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Weekend Utilization Review Jobs in Pennsylvania (NOW HIRING)

Wellpath

Director Utilization Mgmt

Lemoyne, PA · On-site

Overview The Medical Director of Utilization Management leads and oversees utilization review, case management, quality improvement, and related policy and practice initiatives within their assigned ...

Acadia Healthcare

Utilization Specialist

Moosic, PA · On-site

PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...

Acadia Healthcare

Utilization Specialist

Moosic, PA · On-site

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...

Acadia Healthcare

Utilization Specialist

Allenwood, PA · On-site

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...

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Showing results 21-40

All JobsUtilization Review JobsWeekend Utilization Review JobsWeekend Utilization Review Jobs in Pennsylvania

Weekend Utilization Review information

See Pennsylvania salary details

$21

$42

$69

How much do weekend utilization review jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for weekend utilization review in Pennsylvania is $42.38, according to ZipRecruiter salary data. Most workers in this role earn between $33.51 and $48.65 per hour, depending on experience, location, and employer.

What is a weekend utilization review?

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 does a weekend utilization review professional do?

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 are the key skills and qualifications needed to thrive in the weekend utilization review position?

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 Pennsylvania?

The most popular types of Utilization Review jobs in Pennsylvania are:

What are popular job titles related to Weekend Utilization Review jobs in Pennsylvania?

For Weekend Utilization Review jobs in Pennsylvania, the most frequently searched job titles are:

What job categories do people searching Weekend Utilization Review jobs in Pennsylvania look for?

The top searched job categories for Weekend Utilization Review jobs in Pennsylvania are:

What cities in Pennsylvania are hiring for Weekend Utilization Review jobs?

Cities in Pennsylvania with the most Weekend Utilization Review job openings:

Weekend Utilization Review jobs near you
Infographic showing various Weekend Utilization Review job openings in Pennsylvania as of August 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 95% In-person, and 5% Remote job distribution, with an average salary of $88,158 per year, or $42.4 per hour.

Utilization Management Coordinator - Philadelphia

MALVERN INSTITUTE FOR PSYCHIATRIC & ALCOHOLIC STUDIES

Philadelphia, PA • On-site

$28 - $35/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Job description

Malvern Treatment Centers is currently seeking a full time Utilization Management Coordinator for our location in Philadelphia! This position is a full time, benefit eligible position and reports to our brand new location at 3905 W. Ford Road Philadelphia, PA 19131.
Position Summary: To conduct continued stay reviews of medical record documentation using pre-established criteria and to provide updated progress reports to third party payers in order to receive certification for payment. This individual will perform all utilization reviews for acute psychiatric and residential drug and alcohol clients.
Summary of Essential Position Functions:
Maintains accurate and thorough work logs of all reviews conducted with emphasis on documentation of service, days authorized and authorization numbers.
Coordinates reviews, appeals and maintains denial logs.
Performs concurrent continued stay reviews using pre-established criteria. Understands ASAM criteria and communicates this information accurately to insurance carriers.
Consults with appropriate treatment team members for clarification of documentation as needed.
Exchanges information with Finance Office concerning insurance company requirements and all policies pertaining to certifications and appeals. Inputs data accurately for financial purposes.
Maintains accurate review sheets of all reviews performed.
Assists supervisor and departments in identifying patterns of mis-utilization.
Responds to telephone messages quickly, professionally and appropriately.
Participates in continuing education to reach professional growth objectives, including maintenance of own credentials, certifications and participating in committees. Attendance at case conference for clinical updates.
Maintains and communicates authorization information to all team members.
Monitors/flags charts for high quality documentation when needed on a regular basis, regardless of reviews required.
Educates new staff members about ASAM criteria, high-quality documentation and insurance needs.
Develops relationship and rapport with payers and third party insurance reviewers
Benefits
This position is a full time, benefit eligible position. Benefits offered include, but not limited to:
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Paid Time Off
  • 401K plan with company match

Qualifications: To perform this position successfully, an individual must be able to perform each essential duty satisfactorily. This position requires individuals that are client focused; team oriented; great interpersonal and communication skills; flexible to sudden changes in workload, emergency or staffing; dependable; problem solving skills; focused on compliance and performance quality. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience: Master's Degree or graduate of an accredited nursing program with licensure in the state of Pennsylvania. Previous utilization review experience preferred. Applicant must have knowledge of ASAM criteria and medical necessity criteria.
Technical/Computer Skills: Microsoft office and billing experience preferred. Requires much independent action and decision making and ability to organize own work. Knowledge of facility systems and organization as they pertain to medical records and organization review. Knowledge of medical terminology, medical record format and content.
Work Environment and Hazards: Risk of exposure to communicable disease. Possible exposure to intoxicated, disruptive, and/or agitated patients. Protected from weather conditions.
Physical Requirements: Sedentary work primarily - lifting 10 lbs. maximum
*Malvern Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.*

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