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Manager Optum Utilization Review Jobs in Reno, NV

Dane Street

Orthopedics Physician

Reno, NV · On-site

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

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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 Aug 6, 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 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 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:
What cities near Reno, NV are hiring for Manager Optum Utilization Review jobs? Cities near Reno, NV with the most Manager Optum Utilization Review job openings:
Manager Optum Utilization Review jobs near you
Infographic showing various Manager Optum Utilization Review job openings in Reno, NV as of August 2026, with employment types broken down into 91% Full Time, 5% Part Time, 2% Temporary, and 2% Contract. Highlights an 86% In-person, 3% Hybrid, and 11% Remote job distribution, with an average salary of $90,744 per year, or $43.6 per hour.

Orthopedics Physician

Dane Street

Reno, NV • On-site

Full-time

Re-posted 21 days ago

Job description

Dane Street is expanding our physician panel! We are seeking a skilled and board-certified Orthopedic Surgeon in Reno, Nevada to join our team for Independent Medical Examinations (IMEs). This role offers flexible scheduling, allowing you to select or decline assignments based on your availability. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations.

Key Responsibilities:

  • Thorough review of Medical Records
  • Perform in-person evaluations of patients with orthopedic issues
  • Respond to clinical queries to support claims management
  • Deliver detailed IME reports within an expected turnaround time of 5 days

Benefits

  • Robust opportunity for supplemental income
  • Schedule flexibility and predictable work hours-conduct exams and reviews based on your schedule availability
  • No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions.
  • Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
  • Expanded credentials as an expert in Independent Medical Exams
  • Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal

Qualifications:

  • Board-certification required.
  • Previous experience in performing IMEs is preferred.
  • Strong analytical skills and excellent communication abilities are a plus

If you are a dedicated Orthopedic Surgeon looking for a flexible opportunity to apply your expertise in an IME capacity, we encourage you to apply.


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