ZipRecruiter

Log In

1

Per Diem Utilization Review Jobs (NOW HIRING)

Oscar Health

Utilization Review Nurse

Dallas, TX · 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 ...

US Tech Solutions

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 ... Perform outpatient utilization management (UM) and medical necessity reviews for prior ...

ARcare

Utilization Review Associate

Searcy, AR · On-site

Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION SUMMARY Assist with planning and coordinating the duties of Utilization Review. This position is ...

TEKsystems

Utilization Review Specialist

Addison, TX

$70K - $100K/yr

This is a hybrid opportunity offering the flexibility of three remote workdays per week while maintaining an onsite presence two days per week. Top Required Skills * Utilization review experience ...

New

KPC Health

Utilization Review Tech

Santa Ana, CA · On-site

Utilization Review Technician Under direction of the Utilization Review Technician Supervisor, the ... Able to type minimum of 50 words per minute * Knowledge of CMS, State Regulations, URAC and NCQA ...

Umpqua Health

Utilization Review Specialist

Winston, OR · On-site

$41K - $47K/yr

Utilization Review Specialist HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR ... Ability to type a minimum of 45 words per minute with a high degree of accuracy. * Strong attention ...

KPC Global MSO

Utilization Review Tech

Santa Ana, CA · On-site

SUMMARY Under direction of the Utilization Review Technician Supervisor, the Utilization Review ... Able to type minimum of 50 words per minute * Knowledge of CMS, State Regulations, URAC and NCQA ...

previous page

Showing results 41-60

All JobsPer Diem Utilization Review Jobs

Per Diem Utilization Review information

See salary details

$21

$42

$68

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

As of Aug 13, 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?

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 is a per diem utilization review?

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.
What cities are hiring for Per Diem Utilization Review jobs? Cities with the most Per Diem Utilization Review job openings:
What are the most commonly searched types of Utilization Review jobs? The most popular types of Utilization Review jobs are:
What states have the most Per Diem Utilization Review jobs? States with the most job openings for Per Diem Utilization Review jobs include:
Per Diem Utilization Review jobs near you
Infographic showing various Per Diem Utilization Review job openings in the United States as of June 2026, with employment types broken down into 3% As Needed, 91% Full Time, 2% Part Time, 3% Contract, and 1% Nights. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Oscar Health

Dallas, TX • Remote

$35 - $45.94/hr

Full-time

Posted 21 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

255th of 306 rated insurance

Job description

Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.

About the role:

You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.

You will report into the Supervisor, Utilization Review.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

  • Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines
  • Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines
  • Meet required decision-making SLAs
  • Refer members for further care engagement when needed
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
  • Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Nursing Diploma Program in Accredited School of Nursing
  • Ability to obtain additional state licenses to meet business needs
  • 1+ year of utilization review experience in a managed care setting
  • Strong experience utilizating MCG (Milliman Care Gudielines)
  • 1+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital)
  • Weekend availability is required; all applicants must be able to work at least one weekend day (Saturday or Sunday) each week.

Bonus points:

  • BSN
  • Previous experience conducting concurrent or inpatient reviews for a managed care plan

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

What Oscar Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom