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Per Diem Optum Utilization Review Jobs (NOW HIRING)

Prime Time Healthcare

Utilization Review

Baltimore, MD · On-site

Now Hiring: RN Utilization Review - Baltimore, MD Are you a passionate RN professional looking for ... Estimated pay and benefits packages are on a per facility basis and may change with market ...

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee ...

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee ...

ARcare

Utilization Review Associate

Augusta, AR · On-site

Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION SUMMARY Assist with planning and coordinating the duties of Utilization Review. This position is ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee ...

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All JobsPer Diem Optum Utilization Review Jobs

Per Diem Optum Utilization Review information

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$42

$68

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

As of Aug 8, 2026, the average hourly pay for per diem optum 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 Utilization Review vs Per Diem Medical Reviewer?

AspectPer Diem Optum Utilization ReviewPer Diem Medical Reviewer
CertificationsLicensed healthcare professional (RN, MD, etc.)Licensed healthcare professional (RN, MD, etc.)
Work EnvironmentUtilization review for insurance and healthcare companiesReviewing medical records and authorizations
Employer & IndustryOptum/UnitedHealth Group, healthcare insuranceInsurance companies, healthcare providers
Search & Comparison IntentUnderstanding utilization review rolesComparing medical review positions

Both roles require licensed healthcare professionals and involve reviewing medical information. The main difference is that Per Diem Optum Utilization Review focuses on assessing the necessity of services for insurance purposes within Optum, while Per Diem Medical Review involves evaluating medical records for authorization or quality assurance in various healthcare settings.

What are the key skills and qualifications needed to thrive as a Per Diem Optum Utilization Review nurse, and why are they important?

To excel as a Per Diem Optum Utilization Review Nurse, you typically need an active RN license, clinical experience, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with electronic medical records (EMR), utilization management software, and knowledge of InterQual or MCG guidelines is important. Strong critical thinking, attention to detail, and effective communication are essential soft skills for reviewing cases and collaborating with providers. These skills ensure accurate, timely reviews that support appropriate patient care and compliance with payer and regulatory standards.

What is a Per Diem Optum Utilization Review?

A Per Diem Optum Utilization Review nurse is a registered nurse who works for Optum, typically on an as-needed or part-time basis, to evaluate the necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities. Their main responsibility is to review medical records and clinical information to determine if care meets established guidelines and policies, ensuring patients receive the right level of care while managing costs. These nurses often work remotely or in healthcare facilities, collaborating with providers, insurers, and patients to coordinate care and support quality outcomes.

How does a Per Diem Optum Utilization Review clinician typically collaborate with other healthcare professionals to ensure optimal patient care?

As a Per Diem Utilization Review clinician at Optum, you work closely with physicians, nurses, case managers, and insurance representatives to assess the medical necessity and appropriateness of patient care. Communication is often conducted via electronic health records, phone calls, and virtual meetings to discuss patient cases, clarify documentation, and support care transitions. Effective collaboration ensures compliance with regulatory standards and helps optimize patient outcomes, while also balancing cost-effectiveness. This role requires strong interpersonal skills and the ability to navigate complex cases with a multidisciplinary approach.
More about Per Diem Optum Utilization Review jobs
What cities are hiring for Per Diem Optum Utilization Review jobs? Cities with the most Per Diem Optum Utilization Review job openings:
What are the most commonly searched types of Optum Utilization Review jobs? The most popular types of Optum Utilization Review jobs are:
What states have the most Per Diem Optum Utilization Review jobs? States with the most job openings for Per Diem Optum Utilization Review jobs include:
What job categories do people searching Per Diem Optum Utilization Review jobs look for? The top searched job categories for Per Diem Optum Utilization Review jobs are:
Per Diem Optum Utilization Review jobs near you
Infographic showing various Per Diem Optum Utilization Review job openings in the United States as of August 2026, with employment types broken down into 20% As Needed, 40% Full Time, and 40% Part Time. Highlights an 100% In-person job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Per Diem Elkins Park

Thomas Jefferson University Hospital

Philadelphia, PA • On-site

Other

Medical, Dental, Vision, Life, Retirement

Posted 25 days ago

Jefferson Health rating

7.7

Company rating: 7.7 out of 10

Based on 348 frontline employees who took The Breakroom Quiz

161st of 887 rated healthcare providers

Job description

Job Details
Provides social work services, assesses and enhances the patient's/family's/significant other's ability to cope with physical, emotional and environmental problems related to illness/convalescence and discharge plan. Works collaboratively with the multidisciplinary healthcare team to establish a discharge plan for the patient.
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.(Do not delete, move or over-write this statement)
• Conducts psychosocial assessment/reassignment of patients/significant others relating to the social, emotional and cognitive capabilities of patients in relationship to their illness and health maintenance needs.
• Develops and implements a plan of intervention that addresses identified needs related to needs/problems identified during assessment.Collaborated with the multidisciplinary team to ensure appropriate discharge planningProvides counseling for patient/family/significant others to assist with coping with new diagnoses, chronic illness and palliative or terminal care
• Advocates on behalf of the patients/families to enable them to obtain necessary services.
Job Description
Education - Required
  • Master's Degree Graduate from an accredited Masters of Social Work program required. Masters of Social Work required.
Experience - Required
  • 2 years hospital based social work experience.

Work Shift
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Magee Rehabilitation Hospital
Primary Location Address
1513 Race Street, Philadelphia, Pennsylvania, United States of America
Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.
Benefits
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
For more benefits information, please click here

What Jefferson Health employees say

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About Jefferson Health

Sourced by ZipRecruiter

Jefferson Health is a revered name in the healthcare sector, based in Philadelphia, Pennsylvania, US. This nonprofit health system is dedicated to delivering high-quality, compassionate clinical care and services across the region. The organization was founded in 1824 as Jefferson Medical College, and over the years, it has grown into a vast network of physicians and specialists, hospitals, outpatient and urgent care facilities. Offering a comprehensive range of healthcare services, Jefferson Health covers areas including cancer care, neuroscience, orthopedics, and cardiovascular care, among others. The organization's mission is to improve lives by promoting overall health and wellness, emphasizing value-based care, and making innovative medical advancements. Besides, one of their notable achievements includes being recognized by the National Academy of Medicine as a national leader in patient safety improvements.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Philadelphia, PA, US

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