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Utilization Management Per Diem Jobs (NOW HIRING)

Seneca Family of Agencies

Per Diem Nurse

Concord, CA

$60.10 - $62.60/hr

Per Diem Nurse Job Category: Health Services Requisition Number: PERDI001987 Posted: May 8, 2026 ... Manager to ensure health and safety, infection control, resource utilization, and clinical and ...

Seneca Family of Agencies

Per Diem Nurse

San Jose, CA

$60.10 - $62.60/hr

Per Diem Nurse Job Category: Health Services Requisition Number: PERDI001987 Posted: May 8, 2026 ... Manager to ensure health and safety, infection control, resource utilization, and clinical and ...

Seneca Family of Agencies

Per Diem Nurse

Petaluma, CA

$60.10 - $62.60/hr

Per Diem Nurse Job Category: Health Services Requisition Number: PERDI001987 Posted: May 8, 2026 ... Manager to ensure health and safety, infection control, resource utilization, and clinical and ...

Seneca Family of Agencies

Per Diem Nurse

San Leandro, CA

$60.10 - $62.60/hr

Per Diem Nurse Job Category: Health Services Requisition Number: PERDI001987 Posted: May 8, 2026 ... Manager to ensure health and safety, infection control, resource utilization, and clinical and ...

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How much do utilization management per diem jobs pay per year?

As of Jun 8, 2026, the average yearly pay for utilization management per diem in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What is a Utilization Management Per Diem position?

A Utilization Management Per Diem position involves reviewing and evaluating medical services to ensure they are necessary and provided efficiently, typically in a healthcare or insurance setting. 'Per diem' means the employee works on an as-needed or flexible basis rather than a set schedule, providing coverage during busy periods or when regular staff are unavailable. These roles are commonly filled by nurses or healthcare professionals who assess patient care for appropriateness and compliance with policies. Utilization management helps control costs while ensuring patients receive appropriate care.

What is the difference between Utilization Management Per Diem vs Utilization Review Nurse?

AspectUtilization Management Per DiemUtilization Review Nurse
CredentialsRN license, certification in case management or utilization reviewRN license, certification in case management or utilization review
Work EnvironmentPer diem, hospital or insurance settings, flexible shiftsFull-time or part-time, hospital, insurance, or healthcare facilities
Employer UsageUsed for short-term staffing, on-call basisRegular review and approval of patient care, ongoing case management

Utilization Management Per Diem professionals typically work on a flexible, short-term basis, focusing on specific cases or shifts. In contrast, Utilization Review Nurses often hold ongoing roles, managing patient care reviews regularly. Both roles require similar credentials but differ mainly in work setting and employment structure.

How does a Utilization Management Per Diem professional typically interact with other healthcare team members during the review process?

Utilization Management Per Diem professionals work closely with physicians, nurses, social workers, and insurance representatives to ensure that patients receive appropriate care while efficiently utilizing healthcare resources. Communication is often conducted through electronic health records, case review meetings, and phone consultations. Collaboration is key, as you may need to gather additional clinical information or clarify care plans to support authorization and coverage decisions. Being proactive and diplomatic in these interactions helps facilitate smoother care transitions and positive patient outcomes.

What qualifications do you need to be a utilization review nurse?

To be a utilization review nurse, candidates typically need a registered nurse (RN) license, which requires completing an accredited nursing program and passing the NCLEX-RN exam. Relevant experience in case management, insurance, or clinical settings, along with knowledge of healthcare regulations and utilization review processes, is also important. Certifications such as the Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) can enhance qualifications.

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

To thrive as a Utilization Management Per Diem nurse, you need a current RN license, strong clinical assessment skills, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is commonly required. Excellent analytical thinking, communication, and time-management abilities help you collaborate effectively and make sound, timely decisions. These skills ensure accurate care reviews, regulatory compliance, and efficient patient care coordination in a flexible, part-time work environment.
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Utilization Management Per Diem jobs near you
Per Diem Utilization Review Nurse

Per Diem Utilization Review Nurse

University Medical Center of Southern Nevada

Las Vegas, NV

$57.58/hr

Other

Medical, Retirement

Posted 21 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

388th of 994 rated hospitals

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 a Level I Trauma Center, Verified Burn Center, and 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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