... 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 ...
Specialist, Utilization Review
Columbus, OH ยท On-site
Previous utilization review experience in a psychiatric healthcare facility preferred. License: Current unencumbered clinical license strongly preferred. Additional Requirements: CPR certification ...
Specialist, Utilization Review
Columbus, OH ยท On-site
Previous utilization review experience in a psychiatric healthcare facility preferred. License: Current unencumbered clinical license strongly preferred. Additional Requirements: CPR certification ...
Specialist, Utilization Review
Columbus, OH ยท On-site
Previous utilization review experience in a psychiatric healthcare facility preferred. License: Current unencumbered clinical license strongly preferred. Additional Requirements: CPR certification ...
Specialist, Utilization Review
Columbus, OH ยท On-site
Previous utilization review experience in a psychiatric healthcare facility preferred. License: Current unencumbered clinical license strongly preferred. Additional Requirements: CPR certification ...
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 ...
... 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 ...
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 ...
Provides administrative support to the Utilization Review Team and assists with eligibility verification, data entry, and coordination of information. Essential Functions: * Coordinates with external ...
Provides administrative support to the Utilization Review Team and assists with eligibility verification, data entry, and coordination of information. Essential Functions: * Coordinates with external ...
Provides administrative support to the Utilization Review Team and assists with eligibility verification, data entry, and coordination of information. Essential Functions: * Coordinates with external ...
Provides administrative support to the Utilization Review Team and assists with eligibility verification, data entry, and coordination of information. Essential Functions: * Coordinates with external ...
RN - Utilization Review
Kings Mills, OH ยท 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 ...
RN - Utilization Review
Kings Mills, OH ยท 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 ...
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 ...
Utilization Review Nurse MAIN FUNCTION: The Utilization Management Nurse Reviewer (RN) serves as the Subject Matter Expert for the organization for patient admission status (inpatient and observation ...
Quick apply
Utilization Review Nurse MAIN FUNCTION: The Utilization Management Nurse Reviewer (RN) serves as the Subject Matter Expert for the organization for patient admission status (inpatient and observation ...
Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating appropriate length of stay and reimbursement for all ...
Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating appropriate length of stay and reimbursement for all ...
Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating appropriate length of stay and reimbursement for all ...
Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating appropriate length of stay and reimbursement for all ...
Utilization Review * Discipline: RN * Start Date: 07/20/2026 * 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: 07/20/2026 * 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: 08/24/2026 * Duration: 12 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: 08/24/2026 * Duration: 12 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Our client is looking to add a Registered Nurse to ...
Travel Registered Nurse Utilization Review - $2288/Week
Cleveland, OH ยท 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 ...
Travel Registered Nurse Utilization Review - $2288/Week
Cleveland, OH ยท 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 ...
Serves as a clinical expert and resource in Utilization Review and Case Management. Partners with Social Workers to refer potential candidates for Post-Acute Care services to facilitate early ...
Serves as a clinical expert and resource in Utilization Review and Case Management. Partners with Social Workers to refer potential candidates for Post-Acute Care services to facilitate early ...
Weekend Utilization Review information
See Ohio salary details
$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
How much do weekend utilization review jobs pay per hour?
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.
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Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 8 days ago
Job description
Healing Body and Mind.
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it's needed most.
With locations in Indiana, Michigan, Texas, and Arizona, we're expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day
Overview
North Valley Behavioral Hospital, a brand new psychiatric hospital within the NeuroPsychiatric Hospitals network, is looking for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.
Benefits of joining NPH
- Competitive pay rates
- Medical, Dental, and Vision Insurance
- NPH 401(k) plan with up to 4% Company match
- Employee Assistance Program (EAP) Programs
- Generous PTO and Time Off Policy
- Special tuition offers through Capella University
- Work/life balance with great professional growth opportunities
- Employee Discounts through LifeMart
Responsibilities
- Filing documents as needed.
- Initial Precertification with payors.
- Concurrent Clinical review with payors.
- Document in the electronic system daily in real time.
- Admission audit.
- Ensures that CON's/RON's and CMS certifications are completed by provider.
- Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
- Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
- Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
- Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
- Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
- Complies with hospital expectations regarding ethical behavior and standards of conduct.
- Complies with federal and hospital requirements in the areas of protected health information and patient information.
- Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
- Provides education to nursing staff. leadership team, and providers regarding documentation.
- Actively works with the business office regarding resolution of appeals/denials and retrospective reviews.
Qualifications
Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.
Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.
Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.
Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW