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Weekend Utilization Review Jobs in Spring, TX (NOW HIRING)

Encompass Health

Certified Case Manager

Houston, TX · On-site

The CCM performs ongoing utilization review and acts as a liaison to the payor while assuring that ... weekends, evenings and or night shifts if needed to meet deadlines. - May be required to work on ...

Nabors Industries Limited

MPD ENGINEER III

Houston, TX · On-site

$88K - $117K/yr

Own or guide MPD section trackers, utilization review, revenue capture visibility, KPI reporting ... weekends, when required PREFERRED QUALIFICATIONS: * 8+ years of MPD, drilling engineering, well ...

New

NABORS

MPD ENGINEER III

Houston, TX · On-site

... weekends, when required PREFERRED QUALIFICATIONS: * 8+ years of MPD, drilling engineering, well ... Own or guide MPD section trackers, utilization review, revenue capture visibility, KPI reporting ...

New

Encompass Health

Case Management Director

Houston, TX · On-site

Three years of hospital-based Case Management experience, including Utilization Review and Discharge Planning experience. May be required to work weekdays and/or weekends, evenings and/or night ...

Cenikor Foundation

Admissions Counselor

Houston, TX · On-site

$36K - $49K/yr

The Admissions Counselor is responsible for working within the utilization review and admissions ... work weekend, if necessary or required in crisis situations - Ability to work in a remote/tele ...

Posted today

UHS

Assistant Manager Patient Access

Houston, TX · On-site

Maintain good communication with the Utilization Review, Business Office, and other staff as ... Required to work flexible hours, occasional overtime, and weekends. EEO Statement All UHS ...

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Showing results 21-40

All JobsUtilization Review JobsWeekend Utilization Review JobsWeekend Utilization Review Jobs in Spring, TX

Weekend Utilization Review information

See Spring, TX salary details

$19

$37

$61

How much do weekend utilization review jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for weekend utilization review in Spring, TX is $37.63, according to ZipRecruiter salary data. Most workers in this role earn between $29.71 and $43.22 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 Spring, TX?

The most popular types of Utilization Review jobs in Spring, TX are:

What are popular job titles related to Weekend Utilization Review jobs in Spring, TX?

For Weekend Utilization Review jobs in Spring, TX, the most frequently searched job titles are:

What job categories do people searching Weekend Utilization Review jobs in Spring, TX look for?

The top searched job categories for Weekend Utilization Review jobs in Spring, TX are:

What cities near Spring, TX are hiring for Weekend Utilization Review jobs?

Cities near Spring, TX with the most Weekend Utilization Review job openings:

Weekend Utilization Review jobs near you
Infographic showing various Weekend Utilization Review job openings in Spring, TX as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $78,263 per year, or $37.6 per hour.

Nurse Case Manager

Paradigm Healthcare Services

Houston, TX • On-site

Other

Re-posted 13 days ago

Job description

Paradigm Healthcare LLC is Hiring a Licensed Nurse Case Manager
In keeping with the organization's goals, the Case Manager/ Prior Authorization Liaison- Managed Care Department, is responsible for providing comprehensive telephonic case management, insurance verification, and authorization services for our skilled nursing facilities (SNFs). This role supports the managed care continuum from referral and admission through ongoing utilization review, discharge planning, and continuation of care.
The position partners closely with Managed Care Organizations (MCOs), referral sources, and facility leadership to promote managed care census growth, ensure appropriate levels of care, maximize contractual and reimbursement opportunities, and maintain compliance with payer and regulatory requirements. Acting as a primary liaison between facilities and payers, the Case Manager/ Prior Authorization Liason ensures effective communication, continuity of care, and optimal clinical and financial outcomes for SNF patients.
Essential Duties and Responsibilities
Case Management & Utilization Review
  • Provide telephonic case management support to assigned skilled nursing facilities.
  • Maintain active and accurate case files for SNF patients in PointClickCare (PCC), including Admin Notes, A/R insurance tabs, and shared Case Management logs.
  • Review benefits verification and authorization data to ensure patients are placed at the appropriate level of care for contractual optimization; renegotiate rates when applicable.
  • Notify MCOs of clinical admissions and initiate required clinical assessments.
  • Review admission clinical documentation to determine appropriate target discharge plans.
  • Conduct timely initial reviews, concurrent reviews, and continued stay reviews with MCOs to ensure covered days and reimbursement.
  • Chair and facilitate weekly case conference calls with supported facilities.
  • Assist facility interdisciplinary teams in developing appropriate goals of care and treatment plans for SNF patients.
  • Coordinate all Notice of Medicare Non-Coverage (NOMNC) processes and track appeals in collaboration with facility teams.
  • Obtain accurate payer information to support continuation of care and discharge planning.
Authorization & Referral Management
  • Represent the organization professionally to referral sources, managed care representatives, and external partners; maintain positive, collaborative relationships.
  • Enter and manage referral leads, including Return to Acute (RTA) leads, in the PointClickCare CRM module.
  • Verify insurance benefits and facility network participation through PCC, MCO portals, and direct payer communication.
  • Submit, track, and follow up on all insurance authorization requests electronically or manually, as required.
  • Update referral and authorization status throughout the PDG authorization and approval stages of the referral process.
  • Coordinate physician assignment upon referral and authorization approval.
  • Collaborate with Referral Management and Placement Specialists to ensure all coverage and documentation requirements are met.
  • Communicate referral source or payer issues promptly to appropriate internal stakeholders.
  • Negotiate appropriate levels of care and contracted rates with MCOs as necessary.
Care Coordination & Support Functions
  • Serve as the primary liaison between the MCO and facility for all case-related communication.
  • Assist facilities in identifying in-network home health and durable medical equipment (DME) providers.
  • Support billing and revenue cycle teams with authorization clarification, reimbursement issues, and census updates as needed.
  • Participate in daily or routine pipeline and case review meetings as required.
  • Perform additional duties within the Case Management Department as assigned to support organizational objectives.
Supervisory Responsibility
This position has no direct supervisory responsibilities.
Required Education, Experience, and Skills
  • Active Nurse License
  • Minimum of two (2) years of experience in:
    • Skilled nursing facility case management, including initial reviews, concurrent reviews, and NOMNC processes, and/or
    • Managed care verification of benefits and insurance authorization processes.
  • Strong and demonstrated experience using PointClickCare software in a skilled nursing facility environment.
  • Proficient computer skills, including Microsoft Outlook, Microsoft Office Suite, Microsoft Teams, and payer portals.
  • Recent skilled long-term care experience required.
  • Ability to make independent decisions using sound judgment and critical thinking.
  • Self-motivated, self-directed, and able to work independently in a fast-paced environment.
  • Excellent written and verbal communication skills.
  • Strong organizational, negotiation, and relationship-management skills.
  • Ability to establish and maintain effective working relationships with internal teams, facilities, and external organizations.

Position Type and Expected Hours of Work
This position supports healthcare facilities that operate 24 hours per day, 7 days per week. While the role is primarily Monday through Friday, scheduled weekend and holiday coverage may be required based on business needs.
Work Environment and Physical Demands
This position routinely uses standard office equipment, including computers, phones, and photocopiers. The work environment is primarily office-based with physical demands consistent with a professional healthcare management role.
Other Duties
This job description is not intended to be a comprehensive list of all duties, responsibilities, or activities. Duties may change at any time with or without notice.
Reasonable Accommodation
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of this position.

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