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Per Diem Rn Utilization Review Nurse Jobs (NOW HIRING)

Fusion HCR

Utilization Review Nurse

Las Vegas, NV

Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works ...

Sedgwick

RN Utilization Review

Frankfort, KY

$73K - $75K/yr

Maintains a score of 90% or higher on monthly internal utilization review audits. * Meets productivity goals as outlined by supervisor. Education & Licensing Active unrestricted RN license in a state ...

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How much do per diem rn utilization review nurse jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for per diem rn utilization review nurse 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 are some common challenges faced by Per Diem RN Utilization Review Nurses, and how can they be managed?

Per Diem RN Utilization Review Nurses often face the challenge of adapting quickly to different workflows and documentation systems, since they may work across various departments or facilities. They must stay current with frequently updated insurance policies and regulatory guidelines, which can be complex. Effective time management and strong communication skills are essential, as they regularly collaborate with physicians, case managers, and insurance representatives to ensure appropriate care decisions. Building a habit of ongoing education and maintaining a flexible, detail-oriented approach can help manage these challenges and support success in this dynamic role.

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

To thrive as a Per Diem RN Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and experience with care coordination and case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance policies or CMS guidelines is typically required. Excellent critical thinking, attention to detail, and effective communication skills help in reviewing medical records and collaborating with healthcare teams. These competencies ensure appropriate care utilization, compliance with regulations, and optimal patient outcomes in a dynamic healthcare environment.

What is a Per Diem RN Utilization Review Nurse?

A Per Diem RN Utilization Review Nurse is a registered nurse who works on an as-needed basis to evaluate the necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities. These nurses review medical records and collaborate with healthcare providers to ensure that patients receive appropriate care according to established guidelines and insurance requirements. Their role helps ensure quality care while managing costs and preventing unnecessary services. Per diem positions offer flexible hours and may involve working in hospitals, insurance companies, or remote settings.
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Per Diem Rn Utilization Review Nurse jobs near you
Infographic showing various Per Diem Rn Utilization Review Nurse job openings in the United States as of June 2026, with employment types broken down into 79% Full Time, 6% Part Time, and 15% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
RN Utilization Review Nurse

RN Utilization Review Nurse

Healthcare Support Staffing

Troy, MI

$33 - $37/hr

Full-time

Posted 29 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Are you an experienced RN Utilization Review Nurse looking for a new opportunity with a prestigious healthcare company as a RN Utilization Review Nurse. Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the RN Utilization Review Nurse position for you!


Company Job Description/Day to Day Duties:

  • Providing utilization review for the Medicaid and Medicare line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare.
  • Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines
  • Provider appeals and Utilization reviews and assist with Denial Letters
  • Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization Management team.
  • Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.
  • Participates in interdepartmental integration and collaboration to enhance the continuity of care for members including Behavioral Health and Long Term Care.


Hours for this Position:

  • Mon-Fri: 8:30am - 5pm


Advantages of this Opportunity:

  • Great salary between $33 - 37!
  • Great benefits!!!
  • Fun and positive work environment!
Qualifications

Minimum Education/Qualifications/Licensures:

  • Must be an RN
  • Utilization Review background in either Managed Care of Provider environment (at least one year)
  • Interqual experience (at least one year)
  • Also has a background in patient, skilled nurses facilities, rehab, and home healthcare.
  • Other basic computer skills necessary: Microsoft Office, Data Entry, etc.
  • Minimum 2-4 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management.
  • Great typing and data entry skills
Additional Information

Interested in being considered?

If you are interested in being considered for this position, please click the apply button below.  Or call John Wood 407-478-0332 ext 225

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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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