RN Utilization Review PRN
Paris, KY ยท On-site
PRN, RN - Utilization Review Making Communities Healthier with Comprehensive Care... You can get to know who we are and what truly makes us different by our mission, 'Making Communities Healthier'
Paris, KY ยท On-site
PRN, RN - Utilization Review Making Communities Healthier with Comprehensive Care... You can get to know who we are and what truly makes us different by our mission, 'Making Communities Healthier'
Paris, KY ยท On-site
PRN, RN - Utilization Review Making Communities Healthier with Comprehensive Care... You can get to know who we are and what truly makes us different by our mission, 'Making Communities Healthier'
Case Management | Work Hours: 1930 - 0330 | Weekend Requirements: N/A | 1.0 FTE Job Summary ... Conducts initial and concurrent reviews of clinical documentation for medical necessity and ...
Case Management | Work Hours: 1930 - 0330 | Weekend Requirements: N/A | 1.0 FTE Job Summary ... Conducts initial and concurrent reviews of clinical documentation for medical necessity and ...
Case Management | Work Hours: 1930 - 0330 | Weekend Requirements: N/A | 1.0 FTE Job Summary ... Conducts initial and concurrent reviews of clinical documentation for medical necessity and ...
Case Management | Work Hours: 1930 - 0330 | Weekend Requirements: N/A | 1.0 FTE Job Summary ... Conducts initial and concurrent reviews of clinical documentation for medical necessity and ...
Key Responsibilities Clinical Review: * Conduct comprehensive clinical reviews of prior ... as well as weekend coverage (i.e. Wed-Sun, Thu-Mon or Fri-Tue type schedule). This will be ...
Key Responsibilities Clinical Review: * Conduct comprehensive clinical reviews of prior ... as well as weekend coverage (i.e. Wed-Sun, Thu-Mon or Fri-Tue type schedule). This will be ...
... 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 ...
Responsibilities Utilization Review Coordinator Opportunity Cumberland Hall Hospital is a 97 bed, licensed, acute psychiatric hospital located in beautiful Hopkinsville, KY. Cumberland Hall features ...
Responsibilities Utilization Review Coordinator Opportunity Cumberland Hall Hospital is a 97 bed, licensed, acute psychiatric hospital located in beautiful Hopkinsville, KY. Cumberland Hall features ...
Raceland, KY ยท On-site
$158.42 - $165.31/hr
At least 5 years' experience in clinical review, hospital medicine, or utilization management ... OnโSite: Monday - Friday, 24/7 electronic correspondence availability (including weekends and ...
Raceland, KY ยท On-site
$158.42 - $165.31/hr
At least 5 years' experience in clinical review, hospital medicine, or utilization management ... OnโSite: Monday - Friday, 24/7 electronic correspondence availability (including weekends and ...
The Utilization Management Behavioral Health Professional work assignments are varied and ... Clinical Review : * Conduct comprehensive clinical reviews of prior authorization requests for ...
The Utilization Management Behavioral Health Professional work assignments are varied and ... Clinical Review : * Conduct comprehensive clinical reviews of prior authorization requests for ...
Hopkinsville, KY ยท On-site
Responsibilities Utilization Review Coordinator Opportunity Cumberland Hall Hospital is a 97 bed, licensed, acute psychiatric hospital located in beautiful Hopkinsville, KY. Cumberland Hall features ...
Hopkinsville, KY ยท On-site
Responsibilities Utilization Review Coordinator Opportunity Cumberland Hall Hospital is a 97 bed, licensed, acute psychiatric hospital located in beautiful Hopkinsville, KY. Cumberland Hall features ...
Essential Functions: 1. Manage the day-to-day operations of the utilization review staff, including training, performance evaluation, and setting performance standards. 2. Create, implement, and ...
New
Essential Functions: 1. Manage the day-to-day operations of the utilization review staff, including training, performance evaluation, and setting performance standards. 2. Create, implement, and ...
New
Essential Functions: 1. Manage the day-to-day operations of the utilization review staff, including training, performance evaluation, and setting performance standards. 2. Create, implement, and ...
New
Essential Functions: 1. Manage the day-to-day operations of the utilization review staff, including training, performance evaluation, and setting performance standards. 2. Create, implement, and ...
New
Essential Functions: 1. Manage the day-to-day operations of the utilization review staff, including training, performance evaluation, and setting performance standards. 2. Create, implement, and ...
New
Essential Functions: 1. Manage the day-to-day operations of the utilization review staff, including training, performance evaluation, and setting performance standards. 2. Create, implement, and ...
New
Frankfort, KY ยท On-site
The RN Review Nurse works closely with healthcare providers, interdisciplinary teams, and non ... as well as weekend coverage (i.e. Wed-Sun, Thu-Mon or Fri-Tue type schedule). This will be ...
Frankfort, KY ยท On-site
The RN Review Nurse works closely with healthcare providers, interdisciplinary teams, and non ... as well as weekend coverage (i.e. Wed-Sun, Thu-Mon or Fri-Tue type schedule). This will be ...
Louisville, KY ยท On-site
$75K - $82K/yr
Collaborate regularly and maintain open communication with leadership, patients, families, internal care givers, and external Utilization Management Nurses. * Coordinate internal and external health ...
Quick apply
Louisville, KY ยท On-site
$75K - $82K/yr
Collaborate regularly and maintain open communication with leadership, patients, families, internal care givers, and external Utilization Management Nurses. * Coordinate internal and external health ...
Louisville, KY ยท On-site
$75K - $82K/yr
Collaborate regularly and maintain open communication with leadership, patients, families, internal care givers, and external Utilization Management Nurses. * Coordinate internal and external health ...
Quick apply
Louisville, KY ยท On-site
$75K - $82K/yr
Collaborate regularly and maintain open communication with leadership, patients, families, internal care givers, and external Utilization Management Nurses. * Coordinate internal and external health ...
Louisville, KY ยท On-site
$75K - $82K/yr
Collaborate regularly and maintain open communication with leadership, patients, families, internal care givers, and external Utilization Management Nurses. * Coordinate internal and external health ...
Louisville, KY ยท On-site
$75K - $82K/yr
Collaborate regularly and maintain open communication with leadership, patients, families, internal care givers, and external Utilization Management Nurses. * Coordinate internal and external health ...
Louisville, KY ยท On-site
$20/hr
Responsibilities The Brook Hospital Dupont located at 1405 Browns Ln is seeking a PRN Utilization Review Coordinator to join our team. Hourly pay: $20 Since 1985 The Brook Hospital has been offering ...
Louisville, KY ยท On-site
$20/hr
Responsibilities The Brook Hospital Dupont located at 1405 Browns Ln is seeking a PRN Utilization Review Coordinator to join our team. Hourly pay: $20 Since 1985 The Brook Hospital has been offering ...
Louisville, KY ยท On-site
$20/hr
Responsibilities The Brook Hospital Dupont located at 1405 Browns Ln is seeking a PRN Utilization Review Coordinator to join our team. Hourly pay: $20 Since 1985 The Brook Hospital has been offering ...
Louisville, KY ยท On-site
$20/hr
Responsibilities The Brook Hospital Dupont located at 1405 Browns Ln is seeking a PRN Utilization Review Coordinator to join our team. Hourly pay: $20 Since 1985 The Brook Hospital has been offering ...
Frankfort, KY ยท On-site
Become a part of our caring community The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent ...
Frankfort, KY ยท On-site
Become a part of our caring community The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent ...
$18.58 - $22.34
2% of jobs
$22.34 - $26.10
9% of jobs
$28.67 is the 25th percentile. Wages below this are outliers.
$26.10 - $29.86
21% of jobs
The median wage is $32.90 / hr.
$29.86 - $33.61
23% of jobs
$33.61 - $37.37
13% of jobs
$40.29 is the 75th percentile. Wages above this are outliers.
$37.37 - $41.13
10% of jobs
$41.13 - $44.89
8% of jobs
$44.89 - $48.65
5% of jobs
$48.65 - $52.40
5% of jobs
$52.40 - $56.16
2% of jobs
$56.16 - $59.92
2% of jobs
$18
$36
$59
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.

Other
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 18 days ago
Making Communities Healthier with Comprehensive Care...
You can get to know who we are and what truly makes us different by our mission, 'Making Communities Healthier'. As health care evolves, Bourbon Community Hospital is transforming patient safety and quality care - pushing the limits and paving the way to establish new practices and set new standards. We believe in putting the patient at the center of everything we do. We are developing the most innovative patient experiences with our constant investment in continuing education and leadership development programs.
We want you on our team...Bourbon Community Hospital located in Paris, a 20 minute drive from Lexington, KY is searching for a PRN, RN - Utilization Review, who monitors adherence to the hospital's utilization review plan to ensure appropriate use of hospital services, hospital admissions and extended hospital stays.
We are committed to serving the needs of our community and our region with exceptional quality and we are passionately focused on our patients. We consider quality more than just a set of criteria. It is a way of life for Bourbon Community, encompassing everything we do. This is an exciting time to join our team as we continue to grow and expand with new services.
At Bourbon Community, we believe in building careers. That is why we offer an excellent tuition reimbursement program, competitive pay, a generous paid time off program, flexible spending account plan, choice of health insurance plans, dental, vision, life, disability plans, discounts in our cafรฉ and various discounts in our community, traditional and Roth 401 (k) plans with a match, and free parking on our beautiful campus.
Simply put, our employees are the heart and soul of our organization.
Essential functions of position include, but are not limited to:
Minimum Education
Associate's degree - Required
Bachelor's degree - Preferred
Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Certifications:
Handle With Care
Licenses:
RN in the state of Kentucky
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran