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Weekend Utilization Review Jobs in Virginia (NOW HIRING)

The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which ...

... review and respond to concerns expressed by customers. Together with the appropriate Department ... · Assist in preparing Utilization Review Reports as necessary. · Coordinates and makes ...

Three to five years of experience in utilization review and case management. RN, LCSW, LPC, LMFT, ... or LCP in Virginia required. EEO Statement All UHS subsidiaries are committed to providing an ...

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Weekend Utilization Review information

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$21

$41

$68

How much do weekend utilization review jobs pay per hour?

As of Jul 5, 2026, the average hourly pay for weekend utilization review in Virginia is $41.92, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 per hour, depending on experience, location, and employer.

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.

What are the most commonly searched types of Utilization Review jobs in Virginia? The most popular types of Utilization Review jobs in Virginia are:
What cities in Virginia are hiring for Weekend Utilization Review jobs? Cities in Virginia with the most Weekend Utilization Review job openings:
Infographic showing various Weekend Utilization Review job openings in Virginia as of June 2026, with employment types broken down into 76% Full Time, and 24% Part Time. Highlights an 100% In-person job distribution, with an average salary of $87,192 per year, or $41.9 per hour.
Clinical Coordinator - Utilization Review

$62K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 22 days ago


Job description

Clinical Coordinator - Utilization Review

Annual Salary: $62,406

Work Schedule: Monday - Friday 8:30 am - 5:00 pm

The Hampton - Newport News Community Services Board (CSB) is hiring a Clinical Coordinator - Utilization Review for the Region 5 Reinvestment Initiative. This full-time Clinical Coordinator - Utilization Review is responsible for conducting clinical reviews of acute and intermediate care for clinical necessity and appropriateness of care and for managing utilization of beds on a daily basis to ensure movement in a clinically appropriate and expeditious manner. Major duties will include conducting clinical reviews, acute care bed management, and communication of findings and recommendations between hospitals, facilities, and CSB staff. This position will report to the Project Director of the Region 5 Reinvestment Initiative.

ROLE SUMMARY

The Clinical Coordinator (Utilization Review) ensures individuals receive the most appropriate and effective behavioral health services by conducting clinical reviews of acute care and crisis stabilization admissions. Evaluates medical necessity, monitors continued stay criteria, and makes recommendations regarding the most appropriate level of care. Working closely with hospitals, Community Services Board (CSB) staff, and regional partners, coordinates communication, tracks consumer placements, and provides clinical guidance to support informed treatment and placement decisions. Responsibilities include conducting face-to-face assessments, monitoring treatment progress and outcomes, promoting quality and cost-effective care, and preparing regular utilization reports with recommendations for acute, sub-acute, or community-based services. This position plays a critical role in ensuring consumers receive timely, clinically appropriate, and least restrictive treatment options while supporting regional behavioral health initiatives.

To qualify for this position, candidates must have:

  • Master's degree in Human Services.
  • Three (3) years of experience in behavioral health, including utilization management.

BENEFITS

  • Health, Vision, and Dental Insurance
  • Virginia Retirement System
  • Flexible Spending Account (FSA)
  • Life Insurance
  • 11 Paid Holidays

The selected candidate must successfully pass a criminal history fingerprint background investigation, DMV record check, Child Registry search, drug screening test and employment reference checks.