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Weekend Utilization Review Jobs in Schenectady, NY

Albanymed

Utilization Review Nurse

Albany, NY

$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 Med

Utilization Review Nurse

Albany, NY · On-site

$77K - $119K/yr

... utilization review identifies areas for clinical documentation improvement and contacts appropriate department. • Identifies at-risk populations using approved screening tool and follows ...

Albany Medical Center

Utilization Review Nurse

Albany, NY · On-site

$77K - $119K/yr

... utilization review identifies areas for clinical documentation improvement and contacts appropriate department. • Identifies at-risk populations using approved screening tool and follows ...

Greenlife Healthcare Staffing

Be Seen First

Registered Nurse - Nursing Home Surveyor

Albany, NY · On-site

$50/hr

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 ...

Albanymed

Nurse Case Manager

Albany, NY · On-site

$77K - $119K/yr

Utilization Review a. Reviews data from admission screening to clarify admission diagnosis, establish appropriate length of stay, and identify any potential outliers and determine appropriateness of ...

Albany Med

Nurse Case Manager

Albany, NY · On-site

$77K - $119K/yr

Utilization Review a. Reviews data from admission screening to clarify admission diagnosis, establish appropriate length of stay, and identify any potential outliers and determine appropriateness of ...

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Weekend Utilization Review information

See Schenectady, NY salary details

$20

$40

$66

How much do weekend utilization review jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for weekend utilization review in Schenectady, NY is $40.91, according to ZipRecruiter salary data. Most workers in this role earn between $32.31 and $46.97 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 Schenectady, NY?

The most popular types of Utilization Review jobs in Schenectady, NY are:

What are popular job titles related to Weekend Utilization Review jobs in Schenectady, NY?

For Weekend Utilization Review jobs in Schenectady, NY, the most frequently searched job titles are:

What job categories do people searching Weekend Utilization Review jobs in Schenectady, NY look for?

The top searched job categories for Weekend Utilization Review jobs in Schenectady, NY are:

What cities near Schenectady, NY are hiring for Weekend Utilization Review jobs?

Cities near Schenectady, NY with the most Weekend Utilization Review job openings:

Weekend Utilization Review jobs near you
Infographic showing various Weekend Utilization Review job openings in Schenectady, NY as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, 4% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $85,090 per year, or $40.9 per hour.

Utilization Review Nurse

Albany, NY

Albanymed
See more jobs at Albanymedexternal

$77K - $119K/yr

Full-time

Posted 11 days ago

Job description

Department/Unit:

Care Management/Social Work

Work Shift:

Day (United States of America)

Salary Range:

$77,075.00 - $119,466.00Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients.

Completes Utilization Management and Quality Screening for assigned patients.
Applies MCG criteria to monitor appropriateness of admissions and continued stays, and documents findings based on Departmental standards.
While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department.
Identifies at-risk populations using approved screening tool and follows established reporting procedures.
Monitors LOS and ancillary resource use on an ongoing basis. Takes actions to achieve continuous improvement in both areas.
Refers cases and issues to Medical Director and Triad Team in compliance with Department procedures and follows up as indicated.
Communicates covered day reimbursement certification for assigned patients.
Discusses payor criteria and issues and a case-by-case basis with clinical staff and follows up to resolve problems with payors as needed.
Uses quality screens to identify potential issues and forwards information to the Quality Department.
Demonstrates proper use of MCG and documentation requirements through case review and inter-rater reliability studies.
Facilitates removal of delays and documents delays when they exist. Reports internal and external delays to the Triad Team.
Collaborates with the health care team and appropriate department in the management of care across the continuum of care by assuring communication with Triad Team and health care team.

Minimum Qualifications:
Registered nurse with a New York State current license.
Associate's degree required. Bachelor's degree preferred.
Minimum of three years clinical experience in an assigned service.
Recent experience in case management, utilization management and/or discharge planning/home care in a high volume, acute care hospital preferred. PRI and
Case Management certification preferred.
Assertive and creative in problem solving, critical thinking skills, systems planning and patient care management.
Self-directed with the ability to adapt in a changing environment.
Basic knowledge of computer systems with skills applicable to utilization review process.
Excellent written and verbal communication skills.
Working knowledge of MCG criteria and ability to implement and utilize.
Understanding of Inpatient versus Outpatient surgery and ICD10-Coding (preferred) and Observation status qualifications.
Ability to work independently and demonstrate organizational and time management skills.
Strong analytic, data management and PC skills.
Working knowledge of Medicare regulatory requirements, Managed Care Plans

Thank you for your interest in Albany Med Health System!

Albany Med Health System is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

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