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Weekend Utilization Review Jobs in Lexington, KY

PRN, RN - Utilization Review Making Communities Healthier with Comprehensive Care... You can get to know who we are and what truly makes us different by our mission, 'Making Communities Healthier'

Summary Registered Nurse-OR Full-Time, Weekend Shift (2x12's 06:45 - 1930) Operating Room I Lexington, KY Baptist Health Lexington Surgical Services Department encompasses several key areas: the Pre ...

Summary Registered Nurse-OR Full-Time, Weekend Shift (2x12's 06:45 - 1930) Operating Room I Lexington, KY Baptist Health Lexington Surgical Services Department encompasses several key areas: the Pre ...

Manage CMMS utilization and work order systems; reduce MTTR and increase MTBF across critical ... Ensure safety is engineered into every project - review safety work orders, partner with the Safety ...

Sales Associate - Soma

Lexington, KY ยท On-site

$14 - $19/hr

Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...

Heavy Equipment Mechanic

Georgetown, KY ยท On-site

$23.50 - $31/hr

Maintain accurate repair orders, parts usage, and repair times through the utilization of a ... Ability to work overtime, weekends, and/or holidays * Legally eligible to work in the United States

Participates in physician compensation reviews, productivity analysis, contract evaluations, and ... Evening or weekend work may occasionally be necessary to meet operational or organizational needs.

Sales Associate - Soma

Lexington, KY

$14 - $19/hr

Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...

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Weekend Utilization Review information

See Lexington, KY salary details

$21

$42

$68

How much do weekend utilization review jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for weekend utilization review in Lexington, KY is $42.02, according to ZipRecruiter salary data. Most workers in this role earn between $33.22 and $48.27 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 Lexington, KY?

The most popular types of Utilization Review jobs in Lexington, KY are:

What cities near Lexington, KY are hiring for Weekend Utilization Review jobs?

Cities near Lexington, KY with the most Weekend Utilization Review job openings:

Infographic showing various Weekend Utilization Review job openings in Lexington, KY as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, and 4% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,411 per year, or $42 per hour.

RN Utilization Review PRN

Phenom People

Paris, KY โ€ข On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted just now


Job description

PRN, RN - Utilization Review

Making Communities Healthier with Comprehensive Care...

You can get to know who we are and what truly makes us different by our mission, 'Making Communities Healthier'. As health care evolves, Bourbon Community Hospital is transforming patient safety and quality care - pushing the limits and paving the way to establish new practices and set new standards. We believe in putting the patient at the center of everything we do. We are developing the most innovative patient experiences with our constant investment in continuing education and leadership development programs.

We want you on our team...Bourbon Community Hospital located in Paris, a 20 minute drive from Lexington, KY is searching for a PRN, RN - Utilization Review, who monitors adherence to the hospital's utilization review plan to ensure appropriate use of hospital services, hospital admissions and extended hospital stays.

We are committed to serving the needs of our community and our region with exceptional quality and we are passionately focused on our patients. We consider quality more than just a set of criteria. It is a way of life for Bourbon Community, encompassing everything we do. This is an exciting time to join our team as we continue to grow and expand with new services.

At Bourbon Community, we believe in building careers. That is why we offer an excellent tuition reimbursement program, competitive pay, a generous paid time off program, flexible spending account plan, choice of health insurance plans, dental, vision, life, disability plans, discounts in our cafรฉ and various discounts in our community, traditional and Roth 401 (k) plans with a match, and free parking on our beautiful campus.

Simply put, our employees are the heart and soul of our organization.

Essential functions of position include, but are not limited to:

  • Establishes and maintains efficient methods of ensuring the medical necessity and appropriateness of all hospital admissions.
  • Performs concurrent reviews for patients to ensure that extended stays are medically justified and are so documented in patient's medical records.
  • Calculates the lengths of stay and continued-stay days for patients.
  • Maintains a liaison with the Social Service Department to facilitate timely discharge planning.

Minimum Education

Associate's degree - Required

Bachelor's degree - Preferred

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Certifications:

Handle With Care

Licenses:

RN in the state of Kentucky

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran