ZipRecruiter

Log In

1

Per Diem Bcba Utilization Review Jobs (NOW HIRING)

Interactive Kids, LLC

Per Diem BCBA/BCaBA

Linwood, NJ · On-site

$40 - $55/hr

Per Diem Behavior Consultant (BCBA/BCaBA) Rate: $65/hour (billable hours only) Schedule: Evenings amp; Weekends Only Location: In-home amp; community-based across South Jersey Position Type ...

next page

Showing results 1-20

All Jobsper diem JobsPer Diem Bcba Utilization Review Jobs

Per Diem Bcba Utilization Review information

See salary details

$47.5K

$89.1K

$149K

How much do per diem bcba utilization review jobs pay per year?

As of Aug 21, 2026, the average yearly pay for per diem bcba utilization review in the United States is $89,075.00, according to ZipRecruiter salary data. Most workers in this role earn between $74,000.00 and $90,500.00 per year, depending on experience, location, and employer.
More about Per Diem Bcba Utilization Review jobs

What cities are hiring for Per Diem Bcba Utilization Review jobs?

Cities with the most Per Diem Bcba Utilization Review job openings:

What are the most commonly searched types of Bcba Utilization Review jobs?

The most popular types of Bcba Utilization Review jobs are:

What states have the most Per Diem Bcba Utilization Review jobs?

States with the most job openings for Per Diem Bcba Utilization Review jobs include:

What job categories do people searching Per Diem Bcba Utilization Review jobs look for?

The top searched job categories for Per Diem Bcba Utilization Review jobs are:

Per Diem Bcba Utilization Review jobs near you
Infographic showing various Per Diem Bcba Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $89,075 per year, or $42.8 per hour.

Utilization Review RN - Per Diem*

CARSON VALLEY HEALTH

Gardnerville, NV • On-site

Other

Re-posted 24 days ago

Carson Valley Health rating

8.9

Company rating: 8.9 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Utilization Review RN - Per Diem

*IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.

Position Summary:

Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance company requirements for reimbursement.

Position Requirements:

Minimum Education

  • A Bachelor's Degree in Nursing preferred; three (3) years of clinical care or nursing experience; OR an equivalent combination of education and experience AND (2) two years' experience Utilization Review.

Certificate Preferred

  • CCM (certification in case management) is preferred.

License Required

  • Must be licensed as a Registered Nurse by the State of Nevada, and remain active with all annual licensing requirements.

Minimum Work Experience

  • Minimum of 1 year of case management or utilization management experience.
  • Knowledge of InterQual or McKesson criteria preferred.
  • Knowledge in conducting a medical record review for medical necessity.
  • Knowledge of basic ICD-10, CPT coding knowledge preferred.
  • Basic knowledge of regulations as set forth by The Centers for Medicare Medicaid Services.
  • Skill in operating a personal computer utilizing a variety of software applications.
  • Strong written and oral communication skills
  • Skill and ability to work independently
Position Essential Functions:

Chart Review

  • Conducts chart review to determine that InterQual-based care criteria is met.
  • Assist in determining if patients are in the correct hospital setting
  • Review elective surgery schedule
  • Review outpatient charts (observation)
  • Obtains appropriate patient records as required by payor agencies and initiates the UR Medical Director as necessary for unwarranted admissions

Hospital Reimbursements

  • Understand and demonstrate the requirements needed to maximize reimbursement to the hospital
  • Assist in obtaining authorizations as needed; including follow-up
  • Respond to insurance providers in a timely and thorough manner
  • Communicates with various hospital departments in a meaningful manner
  • Assists in ensuring appropriate room charges, patient status, discharge disposition, etc.
  • Reviews denials and collaborates on appeals of denials
  • Communicates with HIM staff and resolves discrepancies

Knowledge

  • Condition 44 documentation and requirement; HINN notification letters, ABN-advance beneficiary notice, Important Letter from Medicare, etc
  • Maintains practices consistent with the hospital's utilization review (UR) plan
  • Reviews the plans components and is a member of the utilization review committee
  • Obtains data and statistics addressed in the hospital's UR plan and presents information as needed
  • Ensures appropriate and cost-effective healthcare services to patients

Documentation

  • Demonstrates understanding and supports clinical documentation improvement strategies
  • Ability to efficiently locate priority clinical information in a medical record, and to critically interpret that information as part of a treatment plan.
  • Analyze clinical information to identify areas with potential for documentation improvement
  • Demonstrates collaborative work relationship with coding staff to assure documentation of discharge diagnosis and co-morbidities are complete and accurately reflect the patient's clinical status and care.
  • Reviews medical records concurrently, recognizes opportunities for documentation improvement, and follows up with appropriate staff.
  • Facilitates modifications to clinical documentation through collaborative interactions with physicians, nurses, and ancillary staff.

Carson Valley Health is proud to be recognized as a finalist in the "Best Places to Work" - Northern Nevada, 2021, 2022, 2024, 2025 & 2026!

We look forward to welcoming you to our team!

Per diem positions have no guaranteed hours or set schedule. The position will fill in for individuals who take unplanned and/or planned time off.

What Carson Valley Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply