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Weekend Utilization Review Jobs in Dallas, TX (NOW HIRING)

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

This position is responsible for performing initial, concurrent review activities; discharge care ... Provides information regarding utilization management requirements and operational procedures to ...

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How much do weekend utilization review jobs pay per hour?

As of May 28, 2026, the average hourly pay for weekend utilization review in Dallas, TX is $41.83, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.03 per hour, depending on experience, location, and employer.

What is a Weekend Utilization Review job?

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, and why are they important?

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 does a typical weekend shift look like for a Utilization Review professional?

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.
More about Weekend Utilization Review jobs
What are the most commonly searched types of Utilization Review jobs in Dallas, TX? The most popular types of Utilization Review jobs in Dallas, TX are:
What are popular job titles related to Weekend Utilization Review jobs in Dallas, TX? For Weekend Utilization Review jobs in Dallas, TX, the most frequently searched job titles are:
What job categories do people searching Weekend Utilization Review jobs in Dallas, TX look for? The top searched job categories for Weekend Utilization Review jobs in Dallas, TX are:
What cities near Dallas, TX are hiring for Weekend Utilization Review jobs? Cities near Dallas, TX with the most Weekend Utilization Review job openings:
Weekend Utilization Review jobs near you

Utilization Review Specialist

Addiction And Mental Health Services LLC

Dallas, TX

Part-time, Per diem

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Job description

This is a PRN position
About Company:
We're officially a Great Place To Work! We've always believed that supporting our team is just as important as supporting our patients. Now, we're proud to share that we've earned Great Place To Work Certification - based entirely on feedback from our own employees.
Read more here: https://ow.ly/YQ1C50WuRH1
This certification reflects the culture we've worked hard to build - one rooted in trust, inclusion, and purpose-driven leadership.
At Bradford Health Services, we are committed to providing exceptional care to our patients while fostering a supportive and rewarding workplace for our employees. We believe that taking care of our team allows them to take better care of others, which is why we offer a comprehensive benefits package designed to support their well-being.
Our benefits include:
  • Medical Coverage - Three new BCBSAL medical plans with better rates, improved co-pays, and enhanced prescription benefits.
  • Expanded Coverage - Options for domestic partners and a wider network of in-network providers.
  • Mental Health Support - Improved access to services and a new Employee Assistance Program (EAP) featuring digital wellness tools like Cognitive Behavioral Therapy (CBT) modules and wellness coaching.
  • Voluntary Coverages - Pet insurance, home and auto insurance, family legal services, and more.
  • Student Loan Repayment - Available for nurses and therapists.
  • Retirement Benefits - 401(k) plan through Voya to help employees plan for the future.
  • Generous PTO - A robust paid time off policy to support work-life balance.
  • Voluntary Benefits for Part-Time Employees - Dental, vision, life, accident insurance, and telehealth options for those working 20 hours or more per week.
At Bradford Health Services, we don't just invest in our patients-we invest in our people.
About the Role:
The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing treatment costs. This position involves coordinating, assessing, and authorizing treatment plans, collaborating with medical staff, and maintaining compliance with healthcare regulations. The Utilization Review Coordinator works closely with insurance companies, clinicians, and support staff to ensure that treatment plans are clinically appropriate and reimbursable, advocating for the best interests of the patients and the hospital.
Key Responsibilities:
  • Case Review and Assessment
    • Conduct daily reviews of patient charts, treatment plans, and progress notes to determine if the level of care provided aligns with clinical guidelines and insurance requirements.
    • Monitor patient progress, reassess treatment needs, and recommend adjustments in care levels as needed.
    • Collaborate with clinical teams to understand patient needs, assess treatment efficacy, and make informed recommendations.
  • Insurance Coordination
    • Act as the primary point of contact with insurance providers for treatment authorization, concurrent review, and appeal processes.
    • Submit required documentation to insurance companies in a timely manner, including clinical updates, to secure and maintain treatment authorization.
    • Resolve reimbursement issues, advocating for patient treatment needs and securing necessary approvals.
  • Documentation and Compliance
    • Ensure all documentation is complete, accurate, and in line with state, federal, and hospital policies to facilitate compliance and quality audits.
    • Maintain a working knowledge of current insurance guidelines, DSM-5 criteria, and ASAM (American Society of Addiction Medicine) criteria.
    • Participate in internal and external audits, preparing records and reports as necessary.
  • Collaboration and Communication
    • Work closely with medical and support staff to ensure continuity of care and that utilization review processes are aligned with patient needs.
    • Provide guidance to clinical staff regarding documentation best practices and criteria required for continued care authorizations.
    • Participate in multidisciplinary team meetings to discuss patient care plans, discharge planning, and treatment adjustments.
  • Quality Improvement
    • Identify trends in denied claims or treatment authorizations, providing recommendations for process improvements.
    • Assist in training hospital staff on utilization review processes, criteria for different levels of care, and effective documentation practices.
    • Collaborate in developing policies to improve efficiency, patient care outcomes, and financial performance.

Qualifications:
  • Education: Bachelor's degree in Nursing, Social Work, or a related field required. Master's degree in a health-related field preferred.
  • Experience: Minimum of 2 years in utilization review, case management, or related field, preferably within a behavioral health or chemical dependency setting.
  • Licensure: Current RN, LCSW, or LPC license preferred.
  • Skills and Competencies:
    • In-depth understanding of mental health, substance abuse treatment and ASAM criteria.
    • Strong analytical and critical thinking skills with the ability to make clinical judgments based on patient data.
    • Excellent communication and interpersonal skills to facilitate interactions with insurers, staff, and patients.
    • Proficiency with electronic medical records (EMR) and utilization review software.
    • Knowledge of state, federal, and industry regulations related to chemical dependency and mental health care.
Working Conditions:
  • Full-time, primarily daytime hours, with occasional on-call duties or weekends as needed.
  • Must be able to work in a high-paced environment and handle sensitive information with discretion.
  • Physical demands may include sitting for extended periods, light lifting, and using a computer for most of the workday.

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