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Utilization Management Per Diem Jobs (NOW HIRING)

Mass General Brigham

Utilization Management Nurse BWH

$41.71 - $105.65/hr

Job Summary Staff Nurse - Per Diem Rotating Day - BWH Utilization Management The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination ...

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

As of Aug 16, 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?

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 are the key skills and qualifications needed to thrive as a utilization management per diem?

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

Utilization Management Registered Nurse

St. Joseph's Health

Paterson, NJ • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

St. Joseph's Health (New Jersey) rating

7.7

Company rating: 7.7 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

157th of 887 rated healthcare providers

Job description


The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services in accordance with established criteria, regulatory requirements, and organizational role. The UM RN ensures optimal patient care delivery while supporting compliance, quality outcomes, and effective resource utilization. The role is responsible for the assessment of medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate but ensures that an authorization is obtained from the payer, if required, and that the documentation supports the care delivered in such a way that minimizes risks of denials.
Qualifications
Work requires the knowledge of theories, principles, and concepts normally acquired through completion of a Bachelor of Science in Nursing and least at least 3 years of previous nursing experience. Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of America Certification CCM preferred. Licensure required as a Registered Nurse by the State of New Jersey.
About Us
St. Joseph's Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care".
Benefits Eligibility: (Full-time and Part-time Employees-over 20 hours a week)
  • Competitive salary*
  • Robust benefits with health, dental, Rx and vision plans
  • 403b retirement plan options with company match**
  • Health & Wellness*
  • Non-Profit Health System - eligible for Federal Student Loan Forgiveness
  • PTO, and paid holidays
  • Tuition reimbursement
  • Employee Assistance Program
  • LTD : Long Term Disability
  • Life Insurance Options
  • Onsite Day care Program

*Available for Per Diem Employees and Part-time Employees working under 20 hours per week.
**403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.
Pay transparency: St. Joseph's Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc." The salary range does not include incentives, differential pay or other forms of compensation.
About the Team
St. Joseph's University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women's health, imaging and pediatrics.
The nursing team at St. Joseph's University Medical Center, which includes St. Joseph's Children's Hospital, has held the Magnet Award for Nursing Excellence, the profession's highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize™ - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.

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