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Per Diem Utilization Review Nurse Jobs (NOW HIRING)

AbsoluteCare

Utilization Review Nurse

New Orleans, LA · On-site

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

Merrimack Health

Utilization Review Nurse

Lawrence, MA · On-site

... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...

Merrimack Health

Utilization Review Nurse

Methuen, MA · On-site

... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...

Merrimack Health

Utilization Review Nurse

Lawrence, MA · On-site

... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...

Shannon Health

Utilization Review Nurse

Big Spring, TX · On-site

Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...

AbsoluteCARE

Utilization Review Nurse

New Orleans, LA · On-site

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

Merrimack Health

Utilization Review Nurse

Methuen, MA · On-site

... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...

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Per Diem Utilization Review Nurse information

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

As of Sep 6, 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 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.

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.

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Per Diem Utilization Review Nurse jobs near you
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, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Dynamic Computing Services

Las Vegas, NV • On-site

$55.10 - $86.79/hr

Other

This job post has expired 1 day ago. Applications are no longer accepted.

Key responsibilities

  • Reviews patient admissions for appropriateness, efficiency of resource utilization, and compliance with third party payer requirements.

  • Analyzes medical charts to determine whether care provided is within established parameters.

  • Performs discharge planning and collaborates with healthcare team to ensure proper patient care management.

Job description

We are seeking an Utilization Review Nurse for a full time permanent role onsite in Las Vegas, NV.

Candidates must be legally authorized to work in the U.S. and able to go W2.

PAY RATE
  • $40-$63 per hour
RESPONSIBILITIES
  • 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.
REQUIREMENTS

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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