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Weekend Utilization Review Jobs in Charleston, SC

Absolute Total Care

Medical Director

Charleston, SC · On-site +1

$225K - $428K/yr

Performs medical review activities pertaining to utilization review, quality assurance, and medical ... May be required to work weekends and holidays in support of business operations, as needed.

MUSC

Case Manager - Non RN

Charleston, SC · On-site

One year of case management and/or utilization review work experience preferred. Case Management certification preferred. Licensure as a Social Worker by the state of South Carolina. If you like ...

Honorhealth

Inpatient Occupational Therapist - Osborn

Osborn, SC · On-site

$40.75 - $53.50/hr

... weekend shifts per month Great care starts with great people. (Like you.) At HonorHealth, you'll ... Participates in departmental and interdepartmental staff meetings, in-services, utilization review ...

Mission Hospital

RN Case Manager PRN

Lincolnville, SC · On-site

Certification in Case Management or Utilization Review is preferred. * InterQual experience is preferred. Benefits HCA Healthcare Summerville Hospital , offers a total rewards package that supports ...

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Weekend Utilization Review information

See Charleston, SC salary details

$20

$39

$64

How much do weekend utilization review jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for weekend utilization review in Charleston, SC is $39.57, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $45.43 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 Charleston, SC? The most popular types of Utilization Review jobs in Charleston, SC are:
What are popular job titles related to Weekend Utilization Review jobs in Charleston, SC? For Weekend Utilization Review jobs in Charleston, SC, the most frequently searched job titles are:
What job categories do people searching Weekend Utilization Review jobs in Charleston, SC look for? The top searched job categories for Weekend Utilization Review jobs in Charleston, SC are:
What cities near Charleston, SC are hiring for Weekend Utilization Review jobs? Cities near Charleston, SC with the most Weekend Utilization Review job openings:
Weekend Utilization Review jobs near you
Infographic showing various Weekend Utilization Review job openings in Charleston, SC as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $82,302 per year, or $39.6 per hour.

Utilization Review Nurse

Integrated Resources INC

North Charleston, SC • On-site

Full-time

Re-posted 13 days ago

Job description

Company Description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.

Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success.

Job Description

Responsible for conducting timely reviews of all requests for services required to meet medical necessity criteria to include reviewing pre-certification for outpatient and inpatient services

Applying criteria to inpatient admissions and performing concurrent review functions, identifying discharge planning needs and referral of members to case management.

Evaluates clinical information submitted by providers against plan review criteria and benefit guidelines

Utilizes clinical information to determine if criteria for medical necessity and benefit guidelines are met

Utilizes professional judgment to determine if additional information is required, then follows through to obtain additional information prior to making a decision

Documents all pertinent case information and dispositions for approvals and denials

Refers all cases failing to meet interqual medical necessity criteria to Medical Director for review and final determination

Communicates with providers to initiate/coordinate outpatient services/discharge planning needs for members

Acts as a liaison to assure services are provided in the least restrictive, most cost effective and clinically appropriate setting

Works with the Utilization Management Manager, the Medical Director and providers to ensure that complete medical information is available to allow utilization management decisions to be made within The Plan's standards for decision making

Identifies potential members who may benefit from case management services and facilitates referral to the program

Identifies and resolves any problems that could interfere with provider's continuity and coordination of care of members and refers unresolved problems to Manager

Creates and maintains monthly reports on inpatient activities

Performs other related duties and projects as assigned

Adheres to ACFC policies and procedures

Supports and carries out our Mission & Values.

Qualifications

Associates RN degree required, Bachelor's degree preferred

Two years of experience in managed care quality assurance or utilization review

RN must have two years of experience in an acute care hospital.

Additional Information

Thanks

Warm Regards

Ricky Bansal

732-429-1925

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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