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Per Diem Utilization Review Jobs (NOW HIRING)

Mindful Health

Utilization Review Specialist

$25 - $30/hr

Utilization Review Specialist Mindful Health is a fast-growing company with the goal of providing ... bereavement leave per occurrence * Comprehensive medical and supplemental health insurance ...

UHS

Utilization Review Coordinator

West Columbia, SC · On-site

This position is Per Diem, As Needed. Job Duties/Responsibilities: * This position provides ... Minimum of two years psychiatric experience in chart analysis and in the utilization review field.

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

As of Jun 9, 2026, the average hourly pay for per diem 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 are some common challenges faced by Per Diem Utilization Review staff, and how can they effectively manage these challenges?

Per Diem Utilization Review professionals often face challenges such as managing fluctuating workloads, staying updated on frequently changing payer requirements, and effectively communicating with various healthcare teams. Since scheduling can be variable, strong organizational skills and adaptability are essential. To manage these challenges, it's helpful to maintain up-to-date knowledge of current guidelines, utilize electronic health record systems efficiently, and foster collaborative relationships with clinical staff and case managers to ensure timely and accurate reviews.

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

To thrive as a Per Diem Utilization Review Nurse, you need a valid RN license, strong clinical assessment skills, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of CMS and insurance guidelines are typically required. Attention to detail, critical thinking, and effective communication are essential soft skills for collaborating with healthcare teams and payers. These competencies are crucial for ensuring appropriate care delivery, compliance, and optimal resource utilization in a flexible work environment.

What are Per Diem Utilization Review nurses?

Per Diem Utilization Review nurses are registered nurses who work on an as-needed basis to evaluate the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. Their primary responsibility is to review patient records and ensure that treatments and hospital stays meet established guidelines and standards, often for insurance or compliance purposes. Because they work per diem, their schedules are flexible and they may support hospitals, insurance companies, or other healthcare organizations during periods of high demand. This role requires strong clinical knowledge, attention to detail, and good communication skills to interact with both healthcare providers and payers.
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Per Diem Utilization Review jobs near you
Per Diem Utilization Review Nurse

Per Diem Utilization Review Nurse

University Medical Center of Southern Nevada

Las Vegas, NV • On-site

$57.58/hr

Other

Medical, Retirement

Posted 23 days ago

University Medical Center Of Southern Nevada rating

7.2

Company rating: 7.2 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

387th of 995 rated hospitals

Job description

Position Summary EMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients. UMC is home to a Level I Trauma Center, Verified Burn Center, and Transplant Center. In 2026, we became the FIRST and ONLY Magnet-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and superiority in patient care.

***Per Diem Opening(s)*** THIS POSITION MAY CLOSE WITHOUT NOTICE ONCE A SUFFICIENT NUMBER OF QUALIFIED APPLICATIONS ARE RECEIVED. Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts, determining whether care provided is within established parameters.

Job Requirement Education/Experience: Graduation from an accredited school of nursing and five (5) years of acute hospital clinical nursing experience, one (1) year of which was in Utilization Management, Case Management, or Clinical Documentation Improvement. Licensing/Certification Requirements: Valid license by the State of Nevada to practice as a Registered Nurse. Additional Position Requirements Minimum three (3) years of Utilization Management experience.

Minimum of three (3) year's experience with discharge planning in an acute care facility. Recent documented experience with InterQual, and ability to pass the InterQual exam. Recent documented experience with Milliman experience.

Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies and procedures; Joint Commission Accredited Health care Organizations standards, state statutes governing hospital services and health care, and other relevant regulations and standards; clinical medical and nursing procedures; disease processes; department and hospital safety practices and principles; patient rights; age specific patient care practices; infection control policies and practices; department and hospital emergency response policies and procedures. Skill in: Interpreting patient charts to determine whether care given is within best practice, appropriate for the diagnosis and properly documented; excellent ability to collaborate, co-ordinate and communicate findings; interpreting regulations and standards for others; writing reports, meeting minutes and other technical documents; analyzing statistical and other quantitative data; applying investigative and interviewing techniques; using a computer and a variety of software applications; communicating with a wide variety and establishing interpersonal relationships to interact effectively with co-workers, supervisor, staff in other work units and exchange or convey information. Physical Requirements and Working Conditions: Mobility to work in a typical office setting and use standard equipment, stamina to remain seated for extended periods of time, vision to read printed materials and a computer screen, and hearing and speech to communicate effectively in person and over the telephone.

Strength and agility to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. May work shifts and weekends. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.

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