Director of Nursing
Collinsville, TX · On-site
Infection Control, Quality Assurance, Utilization review, etc. Monitor for Safety issues during ... Participate in Manager On Duty weekend rotation. Any other duties as assigned by the Administrator.
Collinsville, TX · On-site
Infection Control, Quality Assurance, Utilization review, etc. Monitor for Safety issues during ... Participate in Manager On Duty weekend rotation. Any other duties as assigned by the Administrator.
Collinsville, TX · On-site
Infection Control, Quality Assurance, Utilization review, etc. Monitor for Safety issues during ... Participate in Manager On Duty weekend rotation. Any other duties as assigned by the Administrator.
Dallas, TX · On-site
Collaborates with Social Work, Utilization Review, Clinical Documentation Specialists, and others as necessary to maximize financial/care resources for patient and family. * Coordinates care with ...
Dallas, TX · On-site
Collaborates with Social Work, Utilization Review, Clinical Documentation Specialists, and others as necessary to maximize financial/care resources for patient and family. * Coordinates care with ...
Dallas, TX · On-site
Collaborates with Social Work, Utilization Review, Clinical Documentation Specialists, and others as necessary to maximize financial/care resources for patient and family. * Coordinates care with ...
Dallas, TX · On-site
Collaborates with Social Work, Utilization Review, Clinical Documentation Specialists, and others as necessary to maximize financial/care resources for patient and family. * Coordinates care with ...
Collaborates with Social Work, Utilization Review, Clinical Documentation Specialists, and others as necessary to maximize financial/care resources for patient and family. * Coordinates care with ...
Collaborates with Social Work, Utilization Review, Clinical Documentation Specialists, and others as necessary to maximize financial/care resources for patient and family. * Coordinates care with ...
Mckinney, TX · On-site
$70 - $100/hr
Knowledgeable in utilization review, medical terminology, appropriate levels of care, treatment, modalities, statues, and healthcare delivery models.Communication skills, both written and oral, must ...
New
Mckinney, TX · On-site
$70 - $100/hr
Knowledgeable in utilization review, medical terminology, appropriate levels of care, treatment, modalities, statues, and healthcare delivery models.Communication skills, both written and oral, must ...
New
Dallas, TX · On-site
The UM Nurse Specialist provides organizational support in the Utilization Management Department; efficiently processes Pre-Service Authorization requests within regulated turn-around times. Works ...
Dallas, TX · On-site
The UM Nurse Specialist provides organizational support in the Utilization Management Department; efficiently processes Pre-Service Authorization requests within regulated turn-around times. Works ...
Weekend selfscheduling for greater worklife balance * Relocation assistance available * California ... Review emergency department admissions for medical necessity and level of care * Collaborate with ...
Weekend selfscheduling for greater worklife balance * Relocation assistance available * California ... Review emergency department admissions for medical necessity and level of care * Collaborate with ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
Clinical Pharmacist Specialist BMT Full Time Day Shift Position, rotating weekends BMT Experience ... Completes drug utilization reviews to promote rational drug therapy and implement improvements ...
$20.32 - $24.43
2% of jobs
$24.43 - $28.54
9% of jobs
$31.35 is the 25th percentile. Wages below this are outliers.
$28.54 - $32.65
21% of jobs
The median wage is $35.98 / hr.
$32.65 - $36.76
23% of jobs
$36.76 - $40.87
13% of jobs
$44.07 is the 75th percentile. Wages above this are outliers.
$40.87 - $44.98
10% of jobs
$44.98 - $49.09
8% of jobs
$49.09 - $53.20
5% of jobs
$53.20 - $57.31
5% of jobs
$57.31 - $61.42
2% of jobs
$61.42 - $65.53
2% of jobs
$20
$40
$65
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.
Cities near Pilot Point, TX with the most Weekend Utilization Review job openings:

Trinity Healthcare is a Fort Worth, Texas based company specializing in the operation and management of skilled nursing, rehabilitation, long-term care and hospice services. With an emphasis on treating our residents, patients and employees like family, we engage licensed administrators, registered nurses, social workers, licensed therapists, physicians, pharmacist and dietitians to develop a care plan to meet the needs of the communities that we serve.
JOB DESCRIPTION: DIRECTOR OF NURSING IMMEDIATE SUPERVISOR: ADMINISTRATOR EXPERIENCE: Must have a minimum of two years experience in a supervisory capacity in a hospital, a skilled Nursing Facility or other related healthcare program. Must possess a working knowledge of Long Term care operational standards as set forth in Federal Register, Conditions of Participation and State regulations. OVERALL PURPOSE: The primary purpose of your job position is to plan, develop, organize and direct the day to day functions of the Nursing Services Department in accordance with current Federal, State, and local standards. Also, maintain compliance with our own policies and procedures. Ensure that the highest degree of quality care is maintained at all times. As Director of Nursing, you are delegated the administrative authority, responsibility, accountability necessary to carry out your assigned duties. In the absence of the Administrator, you are charged with carrying out the policies established by this Facility. JOB FUNCTIONS: Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you are required to perform. JOB DUTIES: Interpret the facility's policies and procedures to employees, residents, family members, visitors, government agencies, etc. as necessary. Assist in developing and implementing appropriate plans of action to ensure the quality of life and care defined by the resident's comprehensive assessment and care plan. Develop and maintain a good working rapport with inter-department personnel. Ensure that all nursing personnel are following their respective job descriptions. Perform administrative requirements such as completion of necessary medical forms, reports, evaluations, studies, charting, etc. as required. Attend staff meetings. Participate in the ongoing quality assurance program for the nursing department. Make necessary written and oral reports to the Administrator as required concerning the operation of the Nursing Department and Quality Assurance. Make daily rounds of the nursing services department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Counsel/discipline personnel as necessary. Progressively discipline employees as necessary, documenting such actions. Assure that an adequate number of appropriately trained professional are on duty at all times to meet the needs of the residents, by developing work assignments, adjusting scheduled staff, approving extra shifts and approving temporary staff usage. Audit MAR and TAR weekly. Monitor Lab log and Physician new order log. Serve on various committees of the facility: Infection Control, Quality Assurance, Utilization review, etc. Monitor for Safety issues during daily rounds. Report any unsafe conditions to the appropriate department. Report all incidents and accidents immediately. Ensure that nursing department supplies are used in an efficient manner to avoid waste. Ensure that personnel involved in providing care to the resident is aware of the care plan and that the care plans are used in administering daily care to the resident. Monitor to ensure that all nursing care is provided in privacy and that all nursing service personnel knock before entering the residents' room. Monitor nursing care to assure that all residents are treated fairly, with kindness, dignity and respect. Assist with reviewing complaints and grievances made by the resident. Complete the performance evaluations for the Nursing Department. Participate in Manager On Duty weekend rotation. Any other duties as assigned by the Administrator. ACKNOWLEDGEMENT: As the Director of Nursing, I understand the job duties as outlined by this job description. I understand that I am an exempt employee and that I am required to work the hours necessary to complete the job. I accept the responsibilities as outlined and will do my best to ensure quality resident care in our facility. _____________________________________________ ______________________________
must have worked in Long Term Care
All your information will be kept confidential according to EEO guidelines.