ZipRecruiter

Log In

1

Per Diem Optum Health Utilization Review Jobs (NOW HIRING)

Acrisure LLC

Utilization Review Nurse

Bradenton, FL · On-site

This is a hybrid position with two days per week in the office and three days remote. Candidates ... Collaborate with physicians, healthcare providers, claims professionals, and internal team members ...

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee ... We're on a mission to change health care -- an experience made whole by our unique backgrounds and ...

previous page

Showing results 41-60

All Jobsper diem JobsHealthcare JobsNursing JobsNurse Case Manager JobsPer Diem Optum Health Utilization Review Jobs

Per Diem Optum Health Utilization Review information

See salary details

$21

$42

$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

Utilization Review Technician

Prime Healthcare

Gadsden, AL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Prime Healthcare rating

6.5

Company rating: 6.5 out of 10

Based on 285 frontline employees who took The Breakroom Quiz

606th of 891 rated healthcare providers

Job description

Department: Social Work Services 

Shifts Available: Days  

Employment Type: Full Time 

Hours: 8-hour shift – 7:30am to 3:30pm 

Location: Riverview Regional Medical Center – Gadsden, AL 

We are seeking an Utilization Review Technician II, sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator II. The Utilization Review Technician II supports the utilization review, appeals, and denial management process by coordinating communication and tracking payer-related activity. This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals, and denials. The position also assists with payer audits, Release of Information, discharge coordination, and other departmental needs. 


  • Coordinate phone calls, data entry, and tracking related to authorizations, expedited reviews, appeals, and denials 
  • Document and track all communication attempts with insurance providers and health plans 
  • Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams 
  • Maintain accurate tracking of government and payer audits, including RAC, MAC, CERT, ADR, QIO, Medicaid, and pre/post-payment reviews 
  • Provide support with Release of Information, discharge coordination, and other assigned departmental duties 

  • High School Diploma or equivalent
  • Two years of relevant experience
  • Accurate alphabetic, numeric, and/or terminal-digit filing skills
  • Computer data entry with 10-key, with accurate typing speed of 35 wpm
  • Associates Degree or higher, preferred
  • Excel skills. highly preferred
  • Knowledge of terminal digit filing and medical terminology, preferred
  • Knowledge of State and Federal regulatory requirements for medical staff documentation, preferred
  • Completion of a medical terminology course, preferred
  • Background in business and office training, preferred

Here are some of the benefits of working at Prime Healthcare: 

  • Health, dental, and vision insurance options 
  • Paid vacation, sick time and holidays 
  • Bereavement leave, FMLA and other leave options 
  • Employer 401K options 
  • Tuition reimbursement options  
  • Life, disability, and other insurance options 
  • Many other amazing benefits 

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/   

#LI-MP1


Full Time
Days

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 

What Prime Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply