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Per Diem Optum Utilization Review Jobs (NOW HIRING)

ARcare

Utilization Review Associate

Augusta, AR

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 ...

KPC Health

Utilization Review Tech

Santa Ana, CA · On-site

Utilization Review Technician Under direction of the Utilization Review Technician Supervisor, the ... Able to type minimum of 50 words per minute * Knowledge of CMS, State Regulations, URAC and NCQA ...

UHS

Utilization Review Coordinator

Brookline, MA · On-site

This is a 40 hour per week, salaried position. About Us HRI Hospital is 66-bed psychiatric facility ... As the Utilization Review Coordinator, you will: * Complete initial precertification and concurrent ...

UHS

Utilization Review Coordinator

Brookline, MA · On-site

This is a 40 hour per week, salaried position. About Us HRI Hospital is 66-bed psychiatric facility ... As the Utilization Review Coordinator, you will: * Complete initial precertification and concurrent ...

Umpqua Health

Utilization Review Specialist

Winston, OR · On-site

$41K - $47K/yr

Utilization Review Specialist HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR ... Ability to type a minimum of 45 words per minute with a high degree of accuracy. * Strong attention ...

KPC Global MSO

Utilization Review Tech

Santa Ana, CA · On-site

SUMMARY Under direction of the Utilization Review Technician Supervisor, the Utilization Review ... Able to type minimum of 50 words per minute * Knowledge of CMS, State Regulations, URAC and NCQA ...

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All JobsPer Diem Optum Utilization Review Jobs

Per Diem Optum Utilization Review information

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$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:
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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 NURSE (RN), Case Management - Per Diem

Alan B. Miller Medical Center

Sparks, NV • On-site

Other

Posted 5 days ago

Job description

Utilization Review Nurse (RN)

This Utilization Review Nurse (RN) is Per Diem on our Case Management Unit and offers a convenient schedule. The Northern Nevada Health System is seeking a Utilization Review Nurse (RN) who will be responsible for carrying out utilization management functions by planning, coordinating, and managing patient needs during hospitalization and throughout the continuum of care. Must be available to work weekends and holidays.

Job Duties/Responsibilities:

  • Conducts admission and continued stay reviews per guidelines to ensure medical necessity of level of care and hospitalization for multiple entities.
  • Reviews medical record for presence of accurate placement orders reconciles variances with patient providers.
  • Works collaboratively with attending providers, specialty providers, and physician advisors to ensure application of evidence-based guidelines for determining appropriate status.
  • Collaborate with Patient Access team to ensure correct payer source for hospitalization and communication.

Qualifications Requirements:

  • Graduate of an accredited or NLN approved RN program.
  • Current license as a RN in the State of Nevada required.
  • Two (2) years of clinical experience in an acute care hospital setting with (1) year in an inpatient or outpatient case management setting required.
  • Demonstrates compliance with hospital policies and procedures at all times.
  • Demonstrates strong leadership, organization, communication and interpersonal skills.

EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

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