Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range ... All colleagues, including those who work less than part-time (including per diem colleagues ...
Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range ... All colleagues, including those who work less than part-time (including per diem colleagues ...
Performs utilization review and management, including quality review, case review for third party payers' requirements. Ensures optimal reimbursement from governmental third-party payers', obtaining ...
Quick apply
Performs utilization review and management, including quality review, case review for third party payers' requirements. Ensures optimal reimbursement from governmental third-party payers', obtaining ...
Healthcare Utilization Review Specialist
Houston, TX · On-site
$60 - $85/hr
Position Summary Reporting to the Utilization Review Manager, the Utilization Review Specialist will coordinate reviews of group renewal information, process claims for medical necessity, and ...
New
Healthcare Utilization Review Specialist
Houston, TX · On-site
$60 - $85/hr
Position Summary Reporting to the Utilization Review Manager, the Utilization Review Specialist will coordinate reviews of group renewal information, process claims for medical necessity, and ...
New
Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range ... All colleagues, including those who work less than part-time (including per diem colleagues ...
Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range ... All colleagues, including those who work less than part-time (including per diem colleagues ...
Healthcare Utilization Review Specialist
Houston, TX · On-site
$57K - $70K/yr
Position Summary Reporting to the Utilization Review Manager, the Utilization Review Specialist will coordinate reviews of group renewal information, process claims for medical necessity, and ...
Quick apply
Healthcare Utilization Review Specialist
Houston, TX · On-site
$57K - $70K/yr
Position Summary Reporting to the Utilization Review Manager, the Utilization Review Specialist will coordinate reviews of group renewal information, process claims for medical necessity, and ...
Utilization Review
Baltimore, MD · On-site
Now Hiring: RN Utilization Review - Baltimore, MD Are you a passionate RN professional looking for ... Estimated pay and benefits packages are on a per facility basis and may change with market ...
Utilization Review
Baltimore, MD · On-site
Now Hiring: RN Utilization Review - Baltimore, MD Are you a passionate RN professional looking for ... Estimated pay and benefits packages are on a per facility basis and may change with market ...
Utilization Review Nurse
Bradenton, FL · On-site
Experience in utilization review or case management is highly beneficial, particularly within ... This is a hybrid position with two days per week in the office and three days remote. Candidates ...
Utilization Review Nurse
Bradenton, FL · On-site
Experience in utilization review or case management is highly beneficial, particularly within ... This is a hybrid position with two days per week in the office and three days remote. Candidates ...
Utilization Review Nurse
Bradenton, FL · On-site
Experience in utilization review or case management is highly beneficial, particularly within ... This is a hybrid position with two days per week in the office and three days remote. Candidates ...
Utilization Review Nurse
Bradenton, FL · On-site
Experience in utilization review or case management is highly beneficial, particularly within ... This is a hybrid position with two days per week in the office and three days remote. Candidates ...
Utilization Review RN - Per Diem - Day - Utilization Resource Mgmt Pennington NJ
Pennington, NJ · On-site
$39.40 - $51.47/hr
This position is per diem and will consist of mostly day shifts, with the occasional 4-8 PM shifts ... manager. ESSENTIAL FUNCTIONS Performs chart review of identified patients to identify quality ...
Utilization Review RN - Per Diem - Day - Utilization Resource Mgmt Pennington NJ
Pennington, NJ · On-site
$39.40 - $51.47/hr
This position is per diem and will consist of mostly day shifts, with the occasional 4-8 PM shifts ... manager. ESSENTIAL FUNCTIONS Performs chart review of identified patients to identify quality ...
Utilization Review
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional ... Estimated pay and benefits packages are on a per facility basis and may change with market ...
Utilization Review
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional ... Estimated pay and benefits packages are on a per facility basis and may change with market ...
... per week. At Bradford Health Services, we don't just invest in our patients--we invest in our ... At least 2 years of experience in utilization review, case management, or clinical healthcare roles.
... per week. At Bradford Health Services, we don't just invest in our patients--we invest in our ... At least 2 years of experience in utilization review, case management, or clinical healthcare roles.
... revenue cycle management while focusing on delivering exceptional patient care. Our team is ... Represents the company in a positive manner per the Professional Standards of Conduct * Protects ...
... revenue cycle management while focusing on delivering exceptional patient care. Our team is ... Represents the company in a positive manner per the Professional Standards of Conduct * Protects ...
Experience in utilization review or case management is highly beneficial, particularly within ... This is a hybrid position with two days per week in the office and three days remote. Candidates ...
Experience in utilization review or case management is highly beneficial, particularly within ... This is a hybrid position with two days per week in the office and three days remote. Candidates ...
Utilization Review Nurse
Bradenton, FL · On-site
Experience in utilization review or case management is highly beneficial, particularly within ... This is a hybrid position with two days per week in the office and three days remote. Candidates ...
Utilization Review Nurse
Bradenton, FL · On-site
Experience in utilization review or case management is highly beneficial, particularly within ... This is a hybrid position with two days per week in the office and three days remote. Candidates ...
$55 - $90/hr
Experience in utilization review or case management is highly beneficial, particularly within ... This is a hybrid position with two days per week in the office and three days remote. Candidates ...
$55 - $90/hr
Experience in utilization review or case management is highly beneficial, particularly within ... This is a hybrid position with two days per week in the office and three days remote. Candidates ...
Healthcare Utilization Review Specialist
Orlando, FL · On-site
$52 - $76/hr
Position Summary Reporting to the Utilization Review Manager, the Utilization Review Specialist will coordinate reviews of group renewal information, process claims for medical necessity, and ...
New
Healthcare Utilization Review Specialist
Orlando, FL · On-site
$52 - $76/hr
Position Summary Reporting to the Utilization Review Manager, the Utilization Review Specialist will coordinate reviews of group renewal information, process claims for medical necessity, and ...
New
Utilization Review Specialist
Knoxville, TN · On-site
$60 - $80/hr
... per week. At Bradford Health Services, we don't just invest in our patients--we invest in our ... At least 2 years of experience in utilization review, case management, or clinical healthcare roles.
New
Utilization Review Specialist
Knoxville, TN · On-site
$60 - $80/hr
... per week. At Bradford Health Services, we don't just invest in our patients--we invest in our ... At least 2 years of experience in utilization review, case management, or clinical healthcare roles.
New
Utilization Review Assistant
Odessa, TX · On-site
Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and ...
Utilization Review Assistant
Odessa, TX · On-site
Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and ...
Utilization Review RN - Per Diem - Day - Utilization Resource Mgmt Pennington NJ
Pennington, NJ · On-site
$39.40 - $51.47/hr
This position is per diem and will consist of mostly day shifts, with the occasional 4-8 PM shifts ... manager. ESSENTIAL FUNCTIONS Performs chart review of identified patients to identify quality ...
Utilization Review RN - Per Diem - Day - Utilization Resource Mgmt Pennington NJ
Pennington, NJ · On-site
$39.40 - $51.47/hr
This position is per diem and will consist of mostly day shifts, with the occasional 4-8 PM shifts ... manager. ESSENTIAL FUNCTIONS Performs chart review of identified patients to identify quality ...
Utilization Review Nurse
Lawrence, MA · On-site
Utilization Review Nurse Responsible for determining the appropriateness of hospital admission ... Responsible for working with the Clinical Care Coordinator and Complex Care Manager to facilitate ...
Utilization Review Nurse
Lawrence, MA · On-site
Utilization Review Nurse Responsible for determining the appropriateness of hospital admission ... Responsible for working with the Clinical Care Coordinator and Complex Care Manager to facilitate ...
Per Diem Utilization Review Manager information
See salary details
$39K - $50.7K
9% of jobs
$59.3K is the 25th percentile. Wages below this are outliers.
$50.7K - $62.4K
22% of jobs
$62.4K - $74K
11% of jobs
The median wage is $81.2K / yr.
$74K - $85.7K
14% of jobs
$85.7K - $97.4K
12% of jobs
$104.7K is the 75th percentile. Wages above this are outliers.
$97.4K - $109.1K
13% of jobs
$109.1K - $120.8K
13% of jobs
$120.8K - $132.5K
5% of jobs
$132.5K - $144.1K
2% of jobs
$144.1K - $155.8K
0% of jobs
$155.8K - $167.5K
0% of jobs
$39K
$91K
$167.5K
How much do per diem utilization review manager jobs pay per year?
As of Sep 6, 2026, the average yearly pay for per diem utilization review manager in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.
What is the difference between Per Diem Utilization Review Manager vs Per Diem Utilization Review Nurse?
| Aspect | Per Diem Utilization Review Manager | Per Diem Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license and management experience | Licensed Registered Nurse (RN) with utilization review certification |
| Work Environment | Oversees review teams, manages processes, and ensures compliance | Performs case reviews, assesses medical necessity, and documents findings |
| Employer & Industry Usage | Health insurance companies, third-party administrators, healthcare organizations | Hospitals, insurance companies, third-party review organizations |
The main difference is that the Per Diem Utilization Review Manager oversees review teams and manages processes, while the Per Diem Utilization Review Nurse conducts individual case assessments and reviews medical necessity. Both roles require nursing credentials, but the manager focuses on leadership and operations, whereas the nurse focuses on clinical review tasks.
More about Per Diem Utilization Review Manager jobs
What cities are hiring for Per Diem Utilization Review Manager jobs?
Cities with the most Per Diem Utilization Review Manager job openings:
What states have the most Per Diem Utilization Review Manager jobs?
States with the most job openings for Per Diem Utilization Review Manager jobs include:
What job categories do people searching Per Diem Utilization Review Manager jobs look for?
The top searched job categories for Per Diem Utilization Review Manager jobs are:
- Per Diem Rn Utilization Review Nurse
- Per Diem Chart Review Nurse Practitioner
- Per Diem Nights
- Per Diem Teladoc Rn
- Per Diem Cvs Minute Clinic Nurse Practitioner
- Per Diem Optum Utilization Review
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- Registered Nurse Rn Prn
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Utilization Review Per Diem Elkins Park
Philadelphia, PA • On-site
Other
Medical, Dental, Vision, Life, Retirement
Re-posted 24 days ago
Jefferson Health rating
7.6
Based on 353 frontline employees who took The Breakroom Quiz
192nd of 898 rated healthcare providers
Job description
Job Details
Provides social work services, assesses and enhances the patient's/family's/significant other's ability to cope with physical, emotional and environmental problems related to illness/convalescence and discharge plan. Works collaboratively with the multidisciplinary healthcare team to establish a discharge plan for the patient.
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.(Do not delete, move or over-write this statement)
• Conducts psychosocial assessment/reassignment of patients/significant others relating to the social, emotional and cognitive capabilities of patients in relationship to their illness and health maintenance needs.
• Develops and implements a plan of intervention that addresses identified needs related to needs/problems identified during assessment.Collaborated with the multidisciplinary team to ensure appropriate discharge planningProvides counseling for patient/family/significant others to assist with coping with new diagnoses, chronic illness and palliative or terminal care
• Advocates on behalf of the patients/families to enable them to obtain necessary services.
Job Description
Education - Required
Work Shift
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Magee Rehabilitation Hospital
Primary Location Address
1513 Race Street, Philadelphia, Pennsylvania, United States of America
Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.
Benefits
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
For more benefits information, please click here
Provides social work services, assesses and enhances the patient's/family's/significant other's ability to cope with physical, emotional and environmental problems related to illness/convalescence and discharge plan. Works collaboratively with the multidisciplinary healthcare team to establish a discharge plan for the patient.
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.(Do not delete, move or over-write this statement)
• Conducts psychosocial assessment/reassignment of patients/significant others relating to the social, emotional and cognitive capabilities of patients in relationship to their illness and health maintenance needs.
• Develops and implements a plan of intervention that addresses identified needs related to needs/problems identified during assessment.Collaborated with the multidisciplinary team to ensure appropriate discharge planningProvides counseling for patient/family/significant others to assist with coping with new diagnoses, chronic illness and palliative or terminal care
• Advocates on behalf of the patients/families to enable them to obtain necessary services.
Job Description
Education - Required
- Master's Degree Graduate from an accredited Masters of Social Work program required. Masters of Social Work required.
- 2 years hospital based social work experience.
Work Shift
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Magee Rehabilitation Hospital
Primary Location Address
1513 Race Street, Philadelphia, Pennsylvania, United States of America
Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.
Benefits
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
For more benefits information, please click here
What Jefferson Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Jefferson Health
Sourced by ZipRecruiter
Jefferson Health is a revered name in the healthcare sector, based in Philadelphia, Pennsylvania, US. This nonprofit health system is dedicated to delivering high-quality, compassionate clinical care and services across the region. The organization was founded in 1824 as Jefferson Medical College, and over the years, it has grown into a vast network of physicians and specialists, hospitals, outpatient and urgent care facilities. Offering a comprehensive range of healthcare services, Jefferson Health covers areas including cancer care, neuroscience, orthopedics, and cardiovascular care, among others. The organization's mission is to improve lives by promoting overall health and wellness, emphasizing value-based care, and making innovative medical advancements. Besides, one of their notable achievements includes being recognized by the National Academy of Medicine as a national leader in patient safety improvements.
Industry
Hospitals and health care and social assistance
Company size
10,000+ Employees
Headquarters location
Philadelphia, PA, US