ZipRecruiter

Log In

1

Weekend Utilization Review Jobs in Detroit, MI (NOW HIRING)

Spectrum Health

Utilization Mgmt Spec

Southfield, MI · On-site

Provides clerical support for Utilization Management; sorting faxes and mail, obtaining ... Weekend Frequency Variable weekends CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through ...

Corewell Health

Utilization Mgmt Spec

Southfield, MI · On-site

Provides clerical support for Utilization Management; sorting faxes and mail, obtaining ... Weekend Frequency Variable weekends CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through ...

Corewell Health

RN Care Coordinator

Dearborn, MI · On-site

Identifies patients that need care management services (i.e. utilization review; care coordination ... Weekend Frequency Variable weekends CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through ...

Spectrum Health

RN Care Coordinator

Dearborn, MI

Identifies patients that need care management services (i.e. utilization review; care coordination ... Weekend Frequency Variable weekends CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through ...

Spectrum Health

RN Care Coordinator

Dearborn, MI

Identifies patients that need care management services (i.e. utilization review; care coordination ... Weekend Frequency Variable weekends CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through ...

previous pagenext page

Showing results 21-40

All JobsUtilization Review JobsWeekend Utilization Review JobsWeekend Utilization Review Jobs in Detroit, MI

Weekend Utilization Review information

See Detroit, MI salary details

$21

$41

$68

How much do weekend utilization review jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for weekend utilization review in Detroit, MI is $41.86, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.08 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 Detroit, MI?

The most popular types of Utilization Review jobs in Detroit, MI are:

What are popular job titles related to Weekend Utilization Review jobs in Detroit, MI?

For Weekend Utilization Review jobs in Detroit, MI, the most frequently searched job titles are:

What job categories do people searching Weekend Utilization Review jobs in Detroit, MI look for?

The top searched job categories for Weekend Utilization Review jobs in Detroit, MI are:

What cities near Detroit, MI are hiring for Weekend Utilization Review jobs?

Cities near Detroit, MI with the most Weekend Utilization Review job openings:

Weekend Utilization Review jobs near you
Infographic showing various Weekend Utilization Review job openings in Detroit, MI as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $87,064 per year, or $41.9 per hour.

RN Utilization Management Coordinator

Spectrum Health

Southfield, MI • Hybrid

Part-time

Medical, Retirement

Posted 5 days ago

Job description

Scope of work

This role includes accountability for utilization review (UR) and may include admission, concurrent, and retrospective reviews. Coordinates activities involved in the certification, recertification, and concurrent appeals process, conducting referrals for 2nd level review, as needed. Ensures timely communication with payers based on adequate and complete documentation received by the physician/provider and utilization reviews. Initiates concurrent appeals to address patient class/status downgrades or clinical denials related to medical necessity.
  • Participates within the department to meet expected objectives and outcomes.
  • Meets or exceeds expectations related to behavior and performance. Meets individual and departmental objectives established for Quality, Satisfaction, Growth and Financial Success.
  • Conducts timely and accurate utilization reviews, as assigned, using organization-approved UR criteria.
  • Works closely with physician advisors and medical staff to ensure appropriate level of care, including obtaining physician orders for patient class changes when needed.
  • Refers cases, as defined, for 2nd level medical necessity review.
  • Maintains daily contact with payers to obtain authorization and reauthorization information and addresses concurrent denials and/or audit requests.
  • Provides UR and clinical documentation is adequate and complies with payer requirements.
  • Schedules next review/follow-up reviews as required in accordance with organizational policy and procedure and payer requests.
  • Routinely collaborates with the System Clinical Appeals and Revenue Cycle departments to expedite billing and appeals processes.
  • Maintains and monitors assigned work queues within the Electronic Medical Record.
Qualifications
  • Required Associate's Degree Associates or technical degree.
  • Preferred Bachelor's Degree in nursing or related field.
  • 2 years of relevant experience 2 years of experience in clinical/hospital setting. Required
  • Hospital utilization review/utilization management experience. Preferred
  • Clinical appeals experience. Preferred
  • Registered Nurse (RN) - State of Michigan Upon Hire required

    How Corewell Health cares for you
    • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
    • On-demand pay program powered by Payactiv
    • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
    • Optional identity theft protection, home and auto insurance
    • Traditional and Roth retirement options with service contribution and match savings
    • Eligibility for benefits is determined by employment type and status

    Primary Location

    SITE - 25800 Northwestern Highway - Southfield

    Department Name

    Utilization Management - Diversified East WB Mkt

    Employment Type

    Part time

    Shift

    Day (United States of America)

    Weekly Scheduled Hours

    0.04

    Hours of Work

    8

    Days Worked

    Monday - Friday

    Weekend Frequency

    N/A

    CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

    Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

    Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

    An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

    You may request assistance in completing the application process by calling 616.486.7447.

    Apply