Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
MANAGER OF UTILIZATION REVIEW
Hudson, OH · On-site
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
MANAGER OF UTILIZATION REVIEW
Hudson, OH · On-site
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review. * Knowledge of medical necessity, patient status, level-of-care ...
New
Utilization Review * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Our client is looking to add a Registered Nurse to ...
Utilization Review * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Our client is looking to add a Registered Nurse to ...
The Utilization Specialist is responsible for carrying out admission and concurrent stay screening reviews of the assigned patient population during the episode of care under defined guidelines for ...
The Utilization Specialist is responsible for carrying out admission and concurrent stay screening reviews of the assigned patient population during the episode of care under defined guidelines for ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
The Utilization Specialist is responsible for carrying out admission and concurrent stay screening reviews of the assigned patient population during the episode of care under defined guidelines for ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
The Utilization Specialist is responsible for carrying out admission and concurrent stay screening reviews of the assigned patient population during the episode of care under defined guidelines for ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
The Utilization Specialist is responsible for carrying out admission and concurrent stay screening reviews of the assigned patient population during the episode of care under defined guidelines for ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
The Utilization Specialist is responsible for carrying out admission and concurrent stay screening reviews of the assigned patient population during the episode of care under defined guidelines for ...
Weekend Utilization Review information
See Cleveland, OH salary details
$20.75 - $24.94
2% of jobs
$24.94 - $29.14
9% of jobs
$32.01 is the 25th percentile. Wages below this are outliers.
$29.14 - $33.34
21% of jobs
The median wage is $36.73 / hr.
$33.34 - $37.53
23% of jobs
$37.53 - $41.73
13% of jobs
$44.99 is the 75th percentile. Wages above this are outliers.
$41.73 - $45.93
10% of jobs
$45.93 - $50.12
8% of jobs
$50.12 - $54.32
5% of jobs
$54.32 - $58.52
5% of jobs
$58.52 - $62.71
2% of jobs
$62.71 - $66.91
2% of jobs
$20
$41
$66
How much do weekend utilization review jobs pay per hour?
As of Sep 2, 2026, the average hourly pay for weekend utilization review in Cleveland, OH is $41.01, according to ZipRecruiter salary data. Most workers in this role earn between $32.40 and $47.12 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 Cleveland, OH?
The most popular types of Utilization Review jobs in Cleveland, OH are:
What are popular job titles related to Weekend Utilization Review jobs in Cleveland, OH?
For Weekend Utilization Review jobs in Cleveland, OH, the most frequently searched job titles are:
- Remote Utilization Review Nurse
- Utilization Review Nurse
- Remote Medical Record Review Nurse
- Remote Utilization Review Social Worker
- Night Shift Remote Utilization Review Nurse
- Part Time Utilization Review Nurse
- Remote Behavioral Health Utilization Review
- Utilization Review Rn
- Evening Utilization Review Nurse
- Contract Utilization Review Nurse
What job categories do people searching Weekend Utilization Review jobs in Cleveland, OH look for?
The top searched job categories for Weekend Utilization Review jobs in Cleveland, OH are:
- Remote Utilization Review
- Utilization Review
- Aetna Utilization Review Nurse
- Remote Anthem Utilization Review Nurse
- Remote Occupational Therapy Utilization Review
- Remote Lpn Utilization Review
- Cigna Utilization Review Nurse
- Utilization Review Case Manager
- Remote Insurance Utilization Review
- Remote Weekend Utilization Review
What cities near Cleveland, OH are hiring for Weekend Utilization Review jobs?
Cities near Cleveland, OH with the most Weekend Utilization Review job openings:
Southwest General Health Center rating
6.9
Based on 46 frontline employees who took The Breakroom Quiz
550th of 1,064 rated hospitals
Job description
Summary
- POSITION INFORMATION
- Position summary:
- The Utilization Management (UM) RN Manager is responsible for the day-to-day leadership, operational oversight, and performance management of the Utilization Management nursing team. Reporting to the UM RN Director, the Manager translates department strategy, regulatory and payer requirements, approved clinical review criteria, and organizational priorities into consistent daily execution.
- The role provides direct supervision, coaching, workflow management, clinical-operational support, and performance oversight for assigned UM staff. The Manager collaborates with physician advisors/medical directors, case management, clinical operations, revenue cycle, payer relations, quality, compliance, and other stakeholders to support timely, accurate, evidence-informed utilization management decisions and appropriate stewardship of healthcare resources.
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- MINIMUM QUALIFICATIONS
- Education:
- Bachelor of Science in Nursing (BSN) required, or equivalent qualification consistent with organizational policy.
- Masters degree in Nursing, Healthcare Administration, Business Administration, Public Health, or a related field preferred.
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Required length and type of experience:- Five or more years of progressive clinical nursing and/or utilization management experience preferred, including three or more years of experience in utilization management, utilization review, case management, managed care, or a closely related function.
- Prior formal leadership experience required; two or more years of supervisory or management experience preferred.
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Required licensure, certification or registry:- Current Ohio State Board of Nursing license required.
- Certified Case Manager (CCM) certification preferred.
- Accredited Case Manager (ACM) certification preferred.
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- Core Knowledge, Skills, and Competencies
- Knowledge of utilization management and utilization review principles, including prospective, concurrent, and retrospective review.
- Knowledge of medical necessity, patient status, level-of-care review, authorization processes, payer requirements, denial prevention, and escalation pathways.
- Knowledge of evidence-based clinical review criteria and appropriate use of clinical decision-support tools.
- Knowledge of regulatory and accreditation requirements affecting utilization management and clinical review.
- Demonstrated ability in people leadership, coaching, performance management, conflict resolution, and change management.
- Demonstrated ability to interpret operational analytics and KPIs, conduct root-cause analysis, and drive process improvement.
- Demonstrated ability to communicate effectively across interdisciplinary teams, including nursing, physicians, physician advisors, payers, revenue cycle, and leadership.
- Demonstrated application of professional nursing judgment, ethical practice, confidentiality, and appropriate stewardship of healthcare resources.
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What Southwest General Health Center employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Southwest General
Sourced by ZipRecruiter
Industry
Hospitals
Company size
1,001 - 5,000 Employees
Headquarters location
Middleburg Heights, OH, US
Year founded
1920