Graduate of an accredited school of nursing. * Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case ...
Graduate of an accredited school of nursing. * Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case ...
This Utilization Review Nurse (RN) is Per Diem on our Case Management Unit and offers a convenient schedule. The Northern Nevada Health System is seeking a Utilization Review Nurse (RN) who will be ...
This Utilization Review Nurse (RN) is Per Diem on our Case Management Unit and offers a convenient schedule. The Northern Nevada Health System is seeking a Utilization Review Nurse (RN) who will be ...
This Utilization Review Nurse (RN) is Per Diem on our Case Management Unit and offers a convenient schedule. The Northern Nevada Health System is seeking a Utilization Review Nurse (RN) who will be ...
This Utilization Review Nurse (RN) is Per Diem on our Case Management Unit and offers a convenient schedule. The Northern Nevada Health System is seeking a Utilization Review Nurse (RN) who will be ...
Nurse Case Manager Senior
Carson City, NV · Remote
$90K - $100K/yr
Senior Nurse Case Manager - Workers' Compensation Location: Carson City, NV (Remote) Schedule ... Candidates with utilization review experience are strongly encouraged to apply, and case management ...
New
Nurse Case Manager Senior
Carson City, NV · Remote
$90K - $100K/yr
Senior Nurse Case Manager - Workers' Compensation Location: Carson City, NV (Remote) Schedule ... Candidates with utilization review experience are strongly encouraged to apply, and case management ...
New
Nurse Case Manager Senior
Carson City, NV · On-site
$90K - $100K/yr
Candidates with utilization review experience are strongly encouraged to apply, and case management ... Successful Nurse Case Managers are collaborative problem-solvers who understand how to balance ...
New
Nurse Case Manager Senior
Carson City, NV · On-site
$90K - $100K/yr
Candidates with utilization review experience are strongly encouraged to apply, and case management ... Successful Nurse Case Managers are collaborative problem-solvers who understand how to balance ...
New
Nurse Case Manager Senior
Carson City, NV · Remote
$90K - $100K/yr
Candidates with utilization review experience are strongly encouraged to apply, and case management ... Successful Nurse Case Managers are collaborative problem-solvers who understand how to balance ...
New
Nurse Case Manager Senior
Carson City, NV · Remote
$90K - $100K/yr
Candidates with utilization review experience are strongly encouraged to apply, and case management ... Successful Nurse Case Managers are collaborative problem-solvers who understand how to balance ...
New
Case Manager
Reno, NV · On-site
$20 - $25.75/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
Case Manager
Reno, NV · On-site
$20 - $25.75/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
Case Manager
$20 - $25.75/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
Case Manager
$20 - $25.75/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
Case Manager
Reno, NV · On-site
$40.13 - $60.19/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
Case Manager
Reno, NV · On-site
$40.13 - $60.19/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
Case Manager
$20 - $25.75/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
Case Manager
$20 - $25.75/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
Case Manager
Reno, NV · On-site
$42.14 - $63.20/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
Case Manager
Reno, NV · On-site
$42.14 - $63.20/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
Case Manager
Reno, NV · On-site
$20 - $25.75/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
Case Manager
Reno, NV · On-site
$20 - $25.75/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
RN COMPLEX CASE MANAGER
Carson City, NV · On-site
$70 - $90/hr
... N COMPLEX CASE MANAGER Full Time Clinical Carson City, NV, US 2 days ago Requisition ID: 2160 ... utilization, improved quality of care and cost-effective outcomes. * Ability to monitor and assure ...
RN COMPLEX CASE MANAGER
Carson City, NV · On-site
$70 - $90/hr
... N COMPLEX CASE MANAGER Full Time Clinical Carson City, NV, US 2 days ago Requisition ID: 2160 ... utilization, improved quality of care and cost-effective outcomes. * Ability to monitor and assure ...
RN COMPLEX CASE MANAGER
Carson City, NV · On-site
Registered Nurse Complex Case Manager Position Description The RN Complex Case Manager (CCM) is a ... utilization, improved quality of care and cost-effective outcomes. * Ability to monitor and assure ...
RN COMPLEX CASE MANAGER
Carson City, NV · On-site
Registered Nurse Complex Case Manager Position Description The RN Complex Case Manager (CCM) is a ... utilization, improved quality of care and cost-effective outcomes. * Ability to monitor and assure ...
RN COMPLEX CASE MANAGER
Carson City, NV · On-site
Registered Nurse Complex Case Manager Position Description The RN Complex Case Manager (CCM) is a ... utilization, improved quality of care and cost-effective outcomes. * Ability to monitor and assure ...
RN COMPLEX CASE MANAGER
Carson City, NV · On-site
Registered Nurse Complex Case Manager Position Description The RN Complex Case Manager (CCM) is a ... utilization, improved quality of care and cost-effective outcomes. * Ability to monitor and assure ...
RN COMPLEX CASE MANAGER
Carson City, NV · On-site
Registered Nurse Complex Case Manager Position Description The RN Complex Case Manager (CCM) is a ... utilization, improved quality of care and cost-effective outcomes. * Ability to monitor and assure ...
RN COMPLEX CASE MANAGER
Carson City, NV · On-site
Registered Nurse Complex Case Manager Position Description The RN Complex Case Manager (CCM) is a ... utilization, improved quality of care and cost-effective outcomes. * Ability to monitor and assure ...
Case Manager (Maternal Child)
Reno, NV · On-site
$42.14 - $63.20/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
Case Manager (Maternal Child)
Reno, NV · On-site
$42.14 - $63.20/hr
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
... utilization of care and services, and cost effective outcomes ... The Case Manager is responsible for the review of the medical record to ensure care and services ...
Psychiatrist
Sparks, NV · On-site
$155/hr
Facilitate safe and timely discharge planning in collaboration with social services, nursing, case management, and utilization review staff. * Coordinate ongoing medical maintenance care, collaborate ...
Psychiatrist
Sparks, NV · On-site
$155/hr
Facilitate safe and timely discharge planning in collaboration with social services, nursing, case management, and utilization review staff. * Coordinate ongoing medical maintenance care, collaborate ...
Psychiatrist
Sparks, NV · On-site
$155/hr
Facilitate safe and timely discharge planning in collaboration with social services, nursing, case management, and utilization review staff. * Coordinate ongoing medical maintenance care, collaborate ...
Psychiatrist
Sparks, NV · On-site
$155/hr
Facilitate safe and timely discharge planning in collaboration with social services, nursing, case management, and utilization review staff. * Coordinate ongoing medical maintenance care, collaborate ...
Case Manager Utilization Review Nurse information
See Reno, NV salary details
$19.17 - $24.69
3% of jobs
$24.69 - $30.20
6% of jobs
$35.20 is the 25th percentile. Wages below this are outliers.
$30.20 - $35.71
17% of jobs
$35.71 - $41.22
20% of jobs
The median wage is $42.33 / hr.
$41.22 - $46.74
16% of jobs
$46.74 - $52.25
11% of jobs
$53.43 is the 75th percentile. Wages above this are outliers.
$52.25 - $57.76
7% of jobs
$57.76 - $63.28
6% of jobs
$63.28 - $68.79
5% of jobs
$68.79 - $74.30
4% of jobs
$74.30 - $79.81
3% of jobs
$19
$47
$79
How much do case manager utilization review nurse jobs pay per hour?
As of Aug 30, 2026, the average hourly pay for case manager utilization review nurse in Reno, NV is $47.39, according to ZipRecruiter salary data. Most workers in this role earn between $35.24 and $57.26 per hour, depending on experience, location, and employer.
What is a case manager utilization review nurse?
A Case Manager Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, coordinate with healthcare providers, and ensure that treatments meet established guidelines and insurance requirements. Their goal is to optimize patient outcomes while controlling healthcare costs and ensuring compliance with regulations. These nurses also help facilitate communication between patients, providers, and payers to support effective care management.
How does a case manager utilization review nurse typically collaborate with physicians and other healthcare providers?
Case Manager Utilization Review Nurses regularly work with physicians, social workers, and other healthcare professionals to ensure patients receive appropriate care while managing resource utilization. They often participate in interdisciplinary team meetings to discuss care plans, review patient progress, and address any barriers to discharge. Building strong communication channels and maintaining up-to-date clinical knowledge are essential, as nurses must advocate for patients while also supporting evidence-based practices and regulatory compliance. This collaborative environment helps streamline patient care and optimize outcomes.
What are the key skills and qualifications needed to thrive as a case manager utilization review nurse, and why are they important?
To excel as a Case Manager Utilization Review Nurse, you need a solid background in nursing, strong clinical assessment skills, and a valid RN license, often with case management certification. Familiarity with utilization review software, electronic health record (EHR) systems, and knowledge of insurance and regulatory guidelines is essential. Exceptional communication, critical thinking, and negotiation abilities set top performers apart in this role. These qualifications ensure effective patient advocacy, cost-effective care, and compliance with healthcare standards.
What is the difference between Case Manager Utilization Review Nurse vs Case Manager?
| Aspect | Case Manager Utilization Review Nurse | Case Manager |
|---|---|---|
| Credentials | RN license, certification in utilization review (e.g., URAC) | RN license, case management certification (e.g., CCM) |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community health, insurance providers |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating patient care and discharge planning |
While both roles involve patient care coordination, the Case Manager Utilization Review Nurse primarily focuses on reviewing medical necessity and insurance approvals, whereas the Case Manager handles broader patient care coordination and discharge planning. Both roles require nursing credentials and are vital in healthcare settings, but their specific responsibilities differ.
What are popular job titles related to Case Manager Utilization Review Nurse jobs in Reno, NV?
For Case Manager Utilization Review Nurse jobs in Reno, NV, the most frequently searched job titles are:
- Remote Utilization Review Rn
- Remote Utilization Review Nurse
- Per Diem Utilization Review Nurse
- Registered Nurse Utilization Review
- Per Diem Remote Chart Review Nurse
- Flex Schedule Remote Utilization Review Nurse
- Temporary Utilization Review Nurse
- Remote Utilization Review Social Worker
- Night Utilization Review Nurse
What job categories do people searching Case Manager Utilization Review Nurse jobs in Reno, NV look for?
The top searched job categories for Case Manager Utilization Review Nurse jobs in Reno, NV are:
What cities near Reno, NV are hiring for Case Manager Utilization Review Nurse jobs?
Cities near Reno, NV with the most Case Manager Utilization Review Nurse job openings:
RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)
Carson City, NV • On-site
Universal Health Services •
Health Care and Social Assistance • 10K+ employees10,000+ employees
6.9
Based on 254 frontline employees who took The Breakroom Quiz
459th of 895 rated healthcare providers
People enjoy working here
Recommended by students
Respectful managers
Other
Medical, Dental, Vision, Retirement, PTO
Re-posted 25 days ago
Job description
Job Title
The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center, Henderson Hospital, Valley Health Specialty Hospital, and West Henderson Hospital.
Benefit Highlights:
- Comprehensive education and training center
- Competitive compensation & generous paid time off
- Excellent medical, dental, vision and prescription drug plans
- 401(K) with company match and discounted stock plan
- Career opportunities within VHS and UHS
- Subsidies
- Challenging and rewarding work environment
Job Description:
To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all patient visits. These goals can be achieved through proactive collaboration with the patient, family and healthcare team.
Qualifications:
- Education: Graduate of an accredited school of nursing.
- Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post discharge clinical and social needs.
- Technical Skills: Computer proficiency to include word processing, spreadsheet, and data collection/management computer programs.
- License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada.
- Other: Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.
EEO Statement: All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Notice: At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US
Website
What Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
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