Utilization Review Nurse
$28.85 - $31.25/hr
Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend) * Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License ...
$28.85 - $31.25/hr
Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend) * Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License ...
$28.85 - $31.25/hr
Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend) * Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License ...
Atlanta, GA · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Weekend availability is required; all applicants must be able to work at least one weekend day ...
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Atlanta, GA · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Weekend availability is required; all applicants must be able to work at least one weekend day ...
Augusta, AR · On-site
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... No routine nights or weekends for most positions. (Some clinical roles may have limited weekend ...
Augusta, AR · On-site
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... No routine nights or weekends for most positions. (Some clinical roles may have limited weekend ...
South Burlington, VT · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational execution, and regulatory compliance of the Utilization Review (UR) program. This role ensures clinically ...
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South Burlington, VT · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational execution, and regulatory compliance of the Utilization Review (UR) program. This role ensures clinically ...
The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
The Utilization Review Specialist will have access to confidential records including youth files, foster care/adoption records, foster/adopt parent information and biological family history. Must ...
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
Job Summary We are seeking a highly motivated and detail-oriented Utilization Reviewer to join our dynamic healthcare team. In this pivotal role, you will evaluate medical records, clinical ...
Job Summary We are seeking a highly motivated and detail-oriented Utilization Reviewer to join our dynamic healthcare team. In this pivotal role, you will evaluate medical records, clinical ...
$70K - $85K/yr
Utilization Review Clinician Monte Nido Remote - MST/CST hours Monte Nido has been delivering treatment for eating disorders for over two decades. Our programs offer a model of treatment that blends ...
$70K - $85K/yr
Utilization Review Clinician Monte Nido Remote - MST/CST hours Monte Nido has been delivering treatment for eating disorders for over two decades. Our programs offer a model of treatment that blends ...
Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Availability for occasional weekends and holiday coverage for urgent reviews Benefits Join our team ...
Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Availability for occasional weekends and holiday coverage for urgent reviews Benefits Join our team ...
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
Columbus, OH · On-site
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible for ensuring that clients receiving substance use disorder (SUD) treatment services meet clinical ...
Columbus, OH · On-site
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible for ensuring that clients receiving substance use disorder (SUD) treatment services meet clinical ...
$25 - $35/hr
As Wyoming Valley Behavioral Health continues to expand, we're excited to add an experienced full-time Utilization Review Representative to our growing Utilization Review department. The person will ...
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$25 - $35/hr
As Wyoming Valley Behavioral Health continues to expand, we're excited to add an experienced full-time Utilization Review Representative to our growing Utilization Review department. The person will ...
Parsippany, NJ · On-site
$32.80/hr
TITLE: Utilization Review (UR) Coordinator Location: Parsippany NJ Hours: Full Time (Monday through Friday: 8:30am - 4:30pm) This is an hourly non-exempt position. Salary: Up to $32.80 (with ...
Parsippany, NJ · On-site
$32.80/hr
TITLE: Utilization Review (UR) Coordinator Location: Parsippany NJ Hours: Full Time (Monday through Friday: 8:30am - 4:30pm) This is an hourly non-exempt position. Salary: Up to $32.80 (with ...
Utilization Review Coordinator Location: Everwell Port St. Lucie Hospital, Inc Position Summary Everwell Port St. Lucie Hospital is seeking a detail-oriented Utilization Review Coordinator to ...
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Utilization Review Coordinator Location: Everwell Port St. Lucie Hospital, Inc Position Summary Everwell Port St. Lucie Hospital is seeking a detail-oriented Utilization Review Coordinator to ...
Salt Lake City, UT · On-site
Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ... One year Utilization Review or Case Management experience. Licenses Required * Current license to ...
Salt Lake City, UT · On-site
Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ... One year Utilization Review or Case Management experience. Licenses Required * Current license to ...
South Burlington, VT · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational execution, and regulatory compliance of the Utilization Review (UR) program. This role ensures clinically ...
Quick apply
South Burlington, VT · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational execution, and regulatory compliance of the Utilization Review (UR) program. This role ensures clinically ...
Carteret, NJ · On-site
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review ...
Carteret, NJ · On-site
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review ...
Parsippany, NJ · On-site
$32.80/hr
TITLE: Utilization Review (UR) Coordinator Location: Parsippany NJ Hours: Full Time (Monday through Friday: 8:30am - 4:30pm) This is an hourly non-exempt position. Salary: Up to $32.80 (with ...
Parsippany, NJ · On-site
$32.80/hr
TITLE: Utilization Review (UR) Coordinator Location: Parsippany NJ Hours: Full Time (Monday through Friday: 8:30am - 4:30pm) This is an hourly non-exempt position. Salary: Up to $32.80 (with ...
Englewood, NJ · On-site
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization ...
Englewood, NJ · On-site
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
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.
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.
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.

$28.85 - $31.25/hr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 24 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
 Hours for this Position:
Advantages of this Opportunity:
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HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003