RN - Utilization Review
Hanover, MD ยท On-site
RN - Utilization Review Utilization review nurses perform frequent case reviews, check medical records, speak with patients and care providers regarding treatment, and respond to the plan of care.
Hanover, MD ยท On-site
RN - Utilization Review Utilization review nurses perform frequent case reviews, check medical records, speak with patients and care providers regarding treatment, and respond to the plan of care.
Hanover, MD ยท On-site
RN - Utilization Review Utilization review nurses perform frequent case reviews, check medical records, speak with patients and care providers regarding treatment, and respond to the plan of care.
Washington, DC ยท On-site
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 ยท On-site
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 ...
Washington, DC ยท 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 ยท 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 ...
Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed ...
Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed ...
Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed ...
Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed ...
Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed ...
Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed ...
Clinton, MD ยท On-site
$89K - $162K/yr
About the Job In-patient Utilization Review RN experience highly preferred. Candidate must live in the DC/Baltimore region General Summary of Position Supervises the daily activities of the ...
Clinton, MD ยท On-site
$89K - $162K/yr
About the Job In-patient Utilization Review RN experience highly preferred. Candidate must live in the DC/Baltimore region General Summary of Position Supervises the daily activities of the ...
Clinton, MD ยท On-site
$89K - $162K/yr
In-patient Utilization Review RN In-patient Utilization Review RN experience highly preferred. Candidate must live in the DC/Baltimore region. General Summary of Position Supervises the daily ...
Clinton, MD ยท On-site
$89K - $162K/yr
In-patient Utilization Review RN In-patient Utilization Review RN experience highly preferred. Candidate must live in the DC/Baltimore region. General Summary of Position Supervises the daily ...
Clinton, MD ยท On-site
$89K - $162K/yr
RN Team Lead Utilization Review - Relocation Offered! About this Job: In-patient Utilization Review RN experience highly preferred. Candidate must live in the DC/Baltimore region General Summary of ...
Clinton, MD ยท On-site
$89K - $162K/yr
RN Team Lead Utilization Review - Relocation Offered! About this Job: In-patient Utilization Review RN experience highly preferred. Candidate must live in the DC/Baltimore region General Summary of ...
Washington, DC ยท On-site
Additional Information All your information will be kept confidential according to EEO guidelines.
Washington, DC ยท On-site
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.
Glen Burnie, MD ยท On-site
$2.2K/wk
Utilization Review * Discipline: Therapy * Start Date: 07/06/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 7/6 ...
Glen Burnie, MD ยท On-site
$2.2K/wk
Utilization Review * Discipline: Therapy * Start Date: 07/06/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 7/6 ...
Arlington, VA ยท On-site
$2.2K/wk
Utilization Review * Discipline: Therapy * Start Date: 07/06/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 7/6 ...
Arlington, VA ยท On-site
$2.2K/wk
Utilization Review * Discipline: Therapy * Start Date: 07/06/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 7/6 ...
Lanham, MD ยท On-site
$2.2K/wk
Utilization Review * Discipline: Therapy * Start Date: 07/06/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 7/6 ...
Lanham, MD ยท On-site
$2.2K/wk
Utilization Review * Discipline: Therapy * Start Date: 07/06/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 7/6 ...
Washington, DC ยท On-site
$2.0K - $2.2K/wk
Now Hiring: RN Utilization Review - Washington, DC Job ID: JOB-412150 Weekly Pay Range: Contact us for Pay Information Weekly Pay Range: $2050.20-$2291.40wk Weekly pay ranges of $2050.20 - 2291.40 ...
Washington, DC ยท On-site
$2.0K - $2.2K/wk
Now Hiring: RN Utilization Review - Washington, DC Job ID: JOB-412150 Weekly Pay Range: Contact us for Pay Information Weekly Pay Range: $2050.20-$2291.40wk Weekly pay ranges of $2050.20 - 2291.40 ...
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.
Glen Burnie, MD ยท On-site
Additional Information All your information will be kept confidential according to EEO guidelines.
Glen Burnie, MD ยท On-site
Additional Information All your information will be kept confidential according to EEO guidelines.
Washington, DC ยท On-site
Additional Information All your information will be kept confidential according to EEO guidelines.
Washington, DC ยท On-site
Additional Information All your information will be kept confidential according to EEO guidelines.
Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource utilization; enters clinical review in EPIC; maintains close communication with ...
Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource utilization; enters clinical review in EPIC; maintains close communication with ...
$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
Posted 24 days ago
Utilization review nurses perform frequent case reviews, check medical records, speak with patients and care providers regarding treatment, and respond to the plan of care. They also make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.