Atlanta, GA · On-site
$2.7K/wk
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 20 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel Coast Medical Service is a nationwide travel nursing ...
Atlanta, GA · On-site
$2.7K/wk
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 20 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel Coast Medical Service is a nationwide travel nursing ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the patient chart ...
The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the patient chart ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity reviews by utilizing Milliman and Interqual Guidelines in conjunction with a review of the ...
The Utilization Review Assistant supports the UM Nursing department systemwide with non-clinical duties, tasks, and functions within the department to ensure these duties are performed timely. This ...
New
The Utilization Review Assistant supports the UM Nursing department systemwide with non-clinical duties, tasks, and functions within the department to ensure these duties are performed timely. This ...
New
Riverdale, GA · On-site
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Riverdale, GA · On-site
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Riverdale, GA · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Riverdale, GA · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Atlanta, GA · On-site
$120 - $160/hr
Responsibilities Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
Atlanta, GA · On-site
$120 - $160/hr
Responsibilities Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
Riverdale, GA · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Riverdale, GA · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Responsibilities Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
Responsibilities Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
ResponsibilitiesProvide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
ResponsibilitiesProvide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
Atlanta, GA · On-site
$120 - $170/hr
Responsibilities Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
Atlanta, GA · On-site
$120 - $170/hr
Responsibilities Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and multiple ...
Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and multiple ...
Atlanta, GA · On-site
$110 - $170/hr
Responsibilities Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
Atlanta, GA · On-site
$110 - $170/hr
Responsibilities Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
Atlanta, GA · On-site
$15.96 - $18/hr
Monday-Friday (Must be willing to work weekends and holidays) Location: Virtual: This role enables ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Atlanta, GA · On-site
$15.96 - $18/hr
Monday-Friday (Must be willing to work weekends and holidays) Location: Virtual: This role enables ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
$20.89 - $25.11
2% of jobs
$25.11 - $29.34
9% of jobs
$32.23 is the 25th percentile. Wages below this are outliers.
$29.34 - $33.56
21% of jobs
The median wage is $36.98 / hr.
$33.56 - $37.79
23% of jobs
$37.79 - $42.01
13% of jobs
$45.30 is the 75th percentile. Wages above this are outliers.
$42.01 - $46.24
10% of jobs
$46.24 - $50.46
8% of jobs
$50.46 - $54.68
5% of jobs
$54.68 - $58.91
5% of jobs
$58.91 - $63.13
2% of jobs
$63.13 - $67.36
2% of jobs
$20
$41
$67
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 Decatur, GA are:
For Weekend Utilization Review jobs in Decatur, GA, the most frequently searched job titles are:
The top searched job categories for Weekend Utilization Review jobs in Decatur, GA are:
Cities near Decatur, GA with the most Weekend Utilization Review job openings:
$2.7K/wk
Other
Posted 7 days ago
Coast Medical Service is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia.
Job Description & RequirementsCoast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Please note that pay rate may differ for locally based candidates. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. We look forward to speaking with you!
Coast Medical Services Job ID #37796653. Pay package is based on 10 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Utilization Review,07:00:00-17:00:00
Why Vivian Health?Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.
Sourced by ZipRecruiter
Coast Medical Service is a nationwide travel nursing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featured on Blue Pipes' Top 20 Travel Agencies of 2022 at #10, and named a 2022 Top Rated Healthcare Staffing Firm by Great Recruiters. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. We look forward to speaking with you!
Recruiting and staffing services
11 - 50 Employees
Hermosa Beach, CA, US
1979
