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Per Diem Utilization Review Jobs (NOW HIRING)

HCS 247

Travel Utilization Review RN

Apple Valley, CA · On-site

Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week ... Lodging Per-Diem for those who qualify * Meals and Incidentals Allowance for those who qualify

UHS

Utilization Review Coordinator

Scottsdale, AZ · On-site

Responsibilities Utilization Review Coordinator Full Time and PRN/Per Diem available Via Linda Behavioral Hospital is a behavioral health provider serving Scottsdale and the greater Phoenix area. We ...

Mindful Health

Utilization Review Specialist

$25 - $30/hr

Utilization Review Specialist Mindful Health is a fast-growing company with the goal of providing ... bereavement leave per occurrence * Comprehensive medical and supplemental health insurance ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · 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 ...

UHS

Utilization Review Coordinator

West Columbia, SC · On-site

This position is Per Diem, As Needed. Job Duties/Responsibilities: * This position provides ... Minimum of two years psychiatric experience in chart analysis and in the utilization review field.

UHS

Utilization Review Coordinator

West Columbia, SC · On-site

This position is Per Diem, As Needed. Job Duties/Responsibilities: * This position provides ... Minimum of two years psychiatric experience in chart analysis and in the utilization review field.

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Per Diem Utilization Review information

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

As of Jul 4, 2026, the average hourly pay for per diem utilization review 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 some common challenges faced by Per Diem Utilization Review staff, and how can they effectively manage these challenges?

Per Diem Utilization Review professionals often face challenges such as managing fluctuating workloads, staying updated on frequently changing payer requirements, and effectively communicating with various healthcare teams. Since scheduling can be variable, strong organizational skills and adaptability are essential. To manage these challenges, it's helpful to maintain up-to-date knowledge of current guidelines, utilize electronic health record systems efficiently, and foster collaborative relationships with clinical staff and case managers to ensure timely and accurate reviews.

What are the key skills and qualifications needed to thrive as a Per Diem Utilization Review Nurse, and why are they important?

To thrive as a Per Diem Utilization Review Nurse, you need a valid RN license, strong clinical assessment skills, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of CMS and insurance guidelines are typically required. Attention to detail, critical thinking, and effective communication are essential soft skills for collaborating with healthcare teams and payers. These competencies are crucial for ensuring appropriate care delivery, compliance, and optimal resource utilization in a flexible work environment.

What are Per Diem Utilization Review nurses?

Per Diem Utilization Review nurses are registered nurses who work on an as-needed basis to evaluate the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. Their primary responsibility is to review patient records and ensure that treatments and hospital stays meet established guidelines and standards, often for insurance or compliance purposes. Because they work per diem, their schedules are flexible and they may support hospitals, insurance companies, or other healthcare organizations during periods of high demand. This role requires strong clinical knowledge, attention to detail, and good communication skills to interact with both healthcare providers and payers.
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Per Diem Utilization Review jobs near you
RN Utilization Review - Patient & Family Services - Per Diem

RN Utilization Review - Patient & Family Services - Per Diem

solutionhealth

Nashua, NH

Part-time

Medical, Dental, Vision, Life, Retirement

Posted 16 days ago

Job description

Come work at the best place to give and receive care!

Job Description:

This Role is On-Site

Who We Are:

Southern NH Medical Centers strives to keep patients on a continuous track to discharge and receive the continuity of care that our patients and their families need. Our Patient and Family Services Department is the driving force to assure communication, respect, and safety follows our patients throughout the admission phase, all the way through the discharge process. This department includes a dedicated team of Case Managers, Social Workers, and Interpreters that ensure that all care is equal, and our patient's dignity is maintained above all else.

About the Job:

The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and proactively prevent denials. This specialist ensures level of care charges are applied accurately and meet compliance with CMS and commercial insurance guidelines as well as reviewing appeal options for medical necessity insurance denials

What You'll Do:

  • Assess acute medical necessity utilizing appropriate criteria.
  • Collect and trend Utilization Review data metrics.
  • Review appeal options for commercial insurance, RAC, and QIO medical necessity denials.
  • Understand and apply CMSRegulations to meet compliance

Who You Are:

  • Current NH Nursing License as a Registered Nurse.
    • ASN accepted; BSN required within 10 years of hire.
  • A minimum of 5-years' of experience as a Registered Nurse.
  • Experience in use of Interqual, Milliman or other Healthcare acute criteria preferred.

Why You'll Love Us:

  • Health, dental, prescription, and vision coverage for full-time & part-time employees
  • Short-term, long-term disability, life & pet insurance
  • Student Loan Forgiveness & Discounts
  • 403(b) Retirement savings plans
  • Continuous earned time accrual

& So much more!

Work Shift:

Per diem weekends and holiday. Other days available if staff have availability.

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

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