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Per Diem Optum Health Utilization Review Jobs (NOW HIRING)

Prime Time Healthcare

Utilization Review

Baltimore, MD · On-site

Prime Time Healthcare is seeking dynamic individuals like you to join our team in Baltimore, MD and ... Estimated pay and benefits packages are on a per facility basis and may change with market ...

Tuba City Regional

Utilization Review

Tuba City, AZ · On-site

Rn - Utilization Review Cure Healthcare is seeking a RN - Utilization Review for positions in Tuba City, Arizona. Current Arizona license and AHA BLS and ACLS required and additional certifications ...

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Per Diem Optum Health Utilization Review information

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$68

How much do per diem optum health utilization review jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for per diem optum health utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is the difference between Per Diem Optum Health Utilization Review vs Per Diem Health Insurance Claims Processor?

AspectPer Diem Optum Health Utilization ReviewPer Diem Health Insurance Claims Processor
CertificationsTypically requires healthcare or insurance-related certificationsRequires claims processing or insurance certifications
Work EnvironmentHealthcare facilities, insurance companies, remote optionsInsurance companies, healthcare payers, remote work
Industry UsageUsed in healthcare utilization managementUsed in claims processing and reimbursement
Job FocusAssessing medical necessity and utilizationReviewing and processing insurance claims

The main difference is that Per Diem Optum Health Utilization Review focuses on evaluating medical necessity and managing healthcare utilization, while Per Diem Health Insurance Claims Processor handles the review and processing of insurance claims for reimbursement. Both roles require healthcare or insurance certifications and are integral to healthcare administration but serve different functions within the industry.

What cities are hiring for Per Diem Optum Health Utilization Review jobs?

Cities with the most Per Diem Optum Health Utilization Review job openings:

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

The most popular types of Optum Health Utilization Review jobs are:

What states have the most Per Diem Optum Health Utilization Review jobs?

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

Per Diem Optum Health Utilization Review jobs near you

Manager Utilization Management-Behavioral Health

Piedmont Healthcare Inc.

Atlanta, GA • On-site

Full-time

Posted 22 days ago

Piedmont Healthcare rating

7.1

Company rating: 7.1 out of 10

Based on 467 frontline employees who took The Breakroom Quiz

382nd of 891 rated healthcare providers

Job description

Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and multiple Behavioral Health programs, including inpatient, ED-based, and specialty BH services. Responsible for ensuring consistent, compliant, and effective UR operations that support appropriate level-of-care determination, medical necessity, denial prevention, and financial performance. Serves as a primary point of contact and collaborative partner with multiple system teams, including but not limited to Revenue Cycle, Case Management, Compliance, Finance, HIM, Epic, Physician Advisors, and Executive Leadership, to align utilization practices with regulatory, payer, and organizational expectations.
Education
  • Bachelors Degree in Nursing, Business Administration, Health Administration, Social Work, or a closely related field Required
Work Experience
  • 5 years of experience in Behavioral Health Utilization Management and Utilization Review processes using medical necessity criteria (InterQual and/or Milliman).

  • 2 years Experience requirement above, to include, 2 years of demonstrated leadership or management experience in a hospital, medical practice, or other healthcare setting Required

  • Experience working in a system-level or multi-site environment Preferred
Licenses and Certifications
  • RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required or

  • LPC-Licensed Professional Counselor Required or

  • LMSW - Licensed Medical Social Worker - State Licensure Required or

  • LCSW- License Clinical Social Worker Required or

  • Licensed Marriage and Family Therapist (LMFT) Required

  • IQCI Certification Required

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