Washington, DC · On-site
Now Hiring: RN Utilization Review - Washington, DC Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in ...
New
Washington, DC · On-site
Now Hiring: RN Utilization Review - Washington, DC Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in ...
New
Washington, DC · On-site
$33.60 - $50.40/hr
Six months psychiatric utilization review either for hospital or external review organization preferred. * Candidates must meet the company's hiring criteria to include a pre-employment verifications ...
Washington, DC · On-site
$33.60 - $50.40/hr
Six months psychiatric utilization review either for hospital or external review organization preferred. * Candidates must meet the company's hiring criteria to include a pre-employment verifications ...
Six months psychiatric utilization review either for hospital or external review organization preferred. * Candidates must meet the company's hiring criteria to include a pre-employment verifications ...
Six months psychiatric utilization review either for hospital or external review organization preferred. * Candidates must meet the company's hiring criteria to include a pre-employment verifications ...
Six months psychiatric utilization review either for hospital or external review organization preferred. * Candidates must meet the company's hiring criteria to include a pre-employment verifications ...
Six months psychiatric utilization review either for hospital or external review organization preferred. * Candidates must meet the company's hiring criteria to include a pre-employment verifications ...
Clinton, MD · On-site
$89K - $162K/yr
Must be local to the DC/MD region with acute Utilization Review RN experience** General Summary of Position Conducts admission concurrent and retrospective case reviews to ensure appropriate admit ...
Clinton, MD · On-site
$89K - $162K/yr
Must be local to the DC/MD region with acute Utilization Review RN experience** General Summary of Position Conducts admission concurrent and retrospective case reviews to ensure appropriate admit ...
Clinton, MD · On-site
$89K - $162K/yr
Utilization Review RN **Must be local to the DC/MD region with acute Utilization Review RN experience** General Summary of Position Conducts admission concurrent and retrospective case reviews to ...
New
Clinton, MD · On-site
$89K - $162K/yr
Utilization Review RN **Must be local to the DC/MD region with acute Utilization Review RN experience** General Summary of Position Conducts admission concurrent and retrospective case reviews to ...
New
Clinton, MD · On-site
$89K - $162K/yr
Must be local to the DC/MD region with acute Utilization Review RN experience** General Summary of Position Conducts admission concurrent and retrospective case reviews to ensure appropriate admit ...
Clinton, MD · On-site
$89K - $162K/yr
Must be local to the DC/MD region with acute Utilization Review RN experience** General Summary of Position Conducts admission concurrent and retrospective case reviews to ensure appropriate admit ...
Clinton, MD · On-site
$89K - $162K/yr
Utilization Review Supervisor Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region. General Summary of Position Supervises the daily activities ...
Clinton, MD · On-site
$89K - $162K/yr
Utilization Review Supervisor Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region. General Summary of Position Supervises the daily activities ...
Clinton, MD · On-site
$89K - $162K/yr
About the Job Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region General Summary of Position Supervises the daily activities of the ...
Clinton, MD · On-site
$89K - $162K/yr
About the Job Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region General Summary of Position Supervises the daily activities of the ...
$40.61 - $60.96/hr
Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the ...
$40.61 - $60.96/hr
Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the ...
Largo, MD · On-site
$406K/yr
Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the ...
Largo, MD · On-site
$406K/yr
Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the ...
Weekends and overtime based on business need Responsibilities * Conduct utilization management reviews by assessing medical necessity, appropriateness of care, and adherence to clinical guidelines
Weekends and overtime based on business need Responsibilities * Conduct utilization management reviews by assessing medical necessity, appropriateness of care, and adherence to clinical guidelines
Weekends and overtime based on business need Responsibilities * Conduct utilization management reviews by assessing medical necessity, appropriateness of care, and adherence to clinical guidelines
Weekends and overtime based on business need Responsibilities * Conduct utilization management reviews by assessing medical necessity, appropriateness of care, and adherence to clinical guidelines
Washington, DC · On-site
Weekends and overtime based on business need Responsibilities * Conduct utilization management reviews by assessing medical necessity, appropriateness of care, and adherence to clinical guidelines
Washington, DC · On-site
Weekends and overtime based on business need Responsibilities * Conduct utilization management reviews by assessing medical necessity, appropriateness of care, and adherence to clinical guidelines
Clinton, MD · On-site
$89K - $162K/yr
RN Utilization Review - Relocation Offered! About this Job: **Must be local to the DC/MD region with acute Utilization Review RN experience** General Summary of Position Conducts admission concurrent ...
Clinton, MD · On-site
$89K - $162K/yr
RN Utilization Review - Relocation Offered! About this Job: **Must be local to the DC/MD region with acute Utilization Review RN experience** General Summary of Position Conducts admission concurrent ...
Additional Information All your information will be kept confidential according to EEO guidelines.
Additional Information All your information will be kept confidential according to EEO guidelines.
Washington, DC · On-site
Additional Information All your information will be kept confidential according to EEO guidelines.
Washington, DC · On-site
Additional Information All your information will be kept confidential according to EEO guidelines.
Washington, DC · On-site
$2.5K - $2.8K/wk
Now Hiring: RN Utilization Review - Washington, DC Job ID: JOB-419210 Weekly Pay Range: Contact us for Pay Information Weekly Pay Range: $2505.80-$2800.60wk Weekly pay ranges of $2505.80 - 2800.60 ...
Washington, DC · On-site
$2.5K - $2.8K/wk
Now Hiring: RN Utilization Review - Washington, DC Job ID: JOB-419210 Weekly Pay Range: Contact us for Pay Information Weekly Pay Range: $2505.80-$2800.60wk Weekly pay ranges of $2505.80 - 2800.60 ...
Additional Information All your information will be kept confidential according to EEO guidelines.
Additional Information All your information will be kept confidential according to EEO guidelines.
Additional Information All your information will be kept confidential according to EEO guidelines.
Additional Information All your information will be kept confidential according to EEO guidelines.
$24.23 - $29.13
2% of jobs
$29.13 - $34.03
9% of jobs
$37.39 is the 25th percentile. Wages below this are outliers.
$34.03 - $38.93
21% of jobs
The median wage is $42.90 / hr.
$38.93 - $43.83
23% of jobs
$43.83 - $48.73
13% of jobs
$52.55 is the 75th percentile. Wages above this are outliers.
$48.73 - $53.63
10% of jobs
$53.63 - $58.54
8% of jobs
$58.54 - $63.44
5% of jobs
$63.44 - $68.34
5% of jobs
$68.34 - $73.24
2% of jobs
$73.24 - $78.14
2% of jobs
$24
$47
$78
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.
Other
Medical, Dental, Vision, Retirement
Posted yesterday
New
Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in Washington, DC and make a real impact in patient care!
In this role, you'll be at the forefront of healthcare, delivering top-notch care with precision and compassion. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
If you're ready to elevate your career and make a difference in the lives of others, apply today!
At Prime Time Healthcare, we offer competitive compensation along with a large range of benefits including:
Prime Time Healthcare, LLC is an Equal Opportunity Employer (EOE).
*Estimated pay and benefits packages are on a per facility basis and may change with market conditions. Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
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PrimeTime Healthcare, based in Omaha, NE, US, is a leading provider of staffing solutions in the healthcare industry. According to information accessed from their official website, primetimehealthcare.com, the company specializes in placing high-quality healthcare professionals into temporary and travel positions across a vast network of healthcare facilities nationwide. Founded in 2012, PrimeTime Healthcare quickly established a reputation for customer-focused and result-oriented services, earning it a place on Staffing Industry Analyst’s fastest-growing staffing companies list.
Recruiting and staffing services
51 - 200 Employees
Omaha, NE, US
2012
