Utilization Review Nurse
Lawrence, MA · On-site
Utilization Review Nurse Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the ...
Utilization Review Nurse
Lawrence, MA · On-site
Utilization Review Nurse Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
Utilization Review Nurse Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the ...
Utilization Review Nurse
Methuen, MA · On-site
Utilization Review Nurse Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the ...
Utilization Review Nurse
Canton, MA · On-site
$55 - $60/hr
Ensure all utilization review activities meet regulatory turnaround time requirements. * Collaborate with Medical Directors for complex cases, denial recommendations, and clinical escalations.
Utilization Review Nurse
Canton, MA · On-site
$55 - $60/hr
Ensure all utilization review activities meet regulatory turnaround time requirements. * Collaborate with Medical Directors for complex cases, denial recommendations, and clinical escalations.
Registered Nurse - Utilization Review (Per Diem)
Burlington, MA · On-site
$38.11 - $98.23/hr
Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these specialized case managers analyze medical documentation to ensure that proper reimbursement ...
Registered Nurse - Utilization Review (Per Diem)
Burlington, MA · On-site
$38.11 - $98.23/hr
Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these specialized case managers analyze medical documentation to ensure that proper reimbursement ...
Registered Nurse - Utilization Review (Per Diem)
Burlington, MA · On-site
$38.11 - $98.23/hr
Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these specialized case managers analyze medical documentation to ensure that proper reimbursement ...
Registered Nurse - Utilization Review (Per Diem)
Burlington, MA · On-site
$38.11 - $98.23/hr
Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these specialized case managers analyze medical documentation to ensure that proper reimbursement ...
Utilization Management Reviewer - Behavioral Health
Hingham, MA · On-site
$38.82 - $47.44/hr
Facilitate review process by communication with members/families, providers, medical staff and/or others to obtain and/or share information relating to benefits and the BCBSMA utilization management ...
Utilization Management Reviewer - Behavioral Health
Hingham, MA · On-site
$38.82 - $47.44/hr
Facilitate review process by communication with members/families, providers, medical staff and/or others to obtain and/or share information relating to benefits and the BCBSMA utilization management ...
Utilization Management Reviewer - Behavioral Health
Hingham, MA · On-site
$38.82 - $47.44/hr
Facilitate review process by communication with members/families, providers, medical staff and/or others to obtain and/or share information relating to benefits and the BCBSMA utilization management ...
Utilization Management Reviewer - Behavioral Health
Hingham, MA · On-site
$38.82 - $47.44/hr
Facilitate review process by communication with members/families, providers, medical staff and/or others to obtain and/or share information relating to benefits and the BCBSMA utilization management ...
* Utilization Review Team When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Contributes to the Hospital's mission by supporting proper ...
New
* Utilization Review Team When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Contributes to the Hospital's mission by supporting proper ...
New
Weekend Utilization Review information
See Stoneham, MA salary details
$23.41 - $28.15
2% of jobs
$28.15 - $32.88
9% of jobs
$36.12 is the 25th percentile. Wages below this are outliers.
$32.88 - $37.62
21% of jobs
The median wage is $41.45 / hr.
$37.62 - $42.35
23% of jobs
$42.35 - $47.09
13% of jobs
$50.77 is the 75th percentile. Wages above this are outliers.
$47.09 - $51.82
10% of jobs
$51.82 - $56.56
8% of jobs
$56.56 - $61.29
5% of jobs
$61.29 - $66.03
5% of jobs
$66.03 - $70.76
2% of jobs
$70.76 - $75.50
2% of jobs
$23
$46
$75
How much do weekend utilization review jobs pay per hour?
As of Sep 15, 2026, the average hourly pay for weekend utilization review in Stoneham, MA is $46.27, according to ZipRecruiter salary data. Most workers in this role earn between $36.59 and $53.12 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 popular job titles related to Weekend Utilization Review jobs in Stoneham, MA?
For Weekend Utilization Review jobs in Stoneham, MA, the most frequently searched job titles are:
What cities near Stoneham, MA are hiring for Weekend Utilization Review jobs?
Cities near Stoneham, MA with the most Weekend Utilization Review job openings:
Utilization Review Nurse
Lawrence, MA • On-site
Merrimack Health
Other
Posted 18 days ago
Job description
Utilization Review Nurse
Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the Clinical Care Coordinator and Complex Care Manager to facilitate timely discharge, assure medical documentation accurately reflects the patient's severity of illness; and ensures compliance with the conditions of participation as they relate to utilization review and discharge planning and payer regulations.
Minimum Education and Experience:
Required:
- Graduate of an accredited professional nursing school
- Current Massachusetts Nursing license
- Bachelor's degree. - Preferred
- Five years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review.
- Five years clinical nursing experience
- Demonstrated verbal, written skills
- Computer skills
Preferred:
- Master's degree.