case manager, utilization review (per diem)
VHC Health · US
Utilization Review
–
physician
Pharmacist
Demand78
Career growth60
Healthcare fit85
Remote potential55
5-year outlook
Stable demand as hospitals and payers manage costs; per diem rates vary by market, and experienced UR nurses can move into full-time, lead, or managed care roles.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
–
Date found
2026-10-02
Intelligence details
Flexible work details
- Side income
- Classified as side-income friendly
- Engagement type
- Per-diem
- Hours
- Shift-based
- Eligible countries
- United States
- Profession fit
- physician, Pharmacist
- Rate period
- Per shift
Why this was classified this way
- per diem
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for nurses or clinicians seeking flexible, non-bedside work in utilization review; confirm license requirements, training, and onsite/remote expectations before applying.
Who should apply
RNs with med-surg, case management, discharge planning, or insurance/UR experience; clinicians interested in managed care and utilization management.
CV angle
Emphasize clinical assessment, medical necessity criteria, insurance communication, discharge planning, EHR documentation, and compliance; quantify caseloads and approval/denial outcomes without fabricating.
Skills to highlight
- Utilization review
- Medical necessity criteria
- Insurance authorization
- Discharge planning
- Care coordination
- Clinical documentation
- InterQual/Milliman
- CMS compliance
Role summary
Per diem case manager focused on utilization review, evaluating medical necessity, coordinating care, and communicating with payers to ensure appropriate resource use.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.