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Weekend Utilization Review Jobs in Washington (NOW HIRING)

Pyramid Healthcare

Counselor FT

Bowie, MD · On-site

$60K - $70K/yr

... weekends as needed. Summary The Counselor is responsible for facilitating all clinical services for ... Provide timely documentation and support for utilization review, participating in the UR process as ...

Acentra Health

Clinical Reviewer-PRN (RN)

Mclean, VA · On-site

Required Work Hours: On-call weekends, holidays and evenings** Job Responsibilities: * Assures ... Knowledge of Utilization Review Accreditation Commission (URAC) standards. * Knowledge of ...

Woodley House

Clinical Program Manager

Washington, DC · On-site

$60K - $68K/yr

... utilization review, authorization requests, discharge planning, and coordination with psychiatric ... Flexibility in days and hours available for scheduled work, including weekends. * Ability to adhere ...

Discovery Behavioral Health

Program Therapist

Mclean, VA · On-site

$78K - $88K/yr

Facilitates multi-family groups, family program, and/or family weekend. * Provides utilization reviews to insurance companies, providing appropriate clinical information to obtain initial ...

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All JobsUtilization Review JobsWeekend Utilization Review JobsWeekend Utilization Review Jobs in Washington

Weekend Utilization Review information

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$24

$47

$78

How much do weekend utilization review jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for weekend utilization review in Washington is $47.89, according to ZipRecruiter salary data. Most workers in this role earn between $37.84 and $55.00 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 Washington? The most popular types of Utilization Review jobs in Washington are:
What are popular job titles related to Weekend Utilization Review jobs in Washington? For Weekend Utilization Review jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Weekend Utilization Review jobs in Washington look for? The top searched job categories for Weekend Utilization Review jobs in Washington are:
What cities in Washington are hiring for Weekend Utilization Review jobs? Cities in Washington with the most Weekend Utilization Review job openings:
Weekend Utilization Review jobs near you
Infographic showing various Weekend Utilization Review job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, and 4% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $99,608 per year, or $47.9 per hour.

Case Reviewer

Absolute Staffing and Consulting Solutions

Columbia, MD • On-site

$23 - $27/hr

Other

Posted 5 days ago

Job description

Case Reviewer

Absolute Staffing & Consulting Solutions is looking for a Case Reviewer to join our team of professionals. This is a hybrid role in Maryland.

As a Case Reviewer, you will be responsible for performing utilization reviews to authorize services for individuals enrolled in Medicaid. The utilization review process involves applying program policies, verifying medical, technical, and financial eligibility, and reviewing medical records to issue decisions regarding pre-authorization of services.

Essential Functions

  • Provides review decisions for prospective reviews based on an established set of criteria.
  • Screens situations according to specific criteria to determine if care is appropriate.
  • Refers cases that fail to meet criteria to a Registered Nurse or Social Worker reviewer.
  • Ensures review is conducted thoroughly and within specified timeframes.
  • Serves as liaison among clinical reviewer, provider, facility, and/or subscriber.
  • Documents medical information supporting decisions into the workflow documentation system, ensuring data is entered accurately and timely.
  • Ensures quality customer service by responding to email and phone inquiries from providers and consumers.

Requirements

  • Bachelor's degree in the health or human services and at least 1 year of experience in utilization review or 1 year of experience evaluating, analyzing, researching and developing health care services, policies and programs preferred OR
  • A high school diploma or equivalent may substitute for a bachelor's degree with at least 3 years of experience in utilization review or 3 years of experience evaluating, analyzing, researching and developing health care services, policies and programs.
  • Demonstrated ability working with confidential information and in a deadline-driven environment.
  • Excellent verbal and written communication skills
  • Comfortable with completing basic math functions.
  • Attention to detail, analytical skills, and the ability to interpret medical documentation accurately.
  • Possess intermediate PC skills including navigating electronic health records and other computer software.
  • Ability to work independently and as part of a team.
  • Organizational skills and time management.
  • Experience in a community health care environment preferred.
  • Experience with utilization review of medical services preferred.
  • Satisfactory completion of medical terminology course preferred.
  • Preferably reside in the state of Maryland

Preferred Skills and Certifications

  • Proficiency with Sharepoint
  • Possess intermediate skills in Excel
  • Strong analytical and critical thinking skills
  • Previous support planner experience a plus

Shift: Monday - Friday from 8 am-5 pm EST

Base Pay: $23- $27/ hour

Why work for our client?

Our client is one of the country's most respected population health management organizations. They work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise.

Health has changed a lot through our 50-year history, but what has remained constant is that they care deeply about who they serve and what they do. Their success is built on their ability to adapt, respond to client needs, and offer innovative solutions at every turn.

Our client is looking for talented individuals who not only believe in the mission, but who are ready to take ownership and make a difference in the lives of people, in the world of health.

Apply