Utilization Review
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our ...
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our ...
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our ...
Cleveland, OH · On-site
$2.2K/wk
... Utilization Review Job ID 18807560 Job Title RN - Utilization Review Weekly Pay $2214.0 Shift ... 3rd weekend. Requirements: * Graduation from an accredited School of Nursing. BSN preferred.
Cleveland, OH · On-site
$2.2K/wk
... Utilization Review Job ID 18807560 Job Title RN - Utilization Review Weekly Pay $2214.0 Shift ... 3rd weekend. Requirements: * Graduation from an accredited School of Nursing. BSN preferred.
... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
... for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ...
Conducts utilization reviews of behavioral health cases to determine medical necessity, appropriateness of care, and adherence to clinical guidelines. * Communicates with healthcare teams and third ...
Conducts utilization reviews of behavioral health cases to determine medical necessity, appropriateness of care, and adherence to clinical guidelines. * Communicates with healthcare teams and third ...
Conducts utilization reviews of behavioral health cases to determine medical necessity, appropriateness of care, and adherence to clinical guidelines. * Communicates with healthcare teams and third ...
Conducts utilization reviews of behavioral health cases to determine medical necessity, appropriateness of care, and adherence to clinical guidelines. * Communicates with healthcare teams and third ...
The Utilization Review Specialist is responsible for the authorizations and certifications process for Inpatient and Outpatient Services. This includes the precertification and recertification ...
The Utilization Review Specialist is responsible for the authorizations and certifications process for Inpatient and Outpatient Services. This includes the precertification and recertification ...
Cleveland, OH · On-site
... 3rd weekend. Requirements: * Graduation from an accredited School of Nursing. BSN preferred ... or Utilization Management Experience. * Experience with doing 30+ reviews a day. * Previous ...
Cleveland, OH · On-site
... 3rd weekend. Requirements: * Graduation from an accredited School of Nursing. BSN preferred ... or Utilization Management Experience. * Experience with doing 30+ reviews a day. * Previous ...
This is a utilization review position. Nurses will be responsible for collaborating with healthcare providers and members to promote quality member outcomes to optimize member benefits and to promote ...
This is a utilization review position. Nurses will be responsible for collaborating with healthcare providers and members to promote quality member outcomes to optimize member benefits and to promote ...
... weekend * Minimum of five (5) years recent experience in clinical nursing or related nursing field. (e.g. Utilization Review or Case Management) * Previous Care Management, Case Management or ...
... weekend * Minimum of five (5) years recent experience in clinical nursing or related nursing field. (e.g. Utilization Review or Case Management) * Previous Care Management, Case Management or ...
Experience with medical record review/utilization review/utilization management Additional Information Are you an experienced Registered Nurse with Utilization review experience looking for a new ...
Experience with medical record review/utilization review/utilization management Additional Information Are you an experienced Registered Nurse with Utilization review experience looking for a new ...
Job Address: 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 New Vista Health and Wellness is currently recruiting a Utilization Review Coordinator for our team in Blue Ash OH! WHO WE ARE The New ...
Job Address: 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 New Vista Health and Wellness is currently recruiting a Utilization Review Coordinator for our team in Blue Ash OH! WHO WE ARE The New ...
Kings Mills, OH · On-site
$2.5K/wk
Utilization Review Rn Travel profession RN. Weekly pay $2,573. Shift: 8 x 5 day shift. Start date: 07/20/2026. End date: 10/19/2026. Duration: 13 weeks. State: OH. Krucial Rapid Response is proud to ...
Kings Mills, OH · On-site
$2.5K/wk
Utilization Review Rn Travel profession RN. Weekly pay $2,573. Shift: 8 x 5 day shift. Start date: 07/20/2026. End date: 10/19/2026. Duration: 13 weeks. State: OH. Krucial Rapid Response is proud to ...
We are looking for a Travel Utilization Review RN for a great Travel nursing job in Middleburg Heights, OH. This Utilization Review Travel nursing job pays for 40 hours a week for 13 weeks. With ...
We are looking for a Travel Utilization Review RN for a great Travel nursing job in Middleburg Heights, OH. This Utilization Review Travel nursing job pays for 40 hours a week for 13 weeks. With ...
Utilization Review * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Our client is looking to add a Registered Nurse to ...
Utilization Review * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Our client is looking to add a Registered Nurse to ...
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Our client is looking to add a Registered Nurse to their ...
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Our client is looking to add a Registered Nurse to their ...
Cleveland, OH · On-site
$2.2K/wk
Anders Group is hiring a Travel Utilization Review Registered Nurse (RN) in Middleburg Heights, OH Location: Middleburg Heights, OH Start Date: 07/20/2026 Contract Length: 13 Weeks Shift: 8 Hrs ...
Cleveland, OH · On-site
$2.2K/wk
Anders Group is hiring a Travel Utilization Review Registered Nurse (RN) in Middleburg Heights, OH Location: Middleburg Heights, OH Start Date: 07/20/2026 Contract Length: 13 Weeks Shift: 8 Hrs ...
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing ...
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members ...
$20.34 - $24.45
2% of jobs
$24.45 - $28.57
9% of jobs
$31.38 is the 25th percentile. Wages below this are outliers.
$28.57 - $32.68
21% of jobs
The median wage is $36.01 / hr.
$32.68 - $36.79
23% of jobs
$36.79 - $40.91
13% of jobs
$44.11 is the 75th percentile. Wages above this are outliers.
$40.91 - $45.02
10% of jobs
$45.02 - $49.13
8% of jobs
$49.13 - $53.25
5% of jobs
$53.25 - $57.36
5% of jobs
$57.36 - $61.48
2% of jobs
$61.48 - $65.59
2% of jobs
$20
$40
$65
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.
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.
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.
The most popular types of Utilization Review jobs in Ohio are:
For Weekend Utilization Review jobs in Ohio, the most frequently searched job titles are:
The top searched job categories for Weekend Utilization Review jobs in Ohio are:
Cities in Ohio with the most Weekend Utilization Review job openings:

Other
Medical, Dental, Vision, Retirement
Posted 20 days ago
Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in Middleburg Heights, OH and make a real impact in patient care!
In this role, you'll be at the forefront of healthcare, delivering top-notch care with precision and compassion. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
If you're ready to elevate your career and make a difference in the lives of others, apply today!
At Prime Time Healthcare, we offer competitive compensation along with a large range of benefits including:
Prime Time Healthcare, LLC is an Equal Opportunity Employer (EOE).
*Estimated pay and benefits packages are on a per facility basis and may change with market conditions. Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
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PrimeTime Healthcare, based in Omaha, NE, US, is a leading provider of staffing solutions in the healthcare industry. According to information accessed from their official website, primetimehealthcare.com, the company specializes in placing high-quality healthcare professionals into temporary and travel positions across a vast network of healthcare facilities nationwide. Founded in 2012, PrimeTime Healthcare quickly established a reputation for customer-focused and result-oriented services, earning it a place on Staffing Industry Analyst’s fastest-growing staffing companies list.
Recruiting and staffing services
51 - 200 Employees
Omaha, NE, US
2012