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Per Diem Rn Utilization Review Nurse Jobs (NOW HIRING)

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...

Moffitt

$77K - $117K/yr

... Nurse (RN) Minimum Licensure (Other): Minimum Experience Required: Three (3) years of experience as a Case Manager in an acute setting with two (2) of those years focusing on utilization review.

Mass Digital Health

RN Utilization Review Jobs

Quincy, MA · On-site

$80 - $100/hr

The Utilization Review Nurse utilizes clinical knowledge to support the coordination, documentation ... Identifies potential avoidable days per department policy. * Conducts self‑auditing of medical ...

Ascension

Registered Nurse Utilization Review

Baltimore, MD · On-site

$84K - $120K/yr

Salary range: $84,094.40- $120,120.00 per year How you'll make an impact in this role * Advocate ... Registered Nurse credentialed from the Maryland Board of Nursing obtained prior to hire date or job ...

Merrimack Health

Utilization Review Nurse

Lawrence, MA · On-site

... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...

A24Group

Per Diem Registered Nurse

North Saint Paul, MN · On-site

$50.40 - $58.80/hr

Per Diem Registered Nurse (RN) - PICU Location: St. Paul, MN (55102) Shift: Night Shift | 07:00 PM - 07:30 AM Schedule: Per Diem Compensation $50.40 - $58.80/hr Overview We are seeking an experienced ...

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

As of Sep 7, 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 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.

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 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.
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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 August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Granville Health System

Oxford, NC • On-site

Per diem

Re-posted 18 days ago

Granville Health System rating

8.6

Company rating: 8.6 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Position Summary:

Conducts patient reviews as specified in review plan using screening criteria; identifies and documents actual and potential delays in services or treatment and works with departments and other providers to resolve problems; communicates to attending physician need for documentation for admission or continuation of hospitalization; refers cases that do not meet criteria to Director when needed. Screens all cases against high risk screens for discharge planning; conduct concurrent and retrospective reviews.

Qualifications:

North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization management criteria and standards. Excellent communication skills. Ability to work with physicians and hospital staff. Maintains professional knowledge and skills related to areas of responsibility. Self direction with the ability to work with minimal supervision and manage multiple tasks. Demonstrates understanding of variations in care of the following age groups - newborn, infant, child, adolescent, adult and geriatric.

What Granville Health System employees say

Pay

Hours and flexibility

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