Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial ...
The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
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The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ...
Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ...
Dallas, TX · Remote
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
Dallas, TX · Remote
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
Dallas, TX · On-site
$90K - $98K/yr
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
Quick apply
Dallas, TX · On-site
$90K - $98K/yr
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
Plano, TX · Remote
This position is responsible for performing initial, concurrent review activities; discharge care ... Provides information regarding utilization management requirements and operational procedures to ...
Plano, TX · Remote
This position is responsible for performing initial, concurrent review activities; discharge care ... Provides information regarding utilization management requirements and operational procedures to ...
Utilization Review Registered Nurse Texas Institute for Surgery LL SURG - Dallas, TX 75231 Description The Utilization Review Registered Nurse is responsible for ensuring appropriate patient status ...
New
Utilization Review Registered Nurse Texas Institute for Surgery LL SURG - Dallas, TX 75231 Description The Utilization Review Registered Nurse is responsible for ensuring appropriate patient status ...
New
The Utilization Review Registered Nurse is responsible for ensuring appropriate patient status, medical necessity, and payer compliance through prospective, concurrent, and retrospective review. This ...
New
The Utilization Review Registered Nurse is responsible for ensuring appropriate patient status, medical necessity, and payer compliance through prospective, concurrent, and retrospective review. This ...
New
Registered Nurse, Utilization Review (Remote) Local Candidates in the Austin, TX Area Only Long Term Opportunity | High Potential for Extension Use Your Clinical Expertise to Improve Healthcare ...
Registered Nurse, Utilization Review (Remote) Local Candidates in the Austin, TX Area Only Long Term Opportunity | High Potential for Extension Use Your Clinical Expertise to Improve Healthcare ...
Registered Nurse, Utilization Review (Remote) Local Candidates in the Austin, TX Area Only Long Term Opportunity | High Potential for Extension Use Your Clinical Expertise to Improve Healthcare ...
Registered Nurse, Utilization Review (Remote) Local Candidates in the Austin, TX Area Only Long Term Opportunity | High Potential for Extension Use Your Clinical Expertise to Improve Healthcare ...
The Utilization Review Registered Nurse is responsible for ensuring appropriate patient status, medical necessity, and payer compliance through prospective, concurrent, and retrospective review. This ...
New
The Utilization Review Registered Nurse is responsible for ensuring appropriate patient status, medical necessity, and payer compliance through prospective, concurrent, and retrospective review. This ...
New
$19.93 - $23.96
2% of jobs
$23.96 - $27.99
9% of jobs
$30.75 is the 25th percentile. Wages below this are outliers.
$27.99 - $32.03
21% of jobs
The median wage is $35.29 / hr.
$32.03 - $36.06
23% of jobs
$36.06 - $40.09
13% of jobs
$43.22 is the 75th percentile. Wages above this are outliers.
$40.09 - $44.12
10% of jobs
$44.12 - $48.15
8% of jobs
$48.15 - $52.18
5% of jobs
$52.18 - $56.21
5% of jobs
$56.21 - $60.24
2% of jobs
$60.24 - $64.28
2% of jobs
$19
$39
$64
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.

8.2
Based on 31 frontline employees who took The Breakroom Quiz
54th of 884 rated healthcare providers
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Health care and social assistance
1,001 - 5,000 Employees
Odessa, TX, US
1949