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Per Diem Utilization Review Nurse Jobs (NOW 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 ...

Registered Nurse - Utilization Review

Atlanta, GA · On-site

$59K - $100K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Registered Nurse - Utilization Review Hospitals on Incredible Health are actively hiring and ... Shift(s) available: day shift Job types available: full time, part time, and per diem Employer ...

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee ...

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

$55-$60 per hour Canton, MA Contract Duration: 6 Month Contract (Possibility of Extension) Position ... Nurse to support outpatient utilization review and prior authorization activities for a leading ...

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Per Diem Utilization Review Nurse information

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$42

$68

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

As of Aug 16, 2026, the average hourly pay for per diem 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 the key skills and qualifications needed to thrive in the per diem utilization review nurse position?

To thrive as a Per Diem Utilization Review Nurse, you need a valid RN license, strong clinical knowledge, and experience with patient case review for medical necessity. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of CMS or insurance guidelines are commonly required. Excellent critical thinking, attention to detail, communication, and time management skills help you excel in a flexible, collaborative environment. These abilities are crucial to ensure compliance, improve patient outcomes, and efficiently manage healthcare resources.

What is a per diem utilization review nurse?

A Per Diem Utilization Review Nurse evaluates medical records to ensure healthcare services are medically necessary, appropriate, and cost-effective. They work on an as-needed basis, often for hospitals, insurance companies, or healthcare organizations. Their responsibilities include reviewing patient care, verifying compliance with guidelines, and coordinating with providers to optimize resource utilization. This role requires strong analytical skills, clinical expertise, and knowledge of insurance policies and regulations.

What are the typical daily responsibilities of a per diem utilization review nurse?

As a Per Diem Utilization Review Nurse, your daily tasks typically include reviewing patient records for medical necessity, assessing treatment plans against established guidelines, and preparing documentation for insurance or regulatory agencies. You will collaborate closely with physicians, case managers, and insurance representatives to determine appropriate levels of care and to ensure efficient resource usage. Flexibility is key in this role, as assignments and workload may vary based on departmental needs. Many per diem nurses find that the variability offers valuable exposure to different cases and settings within the hospital or healthcare system.

More about Per Diem Utilization Review Nurse jobs

What cities are hiring for Per Diem Utilization Review Nurse jobs?

Cities with the most Per Diem Utilization Review Nurse job openings:

What are the most commonly searched types of Utilization Review Nurse jobs?

The most popular types of Utilization Review Nurse jobs are:

What states have the most Per Diem Utilization Review Nurse jobs?

States with the most job openings for Per Diem Utilization Review Nurse jobs include:

Infographic showing various Per Diem Utilization Review Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

$59.13/hr

Other

Medical, Retirement

Re-posted 27 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

430th of 1,059 rated hospitals


Job description

Salary: $59.13 Hourly
Location : 1800 West Charleston Blvd, Las Vegas, NV
Job Type: Per Diem
Job Number: 26-PDURQ2
Department: CASE MGMT - 8290
Opening Date: 05/18/2026
Closing Date: Continuous
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 Nevada's ONLY Nonprofit Level I Trauma Center, Verified Burn Center, and Multi-Organ 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.
Per Diem and Temporary Employees are not eligible to receive benefits.
THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER
01
I understand that I must FULLY complete the application including my education and work experience and that all answers to the experience questions below must be supported by documented work history. Incomplete applications or applications missing relevant work history information (including current UMC employment if applicable) will not be considered.
  • Yes
  • No

02
This position is a non-benefited, per diem (on-call as needed basis) position. Per Diem (PD) employee work assignments add to or substitute for staff on a pre-scheduled basis or as needed on a day-to-day basis, as determined by UMC and are non-benefitted. If you are interested, please make sure when completing the application check off the box "per diem" to the question, "What type of work you will accept" and please check off yes below.
  • Yes
  • No

03
Do you have a current Nevada License to practice as a Registered Nurse?
  • Yes
  • No but in the process of transfer my RN license to the State of Nevada
  • No

04
Are you a graduate from an accredited school of nursing with five (5) years of acute hospital clinical nursing experience, three (3) years of which was in Utilization Management, Case Management, or Clinical Documentation Improvement. Please note, this must be clearly documented within the employment application.
  • Yes
  • No

05
Have you documented experience using Interquel or Milliman utilization review criteria, and review of Medicare/Medicaid guidelines?
  • Yes
  • No

06
UMC is a Union facility and all shifts are bid on by seniority in the department. The successful candidate for this position must be able to work off-shifts, weekends and holidays. Are you able to meet the requirement?
  • Yes
  • No

07
Should I be selected to move to the next steps in the hiring process, I am aware this communication may be sent via email (@governmentjobs.com) notification (versus phone).
  • Yes, I am aware further communication regarding this position, may be sent in writing.

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