Marlinton, WV · On-site
RN - Utilization Review Excel is seeking highly skilled healthcare professionals for travel assignments across the United States. As a Travel Healthcare Professional, you will have the opportunity to ...
Marlinton, WV · On-site
RN - Utilization Review Excel is seeking highly skilled healthcare professionals for travel assignments across the United States. As a Travel Healthcare Professional, you will have the opportunity to ...
Marlinton, WV · On-site
$2.2K/wk
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 5 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel Looking for a great Travel Utilization Review Nursing ...
Marlinton, WV · On-site
$2.2K/wk
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 5 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel Looking for a great Travel Utilization Review Nursing ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
Experience with care coordination, discharge planning, clinical documentation, and utilization review * Knowledge of InterQual criteria and patient status changes. * Strong communication and ...
Experience with care coordination, discharge planning, clinical documentation, and utilization review * Knowledge of InterQual criteria and patient status changes. * Strong communication and ...
Marlinton, WV · On-site
$55 - $60/hr
Utilization Review * Discipline: RN * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Local Contract A Registered Nurse (RN) Unit Manager in a nursing home with a ...
Marlinton, WV · On-site
$55 - $60/hr
Utilization Review * Discipline: RN * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Local Contract A Registered Nurse (RN) Unit Manager in a nursing home with a ...
Morgantown, WV · On-site
$60 - $72/hr
Review individual prior authorization, drug utilization review, and billing inquiries and use ... Weekend staffing of the program on a rotating basis (approximately every 7-10 weeks depending on ...
Morgantown, WV · On-site
$60 - $72/hr
Review individual prior authorization, drug utilization review, and billing inquiries and use ... Weekend staffing of the program on a rotating basis (approximately every 7-10 weeks depending on ...
Morgantown, WV · On-site
$60 - $72/hr
Review individual prior authorization, drug utilization review, and billing inquiries and use ... Weekend staffing of the program on a rotating basis (approximately every 7-10 weeks depending on ...
Morgantown, WV · On-site
$60 - $72/hr
Review individual prior authorization, drug utilization review, and billing inquiries and use ... Weekend staffing of the program on a rotating basis (approximately every 7-10 weeks depending on ...
Morgantown, WV · On-site
Review individual prior authorization, drug utilization review, and billing inquiries and use ... Weekend staffing of the program as needed. Qualifications * Bachelor's degree in Pharmacy or Doctor ...
Morgantown, WV · On-site
Review individual prior authorization, drug utilization review, and billing inquiries and use ... Weekend staffing of the program as needed. Qualifications * Bachelor's degree in Pharmacy or Doctor ...
Morgantown, WV · On-site
Review individual prior authorization, drug utilization review, and billing inquiries and use ... Weekend staffing of the program as needed. Qualifications * Bachelor's degree in Pharmacy or Doctor ...
Morgantown, WV · On-site
Review individual prior authorization, drug utilization review, and billing inquiries and use ... Weekend staffing of the program as needed. Qualifications * Bachelor's degree in Pharmacy or Doctor ...
Coordinates utilization review activities for the purpose of monitoring standards of patient care and to take action to improve care and maintain quality care. Work is performed in accordance with ...
Coordinates utilization review activities for the purpose of monitoring standards of patient care and to take action to improve care and maintain quality care. Work is performed in accordance with ...
Clarksburg, WV · On-site
Coordinates utilization review activities for the purpose of monitoring standards of patient care and to take action to improve care and maintain quality care. Work is performed in accordance with ...
Clarksburg, WV · On-site
Coordinates utilization review activities for the purpose of monitoring standards of patient care and to take action to improve care and maintain quality care. Work is performed in accordance with ...
Morgantown, WV · On-site
Coordinates utilization review activities for the purpose of monitoring standards of patient care and to take action to improve care and maintain quality care. Work is performed in accordance with ...
Morgantown, WV · On-site
Coordinates utilization review activities for the purpose of monitoring standards of patient care and to take action to improve care and maintain quality care. Work is performed in accordance with ...
Morgantown, WV · On-site
Coordinates utilization review activities for the purpose of monitoring standards of patient care and to take action to improve care and maintain quality care. Work is performed in accordance with ...
Morgantown, WV · On-site
Coordinates utilization review activities for the purpose of monitoring standards of patient care and to take action to improve care and maintain quality care. Work is performed in accordance with ...
Clarksburg, WV · On-site
Coordinates utilization review activities for the purpose of monitoring standards of patient care and to take action to improve care and maintain quality care. Work is performed in accordance with ...
Clarksburg, WV · On-site
Coordinates utilization review activities for the purpose of monitoring standards of patient care and to take action to improve care and maintain quality care. Work is performed in accordance with ...
Marlinton, WV · On-site
$2.2K/wk
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 5 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel About Catalytic Solutions At Catalytic Solutions, w ...
Marlinton, WV · On-site
$2.2K/wk
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 5 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel About Catalytic Solutions At Catalytic Solutions, w ...
Charleston, WV · On-site +1
$55K - $110K/yr
The position's objective is to provide high quality customer service in workers' compensation medical case management and utilization review, primarily telephonically.The Nurse Case Manager provides ...
Charleston, WV · On-site +1
$55K - $110K/yr
The position's objective is to provide high quality customer service in workers' compensation medical case management and utilization review, primarily telephonically.The Nurse Case Manager provides ...
Charleston, WV · On-site
$55K - $110K/yr
The position's objective is to provide high quality customer service in workers' compensation medical case management and utilization review, primarily telephonically. The Nurse Case Manager provides ...
Charleston, WV · On-site
$55K - $110K/yr
The position's objective is to provide high quality customer service in workers' compensation medical case management and utilization review, primarily telephonically. The Nurse Case Manager provides ...
Charleston, WV · On-site
$55K - $110K/yr
The position's objective is to provide high quality customer service in workers' compensation medical case management and utilization review, primarily telephonically.The Nurse Case Manager provides ...
Charleston, WV · On-site
$55K - $110K/yr
The position's objective is to provide high quality customer service in workers' compensation medical case management and utilization review, primarily telephonically.The Nurse Case Manager provides ...
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.
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.
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.
The most popular types of Utilization Review jobs in West Virginia are:
For Weekend Utilization Review jobs in West Virginia, the most frequently searched job titles are:
The top searched job categories for Weekend Utilization Review jobs in West Virginia are:
Cities in West Virginia with the most Weekend Utilization Review job openings:
Marlinton, WV • On-site
Other
Posted 11 days ago
Excel is seeking highly skilled healthcare professionals for travel assignments across the United States. As a Travel Healthcare Professional, you will have the opportunity to work in diverse healthcare settings, providing essential medical care while exploring new locations and cultures.
Key Responsibilities:
Qualifications:
Why Choose Excel Medical Staffing:
Client Details City Marlinton State WV
