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Manager Optum Utilization Review Jobs in Reno, NV

Reliable Healthcare 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 ...

Dane Street

Orthopedics Physician

Reno, NV

Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams

Corvel

Medical Case Manager II

Reno, NV · On-site

$65K - $98K/yr

A cost containment background, such as utilization review or managed care is helpful * Strong interpersonal, time management, and organizational skills * Computer proficiency and technical aptitude ...

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All JobsOptum Utilization Review JobsManager Optum Utilization Review JobsManager Optum Utilization Review Jobs in Reno, NV

Manager Optum Utilization Review information

See Reno, NV salary details

$38.9K

$90.7K

$167K

How much do manager optum utilization review jobs pay per year?

As of Jun 10, 2026, the average yearly pay for manager optum utilization review in Reno, NV is $90,744.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,300.00 and $109,200.00 per year, depending on experience, location, and employer.

What does a Manager of Optum Utilization Review do?

A Manager of Optum Utilization Review oversees a team responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that all reviews comply with regulatory standards, company policies, and clinical guidelines. Managers also collaborate with healthcare providers, monitor team performance, and help implement process improvements to optimize patient outcomes and resource use. Their role is vital in balancing quality patient care with cost-effective service delivery.

What are the key skills and qualifications needed to thrive as a Manager, Optum Utilization Review, and why are they important?

To thrive as a Manager, Optum Utilization Review, you need a background in healthcare management, clinical expertise (often as an RN or related field), and experience with utilization management processes. Familiarity with utilization review software, electronic health records (EHRs), and relevant certifications such as CCM (Certified Case Manager) or URAC accreditation is typically required. Strong leadership, analytical thinking, and effective communication skills help you guide teams and collaborate with providers and payers. These competencies are crucial for ensuring compliance, optimizing patient care, and achieving organizational goals in a complex healthcare environment.

How does a Manager in Optum Utilization Review typically collaborate with clinical and non-clinical teams to ensure effective case management?

As a Manager in Optum Utilization Review, you will regularly coordinate with clinical teams such as nurses, physicians, and case managers to review patient cases for medical necessity and compliance with policies. You’ll also work closely with non-clinical staff, including data analysts and administrative professionals, to streamline workflows and support accurate documentation. Effective collaboration ensures timely decision-making, helps resolve escalated cases, and supports continuous quality improvement initiatives. This role often requires strong communication and leadership skills to align multidisciplinary teams and achieve organizational goals.

What is the difference between Manager Optum Utilization Review vs Utilization Review Nurse?

AspectManager Optum Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, certifications in case management or utilization reviewRegistered Nurse (RN) license, certifications in case management or utilization review
Work EnvironmentSupervises teams, manages review processes, collaborates with healthcare providersConducts patient reviews, assesses medical necessity, documents findings
Employer & Industry UsageCommon in health insurance companies, managed care organizations, healthcare providersPrimarily in hospitals, insurance companies, healthcare organizations

The main difference is that the Manager Optum Utilization Review oversees the review process and team management, while the Utilization Review Nurse focuses on conducting individual patient assessments and reviews. Both roles require nursing credentials and knowledge of healthcare policies, but the manager has additional responsibilities in leadership and process oversight.

What are the most commonly searched types of Optum Utilization Review jobs in Reno, NV? The most popular types of Optum Utilization Review jobs in Reno, NV are:
What are popular job titles related to Manager Optum Utilization Review jobs in Reno, NV? For Manager Optum Utilization Review jobs in Reno, NV, the most frequently searched job titles are:
What job categories do people searching Manager Optum Utilization Review jobs in Reno, NV look for? The top searched job categories for Manager Optum Utilization Review jobs in Reno, NV are:
Manager Optum Utilization Review jobs near you

Psychiatrist

Reliable Healthcare Services

Sparks, NV • On-site

$155/hr

Other

Medical, PTO

Posted 17 days ago

Job description

Location: Northern Nevada Adult Mental Health Services - Dini-Townsend Hospital (Sparks, Nevada)
Schedule: Monday-Friday, 8:00 AM - 5:00 PM
Assignment Type: Full-Time
Salary: Highly Competitive, starting at $155/hour
Position Overview
Dini-Townsend Hospital, a 30-bed state-operated inpatient psychiatric facility under Northern Nevada Adult Mental Health Services (NNAMHS), is seeking a full-time Attending Psychiatrist to provide comprehensive psychiatric care to adult patients in an acute inpatient setting.
This role requires strong clinical judgment, leadership, and collaboration within a multidisciplinary environment. The attending psychiatrist manages a patient caseload of approximately 8-15 patients, oversees University of Nevada psychiatry residents, and ensures high-quality, trauma-informed, and recovery-focused care. Residents contribute to patient care activities; however, the Attending Psychiatrist retains full responsibility for all assigned patients, including all documentation, orders, assessments, and clinical decisions.
Responsibilities:
  • Provide direct psychiatric evaluation, diagnosis, and treatment for an assigned inpatient caseload (average 8-15 patients).
  • Oversee and supervise University of Nevada psychiatry residents participating in patient care.
  • Complete all required clinical documentation in the AVATAR electronic health record, including progress notes, orders, treatment plans, admission assessments, forensic evaluations (when applicable), and discharge summaries.
  • Participate actively in interdisciplinary treatment team meetings, contributing to individualized treatment planning, patient progress review, and coordination of services.
  • Conduct and manage psychiatric admission evaluations and determine appropriateness of referrals from external sources.
  • Facilitate safe and timely discharge planning in collaboration with social services, nursing, case management, and utilization review staff.
  • Coordinate ongoing medical maintenance care, collaborate with internal medical providers, and ensure continuity of treatment.
  • Collaborate with the utilization review nurse to provide required documentation for prior authorizations, continued stay reviews, and discharge medication approvals.
  • Participate in hospital committees such as Denial of Rights and other quality and oversight groups as assigned.
  • Support operational coverage during colleague absences (sick or personal time off) as needed.
  • Maintain compliance with Joint Commission, state, federal, and NNAMHS policies and standards of psychiatric care.
  • Uphold safety protocols and maintain awareness of risks associated with an inpatient psychiatric population, including patients with aggression, psychosis, or complex behavioral needs.
Qualifications:
  • Medical degree (MD or DO) from an accredited institution.
  • Completion of an accredited Psychiatry residency training program.
  • Board Certified or Board Eligible in Psychiatry.
  • Current Nevada medical license or eligibility for licensure.
  • Current DEA registration and ability to prescribe controlled substances in Nevada.
  • Strong knowledge of psychiatric assessment, psychopharmacology, crisis stabilization, trauma-informed care, and inpatient psychiatric treatment models.
  • Experience working with multidisciplinary teams in an inpatient psychiatric setting.
  • Ability to provide resident supervision, mentoring, and clinical oversight.
  • Excellent clinical documentation and EHR proficiency (AVATAR experience preferred but not required).

About Reliable Health Care Services:
Since 1991, Reliable Health Care Services has placed highly qualified professionals in premier public and private healthcare settings. We are Joint Commission Certified and dedicated to connecting compassionate clinicians with opportunities that make a real difference.

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