Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of America Certification CCM preferred. Licensure required as a Registered Nurse by the State of New ...
Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of America Certification CCM preferred. Licensure required as a Registered Nurse by the State of New ...
Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of America Certification CCM preferred. Licensure required as a Registered Nurse by the State of New ...
Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of America Certification CCM preferred. Licensure required as a Registered Nurse by the State of New ...
Manager, Medical Utilization and Care Management
Manhattan, NY · On-site
$95K - $130K/yr
Monitor vendor review of medical records and treatment plans to support appropriate service utilization, avoid unnecessary or duplicate services, and optimize reimbursement outcomes. * Partner with ...
Manager, Medical Utilization and Care Management
Manhattan, NY · On-site
$95K - $130K/yr
Monitor vendor review of medical records and treatment plans to support appropriate service utilization, avoid unnecessary or duplicate services, and optimize reimbursement outcomes. * Partner with ...
Job Summary Responsible for utilization review and clinical chart review to ensure medical ... occasional weekend or holiday coverage as needed. Physical Requirements : Position requires ...
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Job Summary Responsible for utilization review and clinical chart review to ensure medical ... occasional weekend or holiday coverage as needed. Physical Requirements : Position requires ...
RN/Case Manager MSH Case Management FT Weekdays/Weekends/Holidays The Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Manager MSH Case Management FT Weekdays/Weekends/Holidays The Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
Be the First to Apply RN/Case Management MSH Case Management FT Weekdays/Weekends/Holidays The Case ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
Be the First to Apply RN/Case Management MSH Case Management FT Weekdays/Weekends/Holidays The Case ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Manager MSH Case Management PT Weekdays/Weekends/Holidays he Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Manager MSH Case Management PT Weekdays/Weekends/Holidays he Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Manager MSH Case Management FT Weekdays/Weekends/Holidays The Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Manager MSH Case Management FT Weekdays/Weekends/Holidays The Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Management MSH Case Management FT Weekdays/Weekends/Holidays The Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Management MSH Case Management FT Weekdays/Weekends/Holidays The Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Manager MSH Case Management FT Weekdays/Weekends/Holidays The Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Manager MSH Case Management FT Weekdays/Weekends/Holidays The Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Manager MSH Case Management FT Weekdays/Weekends/Holidays The Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Manager MSH Case Management FT Weekdays/Weekends/Holidays The Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Manager MSH Case Management PT Weekdays/Weekends/Holidays he Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Manager MSH Case Management PT Weekdays/Weekends/Holidays he Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Manager MSH Case Management FT Weekends/Weekdays/Holidays The Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
RN/Case Manager MSH Case Management FT Weekends/Weekdays/Holidays The Case Manager (CM) will be ... Reviews all new admissions to identify patients where utilization review, discharge planning, and ...
Utilization Management Pharmacist (temp-to-hire)
Manhattan, NY · On-site
$125K - $130K/yr
This position is responsible for reviewing prior authorization requests, supporting clinical ... Availability to work after hours, weekends, and holidays on a rotating schedule Preferred ...
Utilization Management Pharmacist (temp-to-hire)
Manhattan, NY · On-site
$125K - $130K/yr
This position is responsible for reviewing prior authorization requests, supporting clinical ... Availability to work after hours, weekends, and holidays on a rotating schedule Preferred ...
Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve optimal patient outcomes and ...
Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve optimal patient outcomes and ...
Inpatient Care Manager (RN): Per Diem, Weekend Days, 8AM-4PM, Atlantic Health Morristown Medical Cen
Morristown, NJ · On-site
$54.80/hr
Weekend-Only Scheduling Expectations: a.) Staff who work weekends only are expected to work a ... Conduct daily chart and utilization reviews to ensure appropriate level of care. * Maintain ...
Inpatient Care Manager (RN): Per Diem, Weekend Days, 8AM-4PM, Atlantic Health Morristown Medical Cen
Morristown, NJ · On-site
$54.80/hr
Weekend-Only Scheduling Expectations: a.) Staff who work weekends only are expected to work a ... Conduct daily chart and utilization reviews to ensure appropriate level of care. * Maintain ...
Utilization Management Nurse Consultant
New York, NY · Remote
$32.01 - $68.55/hr
Review clinical information and apply evidence-based criteria to support coverage determinations ... Ability to work a designated schedule of 8:00 am to 5:00 P M ET , including weekends, holidays, and ...
Utilization Management Nurse Consultant
New York, NY · Remote
$32.01 - $68.55/hr
Review clinical information and apply evidence-based criteria to support coverage determinations ... Ability to work a designated schedule of 8:00 am to 5:00 P M ET , including weekends, holidays, and ...
Reviews health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria; collects and analyzes utilization information ...
Reviews health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria; collects and analyzes utilization information ...
RN Case Manager
Bronx, NY · On-site
$3.0K - $3.1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: West Bronx, New York Start Date: July 4, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
RN Case Manager
Bronx, NY · On-site
$3.0K - $3.1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: West Bronx, New York Start Date: July 4, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
Health Care Surveyor 2 (Nursing) (NY HELPS) - 51280
Manhattan, NY · On-site
$123K - $133K/yr
May also review facility policy and procedures for Certificate of Need and conduct onsite pre-opening surveys for licensure. Minimum Qualifications Permanent Transfer Candidates: Current NYS employee ...
Health Care Surveyor 2 (Nursing) (NY HELPS) - 51280
Manhattan, NY · On-site
$123K - $133K/yr
May also review facility policy and procedures for Certificate of Need and conduct onsite pre-opening surveys for licensure. Minimum Qualifications Permanent Transfer Candidates: Current NYS employee ...
Weekend Utilization Review information
See Ridgewood, NJ salary details
$21.65 - $26.02
2% of jobs
$26.02 - $30.40
9% of jobs
$33.40 is the 25th percentile. Wages below this are outliers.
$30.40 - $34.78
21% of jobs
The median wage is $38.32 / hr.
$34.78 - $39.16
23% of jobs
$39.16 - $43.54
13% of jobs
$46.94 is the 75th percentile. Wages above this are outliers.
$43.54 - $47.91
10% of jobs
$47.91 - $52.29
8% of jobs
$52.29 - $56.67
5% of jobs
$56.67 - $61.05
5% of jobs
$61.05 - $65.43
2% of jobs
$65.43 - $69.80
2% of jobs
$21
$42
$69
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 cities near Ridgewood, NJ are hiring for Weekend Utilization Review jobs?
Cities near Ridgewood, NJ with the most Weekend Utilization Review job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 14 days ago
St. Joseph's Health (New Jersey) rating
7.7
Based on 47 frontline employees who took The Breakroom Quiz
159th of 888 rated healthcare providers
Job description
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services in accordance with established criteria, regulatory requirements, and organizational role. The UM RN ensures optimal patient care delivery while supporting compliance, quality outcomes, and effective resource utilization. The role is responsible for the assessment of medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate but ensures that an authorization is obtained from the payer, if required, and that the documentation supports the care delivered in such a way that minimizes risks of denials.
St. Joseph's Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care".
Benefits Eligibility: (Full-time and Part-time Employees-over 20 hours a week)
- Competitive salary*
- Robust benefits with health, dental, Rx and vision plans
- 403b retirement plan options with company match**
- Health & Wellness*
- Non-Profit Health System - eligible for Federal Student Loan Forgiveness
- PTO, and paid holidays
- Tuition reimbursement
- Employee Assistance Program
- LTD : Long Term Disability
- Life Insurance Options
- Onsite Day care Program
*Available for Per Diem Employees and Part-time Employees working under 20 hours per week.
**403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.
Pay transparency: St. Joseph's Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc." The salary range does not include incentives, differential pay or other forms of compensation.
St. Joseph's University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women's health, imaging and pediatrics.
The nursing team at St. Joseph's University Medical Center, which includes St. Joseph's Children's Hospital, has held the Magnet Award for Nursing Excellence, the profession's highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.
Work requires the knowledge of theories, principles, and concepts normally acquired through completion of a Bachelor of Science in Nursing and least at least 3 years of previous nursing experience. Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of America Certification CCM preferred. Licensure required as a Registered Nurse by the State of New Jersey.
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