Albany, NY · On-site
$77 - $119/hr
## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition id: 71163Department/Unit:Care Management/Social WorkWork ...
New
Albany, NY · On-site
$77 - $119/hr
## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition id: 71163Department/Unit:Care Management/Social WorkWork ...
New
$77K - $119K/yr
While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department. Identifies at-risk populations using approved screening tool and ...
$77K - $119K/yr
While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department. Identifies at-risk populations using approved screening tool and ...
Albany, NY · On-site
$77 - $119/hr
While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department. * Identifies at-risk populations using approved screening tool and ...
New
Albany, NY · On-site
$77 - $119/hr
While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department. * Identifies at-risk populations using approved screening tool and ...
New
$84K - $131K/yr
Most qualified candidates will have experience in Emergency/Trauma Care and/or previous Utilization Review roles. Qualifications and Ideal Characteristics * Registered nurse with a New York State ...
$84K - $131K/yr
Most qualified candidates will have experience in Emergency/Trauma Care and/or previous Utilization Review roles. Qualifications and Ideal Characteristics * Registered nurse with a New York State ...
May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs. * Plans, implements, and documents utilization management activities which ...
May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs. * Plans, implements, and documents utilization management activities which ...
May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs. * Plans, implements, and documents utilization management activities which ...
May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs. * Plans, implements, and documents utilization management activities which ...
May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs. * Plans, implements, and documents utilization management activities which ...
May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs. * Plans, implements, and documents utilization management activities which ...
Integrate Discharge Planning, Utilization Review and Performance Improvement activities at the ... Rotate On-Call Weekend coverage. * Mentor, train and/or support new staff. Ellis Medicine is ...
Integrate Discharge Planning, Utilization Review and Performance Improvement activities at the ... Rotate On-Call Weekend coverage. * Mentor, train and/or support new staff. Ellis Medicine is ...
Schenectady, NY · On-site
$29.44 - $44.16/hr
Integrate Discharge Planning, Utilization Review and Performance Improvement activities at the ... Rotate On-Call Weekend coverage. * Mentor, train and/or support new staff. Ellis Medicine is ...
Schenectady, NY · On-site
$29.44 - $44.16/hr
Integrate Discharge Planning, Utilization Review and Performance Improvement activities at the ... Rotate On-Call Weekend coverage. * Mentor, train and/or support new staff. Ellis Medicine is ...
Minimum 2 years of experience in utilization review, claims adjudication, medical review, fraud ... Availability to work weekends, holidays, and evening shifts on a rotating basis, as needed. * This ...
Quick apply
Minimum 2 years of experience in utilization review, claims adjudication, medical review, fraud ... Availability to work weekends, holidays, and evening shifts on a rotating basis, as needed. * This ...
Schenectady, NY · On-site
Previous case management, utilization review, and discharge planning experience is highly preferred. Home care, payer, or other experience will be considered. PHYSICAL REQUIREMENTS: The position is ...
Schenectady, NY · On-site
Previous case management, utilization review, and discharge planning experience is highly preferred. Home care, payer, or other experience will be considered. PHYSICAL REQUIREMENTS: The position is ...
Schenectady, NY · On-site
$38.59 - $57.89/hr
Previous case management, utilization review, and discharge planning experience is highly preferred. Home care, payer, or other experience will be considered. PHYSICAL REQUIREMENTS: The position is ...
Schenectady, NY · On-site
$38.59 - $57.89/hr
Previous case management, utilization review, and discharge planning experience is highly preferred. Home care, payer, or other experience will be considered. PHYSICAL REQUIREMENTS: The position is ...
A minimum of two (2) years of experience in performing utilization review, claims adjudication ... Weekend, holiday, and evening shift schedules will be assigned on a rotating basis. This is a ...
A minimum of two (2) years of experience in performing utilization review, claims adjudication ... Weekend, holiday, and evening shift schedules will be assigned on a rotating basis. This is a ...
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines. * Coordination of medically appropriate care where ...
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines. * Coordination of medically appropriate care where ...
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines. * Coordination of medically appropriate care where ...
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines. * Coordination of medically appropriate care where ...
Albany, NY · On-site
$56.83 - $80.93/hr
Minimum of two (2) years of experience in utilization review, claims adjudication, medical review ... Availability to work weekends, holidays, and evening shifts as needed. Benefits * Competitive ...
New
Albany, NY · On-site
$56.83 - $80.93/hr
Minimum of two (2) years of experience in utilization review, claims adjudication, medical review ... Availability to work weekends, holidays, and evening shifts as needed. Benefits * Competitive ...
New
A minimum of two (2) years of experience performing utilization review, claims adjudication ... Must be available to work weekends, holidays, and evening shifts as needed, assigned on a rotating ...
Quick apply
A minimum of two (2) years of experience performing utilization review, claims adjudication ... Must be available to work weekends, holidays, and evening shifts as needed, assigned on a rotating ...
A minimum of two (2) years of experience performing utilization review, claims adjudication ... Must be available to work weekends, holidays, and evening shifts as needed, assigned on a rotating ...
Quick apply
A minimum of two (2) years of experience performing utilization review, claims adjudication ... Must be available to work weekends, holidays, and evening shifts as needed, assigned on a rotating ...
A minimum of two (2) years of experience performing utilization review, claims adjudication ... Must be available to work weekends, holidays, and evening shifts as needed, assigned on a rotating ...
Quick apply
A minimum of two (2) years of experience performing utilization review, claims adjudication ... Must be available to work weekends, holidays, and evening shifts as needed, assigned on a rotating ...
A minimum of two (2) years of experience performing utilization review, claims adjudication ... Must be available to work weekends, holidays, and evening shifts as needed, assigned on a rotating ...
Quick apply
A minimum of two (2) years of experience performing utilization review, claims adjudication ... Must be available to work weekends, holidays, and evening shifts as needed, assigned on a rotating ...
$20.70 - $24.89
2% of jobs
$24.89 - $29.07
9% of jobs
$31.94 is the 25th percentile. Wages below this are outliers.
$29.07 - $33.26
21% of jobs
The median wage is $36.65 / hr.
$33.26 - $37.45
23% of jobs
$37.45 - $41.63
13% of jobs
$44.89 is the 75th percentile. Wages above this are outliers.
$41.63 - $45.82
10% of jobs
$45.82 - $50
8% of jobs
$50 - $54.19
5% of jobs
$54.19 - $58.38
5% of jobs
$58.38 - $62.56
2% of jobs
$62.56 - $66.75
2% of jobs
$20
$40
$66
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.
The most popular types of Utilization Review jobs in Schenectady, NY are:
For Weekend Utilization Review jobs in Schenectady, NY, the most frequently searched job titles are:
The top searched job categories for Weekend Utilization Review jobs in Schenectady, NY are:
Cities near Schenectady, NY with the most Weekend Utilization Review job openings:
$77 - $119/hr
Other
Posted 2 days ago
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Best of the Capital Region Albany Med is at its best when our community needs us most. We've been voted Best Hospital in the Times Union's annual readers' poll for two consecutive years. For more information about Albany Med, visit our website at amc.edu and interact with us on LinkedIn, Facebook, Instagram, and YouTube.
Education
1,001 - 5,000 Employees
Albany, NY, US
