria to determine the appropriateness of Applied Behavior Analysis.
    • Documenting care summaries and outcomes of reviews appropriately to meet regulatory and program requirements.
    • Consulting with Medical Directors on issues encountered during review of medical records in situations when the complexity of the member's management is unclear; there is a potential denial of services; or a potential for reducing the services requested.
  2. Evaluates suspended claims against medical records to determine the medical necessity and appropriateness of certain ABA services, frequency patterns and irregularities in billing. Irregularities may include up coding, over billing, etc.
  3. Communicates timely, accurate information either verbally or in writing using knowledge of medical/reimbursement policies, plan benefits and clinical judgment to internal MM staff, providers, members and other authorized persons. For denied services, ensures the denial, benefit and appeal language are accurate and consistent with department procedures, accreditation and regulatory guidelines.
  4. Identifies and refers members with specific medical and/or behavioral health needs or complex case management and collaborates with case management staff as needed.
  5. Identifies and refers quality of care issues and suspected fraud, waste or abuse to the appropriate department.
  6. Participates in meetings and program design and improvement activities with the HMSA Behavioral Health Team.
  7. Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid
  1. Bachelor's degree and five years related work experience; or equivalent combination of education and work experience.
  2. Knowledge of the appropriate protocol to be followed for a given diagnosis and the normative values of medical tests and procedures.
  3. Good typing skills with low error rate.
  4. Basic working knowledge of Microsoft Office applications includes Outlook, Word, and Excel.
  5. Must have valid driver's license, access to an automobile with current license, registration and no-fault insurance. Requires safely operating an insured automobile for travel to off-site locations to conduct and accomplish business related activities.
  6. Currently licensed in Hawaii as a Board-Certified Behavior Analyst.

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