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Weekend Utilization Review Jobs in Washington (NOW HIRING)

Humana Inc

Medical Director - Inpatient Review

Annapolis, MD · On-site

$223.80 - $313.10/hr

Analyze complex hospital-based cases and deliver clear, well-reasoned utilization management ... Standard work hours are Monday through Friday 8am-5pm local time , with rotational weekend/holiday ...

New

Mainspring Recovery

Clinical Director

Dumfries, VA · On-site

$125 - $135/hr

Collaborates with nursing, medical, operations, admissions, utilization review, and executive ... May require occasional evening, weekend, or on-call responsibilities * Work is performed in a ...

Mainspring Recovery

Clinical Director

Dumfries, VA · On-site

$125K - $135K/yr

Collaborates with nursing, medical, operations, admissions, utilization review, and executive ... May require occasional evening, weekend, or on-call responsibilities * Work is performed in a ...

Pyramid Healthcare

Counselor FT

Bowie, MD

$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 ...

Woodley House

Clinical Program Manager

Washington, DC · On-site

$90K/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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Weekend Utilization Review information

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How much do weekend utilization review jobs pay per hour?

As of Aug 21, 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 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 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 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, 79% Full Time, 10% Part Time, 2% Temporary, 7% Contract, and 1% Nights. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $99,608 per year, or $47.9 per hour.

Utilization Management Nurse

Luminis Health

Lanham, MD

$34 - $55/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

Luminis Health rating

7.9

Company rating: 7.9 out of 10

Based on 54 frontline employees who took The Breakroom Quiz

107th of 891 rated healthcare providers

Job description

Position Objective:  Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment.  

Essential Job Duties:

1. Chart Review:

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 external reviews, care coordinators, and providers; reconciles and records days authorized in EPIC

2. Denial Management:

Monitors and identifies patterns or trends in utilization management; monitors potential and actual denials and collaborates with care coordinator for any follow up necessary; documents actions taken to avoid denial;  assists Care Coordinator in communicating with the patient denied hospital days with work toward resolution and discharge.

3. Care Coordination:

Collaborates with the Care Coordinator to achieve optimal and efficient patient outcomes while decreasing length of stay, avoidable delays and denied days; utilizes Physician Advisor and administrative personnel for unresolved issues; identifies opportunities for expedited appeals and collaborates with the care coordinator and Physician Advisor to resolve payer issues.

4.  Process improvement initiatives

Participates in nursing unit and department clinical outcome projects as well as process improvement initiatives of care management.

Educational/Experience Requirements:

  • Bachelor’s of Science in Nursing or Associate’s degree in Nursing with equivalent experience.  BSN must be achieved within 5 years of start date in the role.  
  • Three years of clinical nursing in an acute care hospital setting.

RequiredLicense/Certifications:

  • Current RN license from Maryland Board of Nursing.

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.

Physical Demands -

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position.  This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

Pay Range
$34—$55 USD

Luminis Health Benefits Overview:
•    Medical, Dental, and Vision Insurance
•    Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
•    Paid Time Off
•    Tuition Assistance Benefits
•    Employee Referral Bonus Program
•    Paid Holidays, Disability, and Life/AD&D for full-time employees
•    Wellness Programs
•    Employee Assistance Programs and more
*Benefit offerings based on employment status

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