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Insurance Utilization Review Jobs in Nevada (NOW HIRING)

Dane Street

Board-Certified Orthopedic Surgeon

Reno, NV · On-site

... review services, trusted by insurance carriers and organizations nationwide for objective, high ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...

Dane Street

Orthopedics Physician

Reno, NV

... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...

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Insurance Utilization Review information

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$43

$70

How much do insurance utilization review jobs pay per hour?

As of Jul 4, 2026, the average hourly pay for insurance utilization review in Nevada is $43.06, according to ZipRecruiter salary data. Most workers in this role earn between $34.04 and $49.42 per hour, depending on experience, location, and employer.

What are the most common challenges faced by Insurance Utilization Review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

What are the key skills and qualifications needed to thrive in the Insurance Utilization Review position, and why are they important?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What is an Insurance Utilization Review job?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are the most commonly searched types of Insurance Utilization Review jobs in Nevada? The most popular types of Insurance Utilization Review jobs in Nevada are:
What are popular job titles related to Insurance Utilization Review jobs in Nevada? For Insurance Utilization Review jobs in Nevada, the most frequently searched job titles are:
What job categories do people searching Insurance Utilization Review jobs in Nevada look for? The top searched job categories for Insurance Utilization Review jobs in Nevada are:
Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Nevada as of June 2026, with employment types broken down into 28% Full Time, 69% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $89,556 per year, or $43.1 per hour.

Therapist - Part-Time Weekends

Thrive Behavioral Hospital

Las Vegas, NV

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Job description

We are currently seeking Weekend Part-Time Licensed Therapists to provide group therapy, provide oversight in treatment planning, psychosocial/social assessments, and Individual therapy and/or family therapy to patients and their families.

Make a difference in someone's life by joining the Thrive Behavioral Hospital team!

Therapist Responsibilities:

  • Coordinating continuum of care activities for assigned clients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral sources requirements
  • Collaboration with individuals, families, and discharge resources
  • Other duties as assigned to assist with departmental needs

Therapist Qualifications:

  • Masters degree required
  • Current Nevada State Clinical Licensure (LCSW, LCPC, LMFT required)
  • One or more years of experience working in behavioral health setting. Previous experience in case management and/or utilization review preferred
  • One year of inpatient clinical work with experience in diagnosis, psychotherapy and assessment-based treatment planning
  • Display good theoretical knowledge of psychopathology and appropriate treatment techniques of each type of therapy
  • Experience with therapeutic limit-setting helpful or an understanding of level systems or other behavior management modalities helpful
  • Generalize understanding of the more commonly prescribed psychotropic medications and possible side-effects (i.e. detect and timely involvement of nursing personnel)
  • Prepare documentation to give the most complete description of the patient's response and functioning

Additional Requirements:

  • Current and timely renewal of CPR certification for healthcare professionals
  • Annual professional CPI certification training and certification provided by Thrive Behavioral Hospital

Benefits Offered:

  • Medical
  • Dental
  • Vision
  • Life Insurance
  • 401K
  • PTO

Apply