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Contingent Nursing Jobs (NOW HIRING)

Trinityhealth

Contingent Hospice RN

Athens, GA

$71K - $90K/yr

Graduate of an approved nursing education program * Licensure as a Registered Nurse in the State of Georgia * One (1) year experience as a professional acute care nurse * Home care experience ...

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How much do contingent nursing jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for contingent nursing in the United States is $45.97, according to ZipRecruiter salary data. Most workers in this role earn between $38.22 and $50.48 per hour, depending on experience, location, and employer.

What is contingent nursing?

Contingent nursing refers to nurses who work on a temporary, as-needed, or per-diem basis instead of holding a permanent, full-time position at a healthcare facility. These nurses may fill in for staff shortages, cover vacations, or help during busy periods. Contingent nursing offers flexibility in scheduling and work environments, but may not provide the same benefits or job security as permanent roles. Many healthcare organizations rely on contingent nurses to maintain high standards of patient care during times of increased demand.

What are some common challenges faced by contingent nurses, and how can they be addressed?

Contingent nurses, often working on a per diem or contract basis, frequently encounter challenges such as adapting quickly to new environments, varying workflows, and unfamiliar electronic health record systems. Building flexibility, strong communication skills, and a proactive approach to learning facility protocols can help ease these transitions. Additionally, connecting with permanent staff and seeking mentorship can foster smoother collaboration and integration into new teams, ensuring high-quality patient care.

What are the key skills and qualifications needed to thrive as a contingent nurse, and why are they important?

To thrive as a Contingent Nurse, you need a valid nursing license, strong clinical skills, and experience adapting to various healthcare environments. Familiarity with electronic health record (EHR) systems, medication administration protocols, and common medical equipment is crucial. Flexibility, quick learning, and excellent communication skills help contingent nurses integrate smoothly into new teams and settings. These abilities ensure high-quality, consistent patient care even in rapidly changing or unfamiliar work environments.

What is the difference between Contingent Nursing vs Per Diem Nursing?

AspectContingent NursingPer Diem Nursing
CredentialsRegistered Nurse (RN) license, certifications as requiredRegistered Nurse (RN) license, certifications as required
Work EnvironmentHospitals, clinics, healthcare facilities on a temporary basisHospitals, clinics, healthcare facilities on a day-to-day basis
Employer UsageStaffing agencies, healthcare facilities for short-term needsHealthcare facilities, staffing agencies for flexible shifts
Search & ComparisonContingent Nursing vs Per Diem Nursing

Contingent Nursing involves temporary nursing assignments often arranged through staffing agencies, typically for longer-term or project-based needs. Per Diem Nursing refers to nurses working flexible, day-to-day shifts without long-term commitments. Both roles require similar credentials and are used in healthcare settings to meet staffing demands, but they differ mainly in scheduling flexibility and assignment duration.

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What cities are hiring for Contingent Nursing jobs?

Cities with the most Contingent Nursing job openings:

What states have the most Contingent Nursing jobs?

States with the most job openings for Contingent Nursing jobs include:

What job categories do people searching Contingent Nursing jobs look for?

The top searched job categories for Contingent Nursing jobs are:

Contingent Nursing jobs near you
Infographic showing various Contingent Nursing job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 52% Full Time, 17% Part Time, and 27% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $95,622 per year, or $46 per hour.

Contingent UR/LTSS Registered Nurse

iMPROve Health

Washington, DC • On-site

Other

Posted 3 days ago

New

Job description

Come join the iMPROve Health team!
About iMPROve Health
iMPROve Health is Michigan's Medicare-designated Quality Improvement Organization, and we're proud to be recognized as both a Cool Place to Work by Crain's Detroit Business (four years running) and one of Modern Healthcare's Best Places to Work in Healthcare.
As a nonprofit with more than 40 years of experience, we're dedicated to improving healthcare across the continuum of care using evidence-based, data-driven strategies. We provide medical consulting and review services, along with data analysis, to federal agencies, state Medicaid programs, public health organizations, healthcare facilities, private health plans, and other third-party payers. Our team also specializes in impartial utilization review, dispute resolution, and peer review. Our mission is simple: help healthcare get better.
This position is 100% remote, offering the flexibility to work from anywhere in the United States while collaborating with a supportive, nationwide team.
At iMPROve Health, we are committed to improving the quality, safety, and efficiency of healthcare. While we do not provide direct patient care, our healthcare professionals-including physicians, nurses, and experienced consultants-partner with providers to promote the use of evidence-based best practices. We offer our clients a trusted, impartial resource that understands the complexities of the healthcare landscape and is dedicated to thoughtful, high-quality solutions.
Join us in making a meaningful impact on healthcare-one improvement at a time.
About the Role
iMPROve Health is seeking an experienced Michigan-licensed Registered Nurse (RN) to join our team as a Contingent Utilization Review / Long-Term Services & Supports (UR/LTSS) Review Nurse. This fully remote position supports Michigan Medicaid programs by conducting Nursing Facility Level of Care (LOC) reviews and Home Help quality review assessments.
This role is ideal for experienced nurses with both Utilization Review/Utilization Management (UR/UM) and Long-Term Services & Supports (LTSS)/Long-Term Care experience who are looking for flexible, contingent work while remaining engaged in meaningful clinical practice.
Review nurses evaluate medical records, conduct telephonic and virtual assessments, apply established clinical and regulatory criteria, and ensure timely, accurate review determinations. This position also includes participation in administrative hearings and appeals when necessary.
Contingent nurses are expected to maintain regular availability of at least 4-8 hours per week, with opportunities for additional hours based on program needs. Most work is performed during normal business hours; however, occasional evening, weekend, or holiday work may be required.
Essential Responsibilities
  • Perform utilization review activities in accordance with program requirements, contractual obligations, clinical guidelines, and regulatory standards.
  • Conduct telephonic Nursing Facility Level of Care (LOC) reviews for Michigan Medicaid beneficiaries using established LTSS criteria.
  • Perform verification, secondary, and quality reviews for Long-Term Services & Supports (LTSS) cases.
  • Conduct virtual Home Help assessments using Microsoft Teams for beneficiaries selected by the Michigan Department of Health and Human Services (MDHHS).
  • Review medical records, assessments, care plans, and supporting clinical documentation to determine eligibility and medical necessity.
  • Apply evidence-based clinical criteria and state regulations to support review determinations.
  • Utilize a case management approach from case assignment through completion while meeting established turnaround times.
  • Document review findings accurately, thoroughly, and professionally within secure electronic systems and state portals.
  • Communicate effectively with providers, beneficiaries, and internal staff regarding review findings and requests for additional information.
  • Participate in administrative hearings and appeals to represent review determinations when required.
  • Maintain current knowledge of contractual requirements, Medicaid regulations, and applicable clinical guidelines.
  • Comply with all applicable HIPAA, FISMA, URAC, CMS, organizational policies, and security requirements.
  • Participate in required training, calibration, and quality assurance activities.
  • Perform other duties as assigned.
Minimum Qualifications
  • Active, unrestricted Michigan Registered Nurse (RN) license required.
  • Long-Term Care/LTSS experience is required.
  • Utilization Review (UR) and/or Utilization Management (UM) experience is required.
  • Minimum of 3-5 years of combined experience in utilization review/utilization management and long-term care or LTSS.
  • Bachelor's degree in nursing preferred. Equivalent experience may be considered in lieu of a bachelor's degree.
  • Experience working with Michigan Medicaid or other state-based healthcare contracts preferred.
  • Strong knowledge of Medicare, Medicaid, Long-Term Services & Supports (LTSS), Nursing Facility Level of Care (LOC) determinations, and long-term care regulations preferred.
  • Excellent clinical assessment, critical thinking, analytical, and documentation skills.
  • Strong written, verbal, and interpersonal communication skills, including the ability to explain and defend clinical review determinations.
  • Experience with electronic health records, secure web-based portals, and Microsoft Office applications, including Outlook, Teams, Word, and Excel.
  • Ability to work independently in a remote environment while consistently meeting productivity, quality, and timeliness expectations.
Work Schedule
  • Fully remote, contingent position.
  • Minimum availability of 4-8 hours per week is required to maintain program engagement.
  • Additional hours may be available based on workload and program needs.
  • Most work is completed during normal business hours.
  • Occasional evening, weekend, or holiday work may be required to meet operational deadlines.

Why Join iMPROve Health?
At iMPROve Health, our mission is to improve healthcare quality and outcomes through objective clinical review and quality improvement services. Our clinical professionals play a vital role in ensuring Medicaid beneficiaries receive appropriate, high-quality care while supporting the integrity of state healthcare programs.
If you are an experienced Michigan RN with both utilization review and long-term care expertise and are seeking flexible, meaningful work that makes a difference, we encourage you to apply.
EOE/VET/Disability

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