... review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful ...
New
... review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful ...
New
... review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful ...
New
The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which ...
The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
Utilization Management Rep I Utilization Management RepresentativeI Location: Virtual: This role ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Utilization Management Rep I Utilization Management RepresentativeI Location: Virtual: This role ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Utilization Management RepresentativeI Location: Virtual: This role enables associates to work ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Utilization Management RepresentativeI Location: Virtual: This role enables associates to work ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Columbus, IN · On-site
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity - Act and perform within the scope of professional ...
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Columbus, IN · On-site
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity - Act and perform within the scope of professional ...
Evansville, IN · On-site
$85K - $95K/yr
RN Care Manager - NO Weekends | M-F Schedule | Evansville, IN 📍 Evansville, IN | Full-Time | Day ... Perform utilization review (UR) and payer communication * Support hospital goals: reduce LOS ...
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Evansville, IN · On-site
$85K - $95K/yr
RN Care Manager - NO Weekends | M-F Schedule | Evansville, IN 📍 Evansville, IN | Full-Time | Day ... Perform utilization review (UR) and payer communication * Support hospital goals: reduce LOS ...
Granger, IN · On-site
Critical utilization management functions during the admission phase include admission review for ... Must commit to a weekend alternative schedule. Physical Demands: Requires the physical ability and ...
Granger, IN · On-site
Critical utilization management functions during the admission phase include admission review for ... Must commit to a weekend alternative schedule. Physical Demands: Requires the physical ability and ...
Granger, IN · On-site
Critical utilization management functions during the admission phase include admission review for ... Must commit to a weekend alternative schedule. Physical Demands: Requires the physical ability and ...
Granger, IN · On-site
Critical utilization management functions during the admission phase include admission review for ... Must commit to a weekend alternative schedule. Physical Demands: Requires the physical ability and ...
Granger, IN · On-site
Critical utilization management functions during the admission phase include admission review for ... Must commit to a weekend alternative schedule. Physical Demands: Requires the physical ability and ...
Granger, IN · On-site
Critical utilization management functions during the admission phase include admission review for ... Must commit to a weekend alternative schedule. Physical Demands: Requires the physical ability and ...
Kouts, IN · On-site
Experience in patient assessment, family motiviation, treatment planning and communication with external review organizations or comparable entities. • RN, LSW, LCSW license or equivalent. EEO ...
Kouts, IN · On-site
Experience in patient assessment, family motiviation, treatment planning and communication with external review organizations or comparable entities. • RN, LSW, LCSW license or equivalent. EEO ...
Indianapolis, IN · On-site
Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise ...
Indianapolis, IN · On-site
Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise ...
Rotating weekend coverage Requirements * Active Indiana Nurse Practitioner License * Active DEA ... Unit supported by Utilization Review (UR) and Social Worker * Established leadership and ...
Rotating weekend coverage Requirements * Active Indiana Nurse Practitioner License * Active DEA ... Unit supported by Utilization Review (UR) and Social Worker * Established leadership and ...
Rotating weekend coverage Requirements * Active Indiana Nurse Practitioner License * Active DEA ... Unit supported by Utilization Review (UR) and Social Worker * Established leadership and ...
Rotating weekend coverage Requirements * Active Indiana Nurse Practitioner License * Active DEA ... Unit supported by Utilization Review (UR) and Social Worker * Established leadership and ...
Indianapolis, IN · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time ...
Indianapolis, IN · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time ...
Participates in quality improvement and utilization review activities. * Participates in the orientation and training of new staff. * Participates in continuing education to continually improve ...
Participates in quality improvement and utilization review activities. * Participates in the orientation and training of new staff. * Participates in continuing education to continually improve ...
Participates in quality improvement and utilization review activities. * Participates in the orientation and training of new staff. * Participates in continuing education to continually improve ...
Participates in quality improvement and utilization review activities. * Participates in the orientation and training of new staff. * Participates in continuing education to continually improve ...
... Weekends • Daily Pay option available • No Overtime Required • 1:1 patient care Working at ... case management/utilization review experience preferred. • OASIS experience preferred. • ...
... Weekends • Daily Pay option available • No Overtime Required • 1:1 patient care Working at ... case management/utilization review experience preferred. • OASIS experience preferred. • ...
... Weekends • Daily Pay option available • No Overtime Required • 1:1 patient care Working at ... case management/utilization review experience preferred. • OASIS experience preferred. • ...
New
... Weekends • Daily Pay option available • No Overtime Required • 1:1 patient care Working at ... case management/utilization review experience preferred. • OASIS experience preferred. • ...
New
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.

Full-time
Retirement
Posted 2 days ago
New
The Rehabilitation Hospital of Indiana (RHI) is nationally ranked among the Best Hospitals for Rehabilitation by U.S. News and World Report for 2025-2026 and the Best Rehabilitation Hospital in Indiana for the third year in a row. RHI provides high quality, evidence-based rehabilitation services to those facing life-changing injuries or illness. RHI is the only Traumatic Brain Injury (TBI) Model System in the state of Indiana and one of only 16 in the U.S We offer a competitive compensation and benefits package, along with a 401k match and tuition reimbursement program.
Summary:
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful transition to the discharge setting and or goal achievement, and durability of outcome.
Essential Functions
Education and Experience
Hours
The Rehabilitation Hospital of Indiana is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, or any other characteristic protected by law.
Sourced by ZipRecruiter
Health care and social assistance
501 - 1,000 Employees
Indianapolis, IN, US
1992