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Per Diem Rn Utilization Review Nurse Jobs (NOW HIRING)

PSNYC , INC.

RN - Utilization Review

Pocatello, ID · On-site

RN - Utilization Review Shift: 5x8 hour days Shift 08:30 AM - 17:00 PM Years of Experience: 2 ... Reviews, Determine Medical Necessity per Evidence-Based Guidelines, Discharge Planning, DRG ...

Seh

Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Current Registered Nurse license in the State of Alabama Minimum Education Preferred * Bachelor ...

US Tech Solutions

Utilization Review Nurse

Chicago, IL · On-site

Active and unrestricted RN licensure in state of residence Questionnaire: * Do you have experience ... Do you have experience with Utilization Review? * Do you have an Active Registered Nurse License?

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

As of Jul 13, 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.

Does per diem nursing pay more?

Per diem RNs in utilization review often earn higher hourly rates compared to full-time staff nurses due to the flexibility and short-term nature of the assignments. However, they typically do not receive benefits like health insurance or paid time off, which can affect overall compensation. Pay rates vary based on location, experience, and agency policies.

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.

How to get into utilization review as a nurse?

To become a utilization review nurse, typically a registered nurse (RN) must have clinical experience and obtain certification such as the Certified Professional in Healthcare Quality (CPHQ) or Certified Utilization Review Nurse (CURN). Knowledge of medical coding, insurance processes, and strong assessment skills are essential, and some employers prefer experience in case management or case review roles.

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.

How to make an extra $2000 a month as a nurse?

Per Diem Rn Utilization Review Nurses can increase their income by taking on additional shifts, working overtime, or picking up weekend and holiday assignments. Gaining specialized certifications or experience can also qualify you for higher-paying assignments or consulting opportunities, helping you reach the extra $2000 per month goal.

How to make $300,000 as a nurse?

Per Diem Rn Utilization Review Nurses can increase earnings by working multiple shifts, gaining specialized certifications, and leveraging high-demand areas or institutions that offer higher pay rates. Building experience and working overtime or on-call can also contribute to higher annual income, but reaching $300,000 typically requires a combination of these strategies and a flexible schedule.

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 July 2026, with employment types broken down into 1% Locum Tenens, 24% As Needed, 37% Full Time, 22% Part Time, and 16% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

RN - Utilization Review

PSNYC , INC.

Pocatello, ID • On-site

Other

Medical

This job post has expired today. Applications are no longer accepted.

Job description

RN - Utilization Review

Shift: 5x8 hour days

Shift 08:30 AM - 17:00 PM

Years of Experience: 2 preferred

Unit accepts first time travelers

The Case Manager is responsible for medical necessity review, discharge planning, and utilization review. Identifies and communicates changes in the patients plan of care to the health care team. Maintains detailed knowledge of community resources and process for referrals Using LOS anticipates patient needs, stewardship of resources and timely transitioning of patients to alternative level of care Documents in patient record in a consistent and timely manner to include initial screenings and discharge plan.

100-mile radius rule, no local candidates

Account Manager: Rachel Holliday

Email: Rachel.Holliday@ayahealthcare.com

Job Requirements & Qualifications

Previous Charge Experience: Preferred

Years of Experience: 2

Patient Ratio Experience: Required

Charting System Experience: Required

Charting System Name: Epic

Community Hospital Experience: Preferred

LTAC Experience: Not Required

Trauma Level I Experience: Not Required

Trauma Level II Experience: Not Required

Travel Experience Required: Not Required

Certifications: BLS

Skills: Acute Hospital, Admission Criteria, Appeals and Denials, Audits, Benefits Eligibility, Care coordination, CMS: Centers for Medicare and Medicaid Services, Concurrent Review, Continued Stay Reviews, Determine Medical Necessity per Evidence-Based Guidelines, Discharge Planning, DRG (Diagnosis Related Groups), HIPAA guidelines (Health Insurance Portability and Accountability Act), ICU, Medical Necessity, MS, Needs Assessment/ Order DME, Plan of Care

Facility & Patient Care Details

Patient Age Groups: Adults, Pediatrics, Geriatrics

Special Procedures/Unit Details: Not Specified

Special Equipment: Not Specified

Travel Compliance

Ardent Submission Rules: 100-mile radius rule, no local candidates

State or Compact license must be in hand at time of submittal

All RTO must be listed at time of submittal

Previous Staff must wait 1 year before returning as a traveler

Compliance Rules

Onboarding: Must complete core items/labs within 48 hours of contract signing

Modules: Modules are non-billable, all hours are factored in

NBO RN average 4-6 hours

Allied 2-3 hours

Modules are completed onsite during orientation

Guaranteed Hours: Contract Weeks: 91

Client Details

Address: 777 Hospital Way

City: Pocatello

State ID: ID

Zip Code: 83201

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