Utilization Review RN, PRN
Dallas, TX · On-site
As a Utilization Review RN, review cases to determine medical suitability for insured patients. Your expertise shines through meticulous clinical reviews using established criteria. You play a key ...
Dallas, TX · On-site
As a Utilization Review RN, review cases to determine medical suitability for insured patients. Your expertise shines through meticulous clinical reviews using established criteria. You play a key ...
Dallas, TX · On-site
As a Utilization Review RN, review cases to determine medical suitability for insured patients. Your expertise shines through meticulous clinical reviews using established criteria. You play a key ...
Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the ...
Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Nephrology to conduct ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Nephrology to conduct ...
Dallas, TX · Remote
$40/hr
... review activities; discharge care coordination for determining efficiency, effectiveness and ... Provides information regarding utilization management requirements and operational procedures to ...
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Dallas, TX · Remote
$40/hr
... review activities; discharge care coordination for determining efficiency, effectiveness and ... Provides information regarding utilization management requirements and operational procedures to ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Vascular Surgery to conduct ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Vascular Surgery to conduct ...
Dallas, TX · Remote
$41/hr
This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing; And To Initiate And/Or Respond To ...
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Dallas, TX · Remote
$41/hr
This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing; And To Initiate And/Or Respond To ...
Assists in faxing initial, concurrent or discharge reviews to insurance companies. * Documents ... Utilization Management functions. * Communicates with insurance company to obtain pending ...
Assists in faxing initial, concurrent or discharge reviews to insurance companies. * Documents ... Utilization Management functions. * Communicates with insurance company to obtain pending ...
This position requires availability to work alternating weekends and holidays as part of the regular schedule. The Utilization Management (UM) RN performs utilization review activities, including ...
This position requires availability to work alternating weekends and holidays as part of the regular schedule. The Utilization Management (UM) RN performs utilization review activities, including ...
Dallas, TX · On-site
As a Utilization Review RN, review cases to determine medical suitability for insured patients. Your expertise shines through meticulous clinical reviews using established criteria. You play a key ...
Dallas, TX · On-site
As a Utilization Review RN, review cases to determine medical suitability for insured patients. Your expertise shines through meticulous clinical reviews using established criteria. You play a key ...
This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically ...
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This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically ...
Assists in faxing initial, concurrent or discharge reviews to insurance companies. * Documents ... Utilization Management functions. * Communicates with insurance company to obtain pending ...
Assists in faxing initial, concurrent or discharge reviews to insurance companies. * Documents ... Utilization Management functions. * Communicates with insurance company to obtain pending ...
Assists in faxing initial, concurrent or discharge reviews to insurance companies. * Documents ... Utilization Management functions. * Communicates with insurance company to obtain pending ...
Assists in faxing initial, concurrent or discharge reviews to insurance companies. * Documents ... Utilization Management functions. * Communicates with insurance company to obtain pending ...
Assists in faxing initial, concurrent or discharge reviews to insurance companies. * Documents ... Utilization Management functions. * Communicates with insurance company to obtain pending ...
Assists in faxing initial, concurrent or discharge reviews to insurance companies. * Documents ... Utilization Management functions. * Communicates with insurance company to obtain pending ...
Assists in faxing initial, concurrent or discharge reviews to insurance companies. * Documents ... Utilization Management functions. * Communicates with insurance company to obtain pending ...
Assists in faxing initial, concurrent or discharge reviews to insurance companies. * Documents ... Utilization Management functions. * Communicates with insurance company to obtain pending ...
Assists in faxing initial, concurrent or discharge reviews to insurance companies. * Documents ... Utilization Management functions. * Communicates with insurance company to obtain pending ...
Assists in faxing initial, concurrent or discharge reviews to insurance companies. * Documents ... Utilization Management functions. * Communicates with insurance company to obtain pending ...
The Utilization Management (UM) Manager is responsible for conducting clinical utilization reviews, determining funding eligibility and medical necessity, authorizing behavioral health services, and ...
The Utilization Management (UM) Manager is responsible for conducting clinical utilization reviews, determining funding eligibility and medical necessity, authorizing behavioral health services, and ...
The Afterhours Utilization Management Representative III is responsible for coordinating cases for precertification and prior authorization review. How you will make an impact: * Responsible for ...
The Afterhours Utilization Management Representative III is responsible for coordinating cases for precertification and prior authorization review. How you will make an impact: * Responsible for ...
The Utilization Management (UM) Coordinator provides MSO referral management services. The UM ... Position is responsible for reviewing and processing requests for authorization and notification of ...
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The Utilization Management (UM) Coordinator provides MSO referral management services. The UM ... Position is responsible for reviewing and processing requests for authorization and notification of ...
PreCert Nurse - LVN Utilization Review Nurse (Administrative Nursing) Are you looking for a challenging and impactful nursing career that will diversify your nursing skills? Tired of working long ...
PreCert Nurse - LVN Utilization Review Nurse (Administrative Nursing) Are you looking for a challenging and impactful nursing career that will diversify your nursing skills? Tired of working long ...
Dallas, TX · On-site
$27.25 - $36.50/hr
This position requires availability to work alternating weekends and holidays as part of the regular schedule. The Utilization Management (UM) LVN performs utilization review activities, including ...
Dallas, TX · On-site
$27.25 - $36.50/hr
This position requires availability to work alternating weekends and holidays as part of the regular schedule. The Utilization Management (UM) LVN performs utilization review activities, including ...
$21.16 - $25.44
2% of jobs
$25.44 - $29.72
9% of jobs
$32.65 is the 25th percentile. Wages below this are outliers.
$29.72 - $34
21% of jobs
The median wage is $37.47 / hr.
$34 - $38.29
23% of jobs
$38.29 - $42.57
13% of jobs
$45.89 is the 75th percentile. Wages above this are outliers.
$42.57 - $46.85
10% of jobs
$46.85 - $51.13
8% of jobs
$51.13 - $55.41
5% of jobs
$55.41 - $59.69
5% of jobs
$59.69 - $63.97
2% of jobs
$63.97 - $68.25
2% of jobs
$21
$41
$68
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 Dallas, TX are:
For Weekend Utilization Review jobs in Dallas, TX, the most frequently searched job titles are:
The top searched job categories for Weekend Utilization Review jobs in Dallas, TX are:
Cities near Dallas, TX with the most Weekend Utilization Review job openings:

Per diem
Medical, Retirement, PTO
Posted 8 days ago
7.5
Based on 772 frontline employees who took The Breakroom Quiz
232nd of 898 rated healthcare providers
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.
Our Core Values are:
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
Note: Benefits may vary based upon position type and/or level.
Job SummaryAre you seeking an impactful nursing role? As a Utilization Review RN, review cases to determine medical suitability for insured patients. Your expertise shines through meticulous clinical reviews using established criteria. You play a key role in supporting the healthcare team by optimizing resources and implementing care plans. Communication with health plan departments is important to ensure services meet medical necessity standards. This includes prospective, concurrent, and retrospective reviews.
Essential Functions of the RoleWe believe that all people should feel welcomed, valued and supported.
Qualifications
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Outpatient health care and health care and social assistance
10,000+ Employees
Dallas, TX, US