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Weekend Utilization Review Jobs in Rhode Island (NOW HIRING)

AMIVIE

Registered Nurse, Sign-on bonus!

Woonsocket, RI · On-site

Participate on an assigned advisory board or utilization review committee. * Review all client records every 90 days or more often, if necessary. * QA record checks on 10% of clients' charts of ...

AMIVIE

Registered Nurse, RN

Lincoln, RI · On-site

Participate on an assigned advisory board or utilization review committee. * Review all client records every 90 days or more often, if necessary. * QA record checks on 10% of clients' charts of ...

Encompass Health

Case Management Director

Johnston, RI · On-site

... Utilization Review and Discharge Planning experience. · May be required to work weekdays and/or weekends, evenings and/or night shifts. · May be required to work on religious and/or legal holidays ...

Lifespan

Registered Nurse Weekend Program

Providence, RI · On-site

$35.56 - $59.99/hr

Worked hours required are two (2) consecutive twelve hours shifts every weekend.Some risk in injury from puncture by surgical instruments exposure to infectious wounds; burns from autoclaves and ...

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All JobsUtilization Review JobsWeekend Utilization Review JobsWeekend Utilization Review Jobs in Rhode Island

Weekend Utilization Review information

See Rhode Island salary details

$20

$41

$67

How much do weekend utilization review jobs pay per hour?

As of Aug 5, 2026, the average hourly pay for weekend utilization review in Rhode Island is $41.41, according to ZipRecruiter salary data. Most workers in this role earn between $32.74 and $47.55 per hour, depending on experience, location, and employer.

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 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 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 Rhode Island? The most popular types of Utilization Review jobs in Rhode Island are:
What are popular job titles related to Weekend Utilization Review jobs in Rhode Island? For Weekend Utilization Review jobs in Rhode Island, the most frequently searched job titles are:
What job categories do people searching Weekend Utilization Review jobs in Rhode Island look for? The top searched job categories for Weekend Utilization Review jobs in Rhode Island are:
What cities in Rhode Island are hiring for Weekend Utilization Review jobs? Cities in Rhode Island with the most Weekend Utilization Review job openings:
Weekend Utilization Review jobs near you
Infographic showing various Weekend Utilization Review job openings in Rhode Island as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $86,127 per year, or $41.4 per hour.

RN Case Manager

Care New England Health System

Providence, RI • On-site

Other

Posted 19 days ago

Care New England Health System rating

7.2

Company rating: 7.2 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

344th of 887 rated healthcare providers

Job description

Job Summary
The The RN Case Manager (RN CM) utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a designated patient population across the continuum of care. The responsibilities include, but are not limited to, clinical effectiveness, discharge planning, care coordination, and clinical resource management. The RN CM interacts with Medical, Nursing, and Ancillary department staff to facilitate
quality-based, cost-effective patient outcomes and ensure care is provided in the most appropriate setting.
Duties & Responsibilities
  1. Transition of Care Planning
  2. Utilization Review
  3. Point of Entry and Emergency Department Duties, when applicable per assignment
  4. Utilization Review for POE/ED RN Case Manager
  5. Resource Allocation for POE/ED RN Case Manager
  6. Quality and Compliance
  7. Performs other duties as required

Requirements
Must have and maintain license as Registered Nurse in Rhode Island. Minimum of 3 to 5 years related clinical and/or Case Management experience required. As of 1/1/16, Certification in Case Management (CCM or ACM) earned within 24 months of employment, prorated for part-time staff. Ability to effectively communicate with and gain cooperation of resident and attending physicians with regards to documentation needs and to effectively influence all members of the interdisciplinary care team during difficult cases to achieve appropriate resolutions. Must have effective written communication. The ability to interpret medical data as documented. Utilization of level of care management, quality management, discharge planning, basic knowledge of third party payer or case management knowledge preferred. Knowledge and training in multiple computer systems required to perform position responsibilities (i.e. EMR, Microsoft Office, etc.) Participation in weekend and holiday coverage rotation. Flexibility to cover as needed.
WIH Internal Posting Period: 7/29/26-8/7/26
About Us
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation's top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

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