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Per Diem Utilization Review Manager Jobs (NOW HIRING)

Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in ... Collaborate with physicians, case management, and care teams * Support discharge planning and care ...

River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW DIRECTOR to direct and serve within the Utilization Management team. Evaluates patient medical records to determine severity ...

Proven time management skills with the ability to meet deadlines consistently * Proficiency in ... bereavement leave per occurrence * Comprehensive medical and supplemental health insurance ...

... cycle management professionals specializing in the substance use disorder, mental health, and ... Tuition reimbursement up to $2,500 per semester * EAP (unlimited counseling 24/7), BeyondMed ...

River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW DIRECTOR to direct and serve within the Utilization Management team. Evaluates patient medical records to determine severity ...

... cycle management professionals specializing in the substance use disorder, mental health, and ... Tuition reimbursement up to $2,500 per semester * EAP (unlimited counseling 24/7), BeyondMed ...

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Per Diem Utilization Review Manager information

See salary details

$39K

$91K

$167.5K

How much do per diem utilization review manager jobs pay per year?

As of Jun 13, 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?

AspectPer Diem Utilization Review ManagerPer Diem Utilization Review Nurse
CredentialsTypically requires a nursing license and management experienceLicensed Registered Nurse (RN) with utilization review certification
Work EnvironmentOversees review teams, manages processes, and ensures compliancePerforms case reviews, assesses medical necessity, and documents findings
Employer & Industry UsageHealth insurance companies, third-party administrators, healthcare organizationsHospitals, 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:
Infographic showing various Per Diem Utilization Review Manager job openings in the United States as of June 2026, with employment types broken down into 1% Internship, 3% As Needed, 22% Full Time, 61% Part Time, 12% Contract, and 1% Nights. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.

Utilization Review Nurse

Fusion HCR

Las Vegas, NV

Other

Posted 5 days ago


Job description

Fusion HCR is hiring! Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care.
Overview
Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works closely with clinical teams to ensure efficient resource utilization and quality patient outcomes.

Responsibilities
  • Review admissions using InterQual and/or Milliman criteria
  • Evaluate medical necessity, level of care, and documentation accuracy
  • Ensure compliance with Medicare, Medicaid, and regulatory guidelines
  • Collaborate with physicians, case management, and care teams
  • Support discharge planning and care coordination
  • Document findings and communicate recommendations

Requirements
  • Active RN license (Nevada)
  • 5+ years acute care nursing experience
  • 3+ years Utilization Review experience
  • 3+ years discharge planning experience (acute care)
  • Experience with InterQual (must be able to pass exam)
  • Experience with Milliman guidelines

Preferred
  • Background in Case Management or CDI
  • Strong knowledge of Joint Commission and CMS guidelines

Why Apply
  • Competitive pay
  • Stable, high-demand role
  • Collaborative healthcare environment

Apply Now
If you have strong Utilization Review, InterQual, and acute care experience, we want to hear from you!