This role maintains direct involvement in billable consulting activities, including reimbursement reviews, clinical assessments, staff education, MDS coordination, and process improvement initiatives.
This role maintains direct involvement in billable consulting activities, including reimbursement reviews, clinical assessments, staff education, MDS coordination, and process improvement initiatives.
This role maintains direct involvement in billable consulting activities, including reimbursement reviews, clinical assessments, staff education, MDS coordination, and process improvement initiatives.
This role maintains direct involvement in billable consulting activities, including reimbursement reviews, clinical assessments, staff education, MDS coordination, and process improvement initiatives.
Job Title : Utilization Management Nurse Consultant Duration : 6 months (Possible ext) Location ... Work hours from 8:00 am until 5:00 pm with weekend rotation among the team of clinicians ...
Job Title : Utilization Management Nurse Consultant Duration : 6 months (Possible ext) Location ... Work hours from 8:00 am until 5:00 pm with weekend rotation among the team of clinicians ...
Job Title : Utilization Management Nurse Consultant Duration : 6 months (Possible extension ... Work hours from 8:00 am until 5:00 pm with weekend rotation among the team of clinicians ...
Job Title : Utilization Management Nurse Consultant Duration : 6 months (Possible extension ... Work hours from 8:00 am until 5:00 pm with weekend rotation among the team of clinicians ...
As a Network Performance/Utilization Manager, your primary responsibilities may include: * Advise clients on network strategy, provider capacity, utilization trends, access challenges, and market ...
As a Network Performance/Utilization Manager, your primary responsibilities may include: * Advise clients on network strategy, provider capacity, utilization trends, access challenges, and market ...
Case Preparation Physician
Northbrook, IL ยท Remote
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... This position is remote (work from home) and is part-time, with a focus on weekend hours. Please ...
Quick apply
Case Preparation Physician
Northbrook, IL ยท Remote
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... This position is remote (work from home) and is part-time, with a focus on weekend hours. Please ...
Case Preparation Physician
Northbrook, IL ยท Remote
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... This position is remote (work from home) and is part-time, with a focus on weekend hours. Please ...
Quick apply
Case Preparation Physician
Northbrook, IL ยท Remote
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... This position is remote (work from home) and is part-time, with a focus on weekend hours. Please ...
Remote RN Case Manager - Metro Chicago
Downers Grove, IL ยท On-site +1
Utilization Management, Utilization Review, Managed Care, or Cost Containment experience * CCM (Certified Case Manager), CIRS, or similar Case Management certification (preferred) * Ability to travel ...
Remote RN Case Manager - Metro Chicago
Downers Grove, IL ยท On-site +1
Utilization Management, Utilization Review, Managed Care, or Cost Containment experience * CCM (Certified Case Manager), CIRS, or similar Case Management certification (preferred) * Ability to travel ...
Case Preparation Physician
Northbrook, IL ยท Remote
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... This position is remote (work from home) and is part-time, with a focus on weekend hours. Please ...
Quick apply
Case Preparation Physician
Northbrook, IL ยท Remote
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... This position is remote (work from home) and is part-time, with a focus on weekend hours. Please ...
Case Preparation Physician
Northbrook, IL ยท On-site
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... This position is remote (work from home) and is part-time, with a focus on weekend hours. Please ...
Case Preparation Physician
Northbrook, IL ยท On-site
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... This position is remote (work from home) and is part-time, with a focus on weekend hours. Please ...
Full-Time Weekend Start Of Care (SOC) Nurse (RN) Our client is seeking a Full-Time Weekend Start of ... audits, utilization review, performance improvement, in services, workshops, and seminars.
Full-Time Weekend Start Of Care (SOC) Nurse (RN) Our client is seeking a Full-Time Weekend Start of ... audits, utilization review, performance improvement, in services, workshops, and seminars.
Full-Time Weekend Start Of Care (SOC) Nurse (RN) Our client is seeking a Full-Time Weekend Start of ... audits, utilization review, performance improvement, in services, workshops, and seminars.
Full-Time Weekend Start Of Care (SOC) Nurse (RN) Our client is seeking a Full-Time Weekend Start of ... audits, utilization review, performance improvement, in services, workshops, and seminars.
Full-Time Weekend Start Of Care (SOC) Nurse (RN) Our client is seeking a Full-Time Weekend Start of ... audits, utilization review, performance improvement, in services, workshops, and seminars.
Full-Time Weekend Start Of Care (SOC) Nurse (RN) Our client is seeking a Full-Time Weekend Start of ... audits, utilization review, performance improvement, in services, workshops, and seminars.
Full-Time Weekend Start Of Care (SOC) Nurse (RN) Our client is seeking a Full-Time Weekend Start of ... audits, utilization review, performance improvement, in services, workshops, and seminars.
Full-Time Weekend Start Of Care (SOC) Nurse (RN) Our client is seeking a Full-Time Weekend Start of ... audits, utilization review, performance improvement, in services, workshops, and seminars.
RN Case Manager
Chicago, IL ยท On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager
Chicago, IL ยท On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager
Chicago, IL ยท On-site
$37.40/hr
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager
Chicago, IL ยท On-site
$37.40/hr
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager - REGISTRY
Chicago, IL ยท On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager - REGISTRY
Chicago, IL ยท On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager - REGISTRY
Chicago, IL ยท On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager - REGISTRY
Chicago, IL ยท On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager
Chicago, IL ยท On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager
Chicago, IL ยท On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
Wound Care Utilization Management RN
Chicago, IL ยท On-site
$39.34 - $56.20/hr
No weekends, with major holidays off. The Wound Care Utilization Management RN will be responsible ... Reviews Home based services for clinical appropriateness of continued care. * Performs reviews ...
New
Wound Care Utilization Management RN
Chicago, IL ยท On-site
$39.34 - $56.20/hr
No weekends, with major holidays off. The Wound Care Utilization Management RN will be responsible ... Reviews Home based services for clinical appropriateness of continued care. * Performs reviews ...
New
Weekend Utilization Review information
See Chicago, IL salary details
$22.04 - $26.50
2% of jobs
$26.50 - $30.95
9% of jobs
$34 is the 25th percentile. Wages below this are outliers.
$30.95 - $35.41
21% of jobs
The median wage is $39.02 / hr.
$35.41 - $39.87
23% of jobs
$39.87 - $44.33
13% of jobs
$47.79 is the 75th percentile. Wages above this are outliers.
$44.33 - $48.78
10% of jobs
$48.78 - $53.24
8% of jobs
$53.24 - $57.70
5% of jobs
$57.70 - $62.16
5% of jobs
$62.16 - $66.61
2% of jobs
$66.61 - $71.07
2% of jobs
$22
$43
$71
How much do weekend utilization review jobs pay per hour?
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.
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Full-time
Medical, Dental, Life, Retirement, PTO
Posted 5 days ago
Job description
MDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS division as a full-time Senior Director of Operations.
Education:
โข Required: Graduate of an accredited college or university with a bachelor's in nursing
Experience:
โข Required: At least 5 years of clinical experience, with 3 or more years of experience with the RAI process
Licenses/Certificates:
โข Required: Current and unrestricted RN license in state(s) assigned
โข Required: RAC-CT certification upon hire or within 6 months of hire.
โข Required: Valid driver license and car insurance as required by state law.
โข Required: Other as required by federal, state and local standards
Other Requirements:
โข Proficient knowledge of PDPM and State Case Mix Reimbursement payment systems.
โข Proficient in CMS Five Star Quality Measures, and Quality RFeporting Program
โข Strong knowledge in current Medicare and Managed Care requirements and federal, state, and local regulations that affect skilled clinical care delivery.
โข Ability to work effectively with all persons and disciplines.
โข Ability to clearly articulate the complexities of RAI assessments and care planning.
โข Ability to monitor MDS Coordinators and CRS's to identify areas for growth and provide mentorship for growth, while maintaining accountability for standard operating
procedures and client outcomes.
โข Must possess strong customer service skills to coordinate service delivery, including attention to clients, sensitivity to issues, identification and resolution of issues to promote positive client outcomes. Initiative, innovation,
and creativity required.
โข Must have dynamic presentation skills and superior communication skills.
โข Must have critical thinking skills with the ability to make good decisions and exercise sound clinical and professional judgment, with proven knowledge of quality
improvement concepts and processes.
Responsibilities
The Senior Director of Operations provides leadership and oversight to assigned Directors, MDS Coordinators and Clinical Reimbursement Specialists while partnering with facility leadership to drive reimbursement optimization, quality improvement, regulatory compliance, and operational excellence. The role combines direct consulting services with leadership responsibilities to ensure clients achieve measurable and sustainable results.
The Senior Director serves as a strategic partner to clients by identifying opportunities for improvement, developing action plans, providing education, and ensuring consulting recommendations translate into sustainable results. This role maintains direct involvement in billable consulting activities, including reimbursement reviews, clinical assessments, staff education, MDS coordination, and process improvement initiatives.
Qualifications
About Us:
At Key Rehab, we're shaking up rehab services with a fresh, standout approach. We offer a wide range of services, stick to top-notch systems, and work in strategic locations to get the best results for our patients and support our clients' goals. We're all about clear communication, using our deep experience to deliver therapy that's both effective and affordable. Our reputation is built on great patient care, happy clients and staff, and solid management. We are proud to exceed expectations for patients, families, healthcare providers, and businesses.
We prioritize both exceptional patient care and the well-being of our employees. We are committed to delivering compassionate, results-driven therapy while offering the flexibility and comprehensive benefits needed to thrive in today's healthcare environment. Our team is large enough to offer competitive pay and benefits but small enough to ensure personalized attention and support for your career aspirations.
Whether you're looking for a role that accommodates family commitments, travel plans, home projects, or future savings, we provide tailored solutions to fit your lifestyle. Join us and experience a workplace that values your individual needs and career goals. Come experience a rewarding career where you're valued and supported every step of the way.
We offer a creative, engaging, and flexible work environment, alongside a comprehensive benefits package designed to support your success and well-being:
- Competitive salaries with bonus opportunities
- Ample opportunities for promotion, transfer, and advancement
- Work that is meaningful, fulfilling, and provides high job satisfaction
- Reasonable working hours promoting work-life balance
- Continuing education (CE) opportunities for ongoing professional development
- Generous paid time off
- Comprehensive health, dental, and life insurance packages
- 401K with discretionary matching
- Mileage and licensure reimbursements
- Flexible Spending Account (FSA) and Health Savings Account (HSA) options