ZipRecruiter

Log In

1

Per Diem Rn Utilization Review Nurse Jobs (NOW HIRING)

AbsoluteCare

Utilization Review Nurse

New Orleans, LA · On-site

The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Active Registered Nurse license by the State of Louisiana and/or the state(s) in which the nurse is ...

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 ...

next page

Showing results 1-20

All JobsPer Diem Rn Utilization Review Nurse Jobs

Per Diem Rn Utilization Review Nurse information

See salary details

$21

$42

$68

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.
More about Per Diem Rn Utilization Review Nurse jobs
What cities are hiring for Per Diem Rn Utilization Review Nurse jobs? Cities with the most Per Diem Rn Utilization Review Nurse job openings:
What are the most commonly searched types of Rn Utilization Review Nurse jobs? The most popular types of Rn Utilization Review Nurse jobs are:
What states have the most Per Diem Rn Utilization Review Nurse jobs? States with the most job openings for Per Diem Rn Utilization Review Nurse jobs include:
What job categories do people searching Per Diem Rn Utilization Review Nurse jobs look for? The top searched job categories for Per Diem Rn Utilization Review Nurse jobs are:
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 - Patient & Family Services - Per Diem

RN Utilization Review - Patient & Family Services - Per Diem

SolutioNHealth

Nashua, NH • On-site

Other

Medical, Dental, Vision, Life, Retirement

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

Job description

Come work at the best place to give and receive care!
Job Description:
This Role is On-Site
Who We Are:
Southern NH Medical Centers strives to keep patients on a continuous track to discharge and receive the continuity of care that our patients and their families need. Our Patient and Family Services Department is the driving force to assure communication, respect, and safety follows our patients throughout the admission phase, all the way through the discharge process. This department includes a dedicated team of Case Managers, Social Workers, and Interpreters that ensure that all care is equal, and our patient's dignity is maintained above all else.
About the Job:
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and proactively prevent denials. This specialist ensures level of care charges are applied accurately and meet compliance with CMS and commercial insurance guidelines as well as reviewing appeal options for medical necessity insurance denials
What You'll Do:

  • Assess acute medical necessity utilizing appropriate criteria.
  • Collect and trend Utilization Review data metrics.
  • Review appeal options for commercial insurance, RAC, and QIO medical necessity denials.
  • Understand and apply CMS Regulations to meet compliance
Who You Are:
  • Current NH Nursing License as a Registered Nurse.
    • ASN accepted; BSN required within 10 years of hire.
  • A minimum of 5-years' of experience as a Registered Nurse.
  • Experience in use of Interqual, Milliman or other Healthcare acute criteria preferred.
Why You'll Love Us:
  • Health, dental, prescription, and vision coverage for full-time & part-time employees
  • Short-term, long-term disability, life & pet insurance
  • Student Loan Forgiveness & Discounts
  • 403(b) Retirement savings plans
  • Continuous earned time accrual

& So much more!
Work Shift:
Per diem weekends and holiday. Other days available if staff have availability.
SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

Apply