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 ...
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 ...
Provides feedback to the Department Manager on the development/modification of the utilization review plan. 13. Attends treatment team daily to review assigned cases with team. 14. Complete and ...
Provides feedback to the Department Manager on the development/modification of the utilization review plan. 13. Attends treatment team daily to review assigned cases with team. 14. Complete and ...
Utilization Review Clinician/Advocate needed for remote Per Diem position. The Utilization Review Clinician/Advocate provides telephonic care review and authorization determinations for psychiatric ...
Utilization Review Clinician/Advocate needed for remote Per Diem position. The Utilization Review Clinician/Advocate provides telephonic care review and authorization determinations for psychiatric ...
DIR - UTILIZATION REVIEW / MGMT
Harahan, LA · On-site
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 ...
DIR - UTILIZATION REVIEW / MGMT
Harahan, LA · On-site
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 ...
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 Specialist
Chadds Ford, PA · On-site
Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible ... Submit, track, and manage authorizations and reauthorizations * Communicate authorization updates ...
Quick apply
Utilization Review Specialist
Chadds Ford, PA · On-site
Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible ... Submit, track, and manage authorizations and reauthorizations * Communicate authorization updates ...
Description Utilization Review Clinician/Advocate needed for remote Per Diem position. The ... Review or Care Management experience. Strong telephonic communication, negotiation, and ...
Description Utilization Review Clinician/Advocate needed for remote Per Diem position. The ... Review or Care Management experience. Strong telephonic communication, negotiation, and ...
Manage a caseload of 50-75 patients and authorize 15-25 cases daily, ensuring timely utilization reviews and appropriate level of care. * Verify insurance benefits , coordinate authorizations, and ...
Quick apply
Manage a caseload of 50-75 patients and authorize 15-25 cases daily, ensuring timely utilization reviews and appropriate level of care. * Verify insurance benefits , coordinate authorizations, and ...
Utilization Review Specialist
$25 - $30/hr
Proven time management skills with the ability to meet deadlines consistently * Proficiency in ... bereavement leave per occurrence * Comprehensive medical and supplemental health insurance ...
Utilization Review Specialist
$25 - $30/hr
Proven time management skills with the ability to meet deadlines consistently * Proficiency in ... bereavement leave per occurrence * Comprehensive medical and supplemental health insurance ...
tango is a leader in the home health management industry and is preparing for significant growth ... We are currently looking for a Utilization Review Nurse (LPN or RN) to join our growing team! This ...
tango is a leader in the home health management industry and is preparing for significant growth ... We are currently looking for a Utilization Review Nurse (LPN or RN) to join our growing team! This ...
HCS 247 Travel is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing ... Lodging Per-Diem for those who qualify * Meals and Incidentals Allowance for those who qualify
HCS 247 Travel is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing ... Lodging Per-Diem for those who qualify * Meals and Incidentals Allowance for those who qualify
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
... 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 ...
Quick apply
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
... 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 ...
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 ...
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 Physician
Carteret, NJ · On-site
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review ...
Utilization Review Physician
Carteret, NJ · On-site
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review ...
Utilization Review Specialist Status: Full Time, Days Schedule: Mon-Fri, Days. New hire will have ... In this role, you'll conduct admission, concurrent, and continued stay reviews with managed care ...
New
Quick apply
Utilization Review Specialist Status: Full Time, Days Schedule: Mon-Fri, Days. New hire will have ... In this role, you'll conduct admission, concurrent, and continued stay reviews with managed care ...
New
Current California RN License and Magnet ANCC-recognized Case Management certification (CCM, ACM ... Comprehensive knowledge of utilization review, case management, performance improvement, and ...
Current California RN License and Magnet ANCC-recognized Case Management certification (CCM, ACM ... Comprehensive knowledge of utilization review, case management, performance improvement, and ...
Produces and manages agreed upon metrics and reports for distribution to other stakeholders per policy and procedure. Provides operational leadership to the Utilization Review Committee. Provides ...
Produces and manages agreed upon metrics and reports for distribution to other stakeholders per policy and procedure. Provides operational leadership to the Utilization Review Committee. Provides ...
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 ...
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 ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
... 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 ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
... 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 ...
This position is Per Diem, As Needed. Job Duties/Responsibilities: * This position provides ... Coordinates the utilization management functions of a patient caseload through collaboration with ...
This position is Per Diem, As Needed. Job Duties/Responsibilities: * This position provides ... Coordinates the utilization management functions of a patient caseload through collaboration with ...
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?
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.

Other
Posted 5 days ago
Job description
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.
- 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
- 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
- Background in Case Management or CDI
- Strong knowledge of Joint Commission and CMS guidelines
- Competitive pay
- Stable, high-demand role
- Collaborative healthcare environment
If you have strong Utilization Review, InterQual, and acute care experience, we want to hear from you!
About Fusion HCR
Sourced by ZipRecruiter
Industry
Human resources consulting services
Company size
11 - 50 Employees
Headquarters location
Springboro, OH, US
Year founded
2012