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Per Diem Utilization Review Social Worker Jobs (NOW HIRING)

TaraVista

Social Worker, Per Diem

Devens, MA · On-site

Join us as a Social Worker! Per Diem Opportunities Available! As a Social Worker for TaraVista in ... utilization review and provide liaison services to patients and their family/guardians, the ...

HAN Staff

RN - Utilization Review

Fort Myers, FL · On-site

$2.1K/wk

Utilization Review Registered Nurse (RN) * Shift: Day * 13 Week Contracts and more available ... Travel reimbursement and per diem allowances, Employee discounts, educational opportunities, and ...

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How much do per diem utilization review social worker jobs pay per year?

As of Aug 25, 2026, the average yearly pay for per diem utilization review social worker in the United States is $78,890.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,000.00 and $93,500.00 per year, depending on experience, location, and employer.

What is a per diem utilization review social worker?

A Per Diem Utilization Review Social Worker is a licensed social worker who works on an as-needed basis, often in hospitals or healthcare settings, to review patient cases and ensure that medical services are necessary and appropriate. They assess patient records, collaborate with medical teams, and help determine the most effective care plans while considering insurance requirements and regulatory standards. This role helps manage healthcare costs, supports patient advocacy, and ensures compliance with healthcare policies. Per diem positions offer flexible work schedules, allowing social workers to choose shifts based on availability.

How does a per diem utilization review social worker collaborate with interdisciplinary teams to ensure appropriate patient care?

As a Per Diem Utilization Review Social Worker, you’ll frequently collaborate with physicians, nurses, case managers, and insurance representatives to assess patients’ needs and ensure that care plans align with both clinical guidelines and coverage requirements. You will review medical records, participate in interdisciplinary rounds, and communicate recommendations to optimize patient outcomes while managing resource utilization. This role often requires strong communication skills and the ability to advocate for patients while balancing organizational and payer guidelines.

What are the key skills and qualifications needed to thrive as a per diem utilization review social worker, and why are they important?

To thrive as a Per Diem Utilization Review Social Worker, you need a master's degree in social work (MSW), state licensure (such as LCSW), and a strong understanding of healthcare regulations and case management. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of insurance criteria like Medicare and Medicaid guidelines are typically required. Excellent communication, critical thinking, and organizational skills help you advocate for patients and collaborate with interdisciplinary teams. These competencies are crucial for ensuring appropriate, cost-effective care while supporting patient well-being and compliance with healthcare standards.
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Per Diem Utilization Review Social Worker jobs near you
Infographic showing various Per Diem Utilization Review Social Worker 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, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $78,890 per year, or $37.9 per hour.

Per Diem Utilization Review Nurse

Las Vegas, NV • On-site

University Medical Center of Southern Nevada
Health Care and Social Assistance • 1 - 5K employees

7.5

Company rating: 7.5 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

304th of 1,063 rated hospitals

People enjoy working here

Good employer

Recommended by parents

Learn more about University Medical Center of Southern Nevadaexternal

Other

Medical, Retirement

Re-posted 7 days ago

Job description

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.

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