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

Chico's FAS

Assistant Store Manager - Chico's

Waco, TX · On-site

... sheet review and payroll accuracy documents, and merchandise flow processes. • Performs all ... Ability to work a flexible work schedule, including nights, weekends, and holidays is required ...

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Weekend Utilization Review information

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$37

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How much do weekend utilization review jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for weekend utilization review in Waco, TX is $37.54, according to ZipRecruiter salary data. Most workers in this role earn between $29.66 and $43.12 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 Waco, TX?

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

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

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

Weekend Utilization Review jobs near you

Case Manager II (Pool)

Encompass Health Corporation

Waco, TX • On-site

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 12 days ago

Encompass Health rating

7.0

Company rating: 7.0 out of 10

Based on 423 frontline employees who took The Breakroom Quiz

416th of 893 rated healthcare providers

Job description

Case Manager Career Opportunity

Recognized for your abilities as a Case Manager

Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes.

A Glimpse into Our World

At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World’s Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.

Starting Perks and Benefits

At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:

  • Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
  • Generous paid time off that accrues over time.
  • Opportunities for tuition reimbursement and continuous education.
  • Company-matching 401(k) and employee stock purchase plans.
  • Flexible spending and health savings accounts.
  • A vibrant community of individuals passionate about the work they do!
Become the Case Manager you always wanted to be
  • Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.
  • Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans.
  • Participate in planning for and the execution of patient discharge experience.
  • Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.
  • Facilitate team conferences weekly and coordinate all treatment plan modifications.
  • Complete case management addendums and all required documentation.
  • Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
  • Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions.
  • Understand commercial contract levels, exclusions, payor requirements, and recertification needs.
  • Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.
  • Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission.
  • Perform assessment of goals and complete case management addendum within 48 hours of admission.
  • Educate patient/family on rehabilitation and Case Manager role; establish communication plan.
  • Schedule and facilitate family conferences as needed.
  • Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.
  • Monitor compliance with regulations for orthotics and prosthetics ordering and payment.
  • Make appropriate/timely referrals, including documentation to post discharge providers/physician
  • Ensure accuracy of discharge and payor-related information in the patient record
  • Participate in utilization review process: data collection, trend review, and resolution actions.
  • Participate in case management on-call schedule as needed.

Qualifications

  •  License or Certification:
    • Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
    • If licensure is required for one’s discipline within the state, individual must hold an active license.
    • Must meet eligibility requirements for CCM® or ACM™ certification upon entry into this position OR within two years of entry into the position.
    • CCM® or ACM™ certification required OR must be obtained within two years of being placed in the Case Manager II position.

·         Minimum Qualifications:

    •  For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an associate degree.
    •  For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor’s degree and graduate degree is preferred.
    • 2 years of rehabilitation experience preferred.

The Encompass Health Way

We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.
We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!


What Encompass Health employees say

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About Encompass Health

Sourced by ZipRecruiter

Helping patients regain hope and independence, Encompass Health is a national leader in post-acute care. We operate rehabilitation hospitals in 36 states as well as Puerto Rico. Following the Encompass Way, we are driven by our core values: We proudly set the standard, lead with empathy, do what's right, focus on the positive, and remain stronger together.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Birmingham, AL, US

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