Job Title Utilization case review and application of criteria to approve initial and continued inpatient services Identify patients in need of outreach efforts based on patient risk stratification or ...
Job Title Utilization case review and application of criteria to approve initial and continued inpatient services Identify patients in need of outreach efforts based on patient risk stratification or ...
Managed care/utilization review experience preferred Education and Certification Requirements Licensed independent Behavioral Health clinician in state of service or a Registered Nurse (RN) with ...
Managed care/utilization review experience preferred Education and Certification Requirements Licensed independent Behavioral Health clinician in state of service or a Registered Nurse (RN) with ...
PAS Physician Advisor (Level of Care / Admission Status Review)
Chicago, IL · On-site
$150K - $199K/yr
Make phone contact with utilization review team and/or case managers at client hospitals regarding ... Weekend work commitment required to include 30% or more of hours on the weekend to include Friday ...
PAS Physician Advisor (Level of Care / Admission Status Review)
Chicago, IL · On-site
$150K - $199K/yr
Make phone contact with utilization review team and/or case managers at client hospitals regarding ... Weekend work commitment required to include 30% or more of hours on the weekend to include Friday ...
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required
Quick apply
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required
RN Care Management (Full-time)
Chicago, IL · On-site
$46 - $48/hr
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required
RN Care Management (Full-time)
Chicago, IL · On-site
$46 - $48/hr
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required
Quick apply
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required
RN Care Management (Full-time)
Chicago, IL · On-site
$46 - $48/hr
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required
RN Care Management (Full-time)
Chicago, IL · On-site
$46 - $48/hr
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required Equal Opportunity Employer ...
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required Equal Opportunity Employer ...
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required Equal Opportunity Employer ...
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required Equal Opportunity Employer ...
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required Equal Opportunity Employer ...
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case ... Weekend rotation will be required. Holiday and on call may be required Equal Opportunity Employer ...
Lead Utilization Management Nurse
Oak Brook, IL · On-site +1
We have an innovative organization looking to add a Lead Utilization Management Nurse to its team ... reviews * Registered Nurse (RN) with a current and active nursing license to practice in the State ...
Quick apply
Lead Utilization Management Nurse
Oak Brook, IL · On-site +1
We have an innovative organization looking to add a Lead Utilization Management Nurse to its team ... reviews * Registered Nurse (RN) with a current and active nursing license to practice in the State ...
Utilization Management Nurse Integrated Resources, Inc is a premier staffing firm recognized as one ... with weekend rotation among the team of clinicians (approximated to rotate once every 1 & ½ to 2 ...
Utilization Management Nurse Integrated Resources, Inc is a premier staffing firm recognized as one ... with weekend rotation among the team of clinicians (approximated to rotate once every 1 & ½ to 2 ...
Job Title : Utilization Management Nurse Consultant Duration : 6 months (Possible ext) Location ... Work hours from 8:00 am until 5:00 pm with weekend rotation among the team of clinicians ...
Job Title : Utilization Management Nurse Consultant Duration : 6 months (Possible ext) Location ... Work hours from 8:00 am until 5:00 pm with weekend rotation among the team of clinicians ...
Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm ... with weekend rotation among the team of clinicians (approximated to rotate once every 1 & ½ to 2 ...
Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm ... with weekend rotation among the team of clinicians (approximated to rotate once every 1 & ½ to 2 ...
Job Title : Utilization Management Nurse Consultant Duration : 6 months (Possible extension ... Work hours from 8:00 am until 5:00 pm with weekend rotation among the team of clinicians ...
Job Title : Utilization Management Nurse Consultant Duration : 6 months (Possible extension ... Work hours from 8:00 am until 5:00 pm with weekend rotation among the team of clinicians ...
Utilization Management, Utilization Review, Managed Care, or Cost Containment experience * CCM (Certified Case Manager), CIRS, or similar Case Management certification (preferred) * Ability to travel ...
Utilization Management, Utilization Review, Managed Care, or Cost Containment experience * CCM (Certified Case Manager), CIRS, or similar Case Management certification (preferred) * Ability to travel ...
RN Case Manager
Chicago, IL · On-site
$37.40/hr
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager
Chicago, IL · On-site
$37.40/hr
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager
Chicago, IL · On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager
Chicago, IL · On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager - REGISTRY
Chicago, IL · On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager - REGISTRY
Chicago, IL · On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
Weekend Utilization Review information
See Naperville, IL salary details
$21.36 - $25.68
2% of jobs
$25.68 - $30
9% of jobs
$32.96 is the 25th percentile. Wages below this are outliers.
$30 - $34.32
21% of jobs
The median wage is $37.82 / hr.
$34.32 - $38.64
23% of jobs
$38.64 - $42.96
13% of jobs
$46.33 is the 75th percentile. Wages above this are outliers.
$42.96 - $47.29
10% of jobs
$47.29 - $51.61
8% of jobs
$51.61 - $55.93
5% of jobs
$55.93 - $60.25
5% of jobs
$60.25 - $64.57
2% of jobs
$64.57 - $68.89
2% of jobs
$21
$42
$68
How much do weekend utilization review jobs pay per hour?
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 Naperville, IL?
The most popular types of Utilization Review jobs in Naperville, IL are:
What are popular job titles related to Weekend Utilization Review jobs in Naperville, IL?
For Weekend Utilization Review jobs in Naperville, IL, the most frequently searched job titles are:
What job categories do people searching Weekend Utilization Review jobs in Naperville, IL look for?
The top searched job categories for Weekend Utilization Review jobs in Naperville, IL are:
What cities near Naperville, IL are hiring for Weekend Utilization Review jobs?
Cities near Naperville, IL with the most Weekend Utilization Review job openings:

Other
Re-posted 8 days ago
Humboldt Park Health rating
5.4
Based on 5 frontline employees who took The Breakroom Quiz
951st of 1,061 rated hospitals
Job description
Utilization case review and application of criteria to approve initial and continued inpatient services
Identify patients in need of outreach efforts based on patient risk stratification or other defined criteria as well as defined disease management guidelines
Work with CPHO team, patient's Primary Care Physician and all other providers of the patients' care to develop individualized care plans
Facilitate communication with patients and care team, coordinate referrals, and promote optimal allocation of available resources
Measure progress toward goals based on clinical judgment, review of patients' self-monitoring tools and trends in clinical data
Assess and monitor adherence to outreach and then problem-solve intrinsic and extrinsic barriers to effective patient self-management of chronic conditions
Provide educational materials and resources to patient/family and their care providers
Refer patients/families to self-management support programs as needed and communicate with care providers to ensure safe and effective care management
Analyze clinical data to track patient outcomes to determine improvement
Triage patient phone calls for acute patient issues and counsel accordingly
Oversight and management of population health quality improvement studies to reach established targets
Interface with Commercial and Government entities on care coordination, HEDIS and other QI activities
Report to UM/QM Committee on progress toward goals and make recommendations for improvement
Other duties as assigned
Minimum qualifications must be health plan requirements, including but not limited to licensure/certification, as applicable
QualificationsBachelors or better
RN License
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
What Humboldt Park Health employees say
Pay
Hours and flexibility
Workplace
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About Humboldt Park Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Chicago, IL, US
Year founded
1894