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Medical Director Utilization Management Jobs in Reno, NV

Otolaryngologist, Full-time

Carson City, NV ยท On-site

$309K - $342K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Physician has a dotted line reporting relationship structure between clinic management and physician leadership including the Physician Clinic Chief, Physician Medical Director, Physician Executive ...

Otolaryngology Physician

Carson City, NV ยท On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Physician has a dotted line reporting relationship structure between clinic management and physician leadership including the Physician Clinic Chief, Physician Medical Director, Physician Executive ...

Regional Clinical Director

Reno, NV ยท On-site

$50 - $55/hr

The regional director should expect to meet with the management team, including director of ... Knowledge of correct billing code utilization. Expected to clearly instruct and monitor supervisor ...

Regional Clinical Director

Reno, NV ยท On-site

$89K - $122K/yr

The regional director should expect to meet with the management team, including director of ... Knowledge of correct billing code utilization. Expected to clearly instruct and monitor supervisor ...

... Medical Director. Advanced Imaging I, practice following the protocols and techniques as per ... utilization and management of all clerical functions within the department including document ...

... Medical Director. Advanced Imaging I, practice following the protocols and techniques as per ... utilization and management of all clerical functions within the department including document ...

... Medical Director. General Sonographer and Advance Imaging Technologists practice following the ... utilization and management of all clerical functions within the department including document ...

New

Director of Clinical Operations

Reno, NV ยท On-site

$135 - $150/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Category Healthcare, Medical, Director * Required Degree 4 Year Degree * Travel 30% * Manage Others Yes Description Community Health Alliance is looking for full-time Director of Clinical ...

Showing results 41-60

Medical Director Utilization Management information

See Reno, NV salary details

$13K

$231.7K

$356K

How much do medical director utilization management jobs pay per year?

As of Aug 16, 2026, the average yearly pay for medical director utilization management in Reno, NV is $231,687.00, according to ZipRecruiter salary data. Most workers in this role earn between $197,400.00 and $283,700.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a medical director utilization management?

To thrive as a Medical Director Utilization Management, you need a medical degree (MD or DO), board certification, and extensive clinical experience, often in internal medicine or a related specialty. Familiarity with utilization review processes, case management software, and regulatory frameworks such as CMS guidelines is essential. Strong leadership, analytical thinking, and effective communication skills are crucial for guiding teams and collaborating with diverse stakeholders. These competencies ensure appropriate resource utilization, regulatory compliance, and high-quality patient care within healthcare organizations.

How does a medical director utilization management typically collaborate with clinical teams and insurance providers?

A Medical Director in Utilization Management frequently works at the intersection of healthcare providers, clinical teams, and insurance companies. Their role involves reviewing clinical cases, making coverage determinations, and consulting with physicians to ensure that medical treatments are both necessary and cost-effective. Collaboration often includes participating in interdisciplinary meetings, providing guidance on complex cases, and communicating policy updates or clinical guidelines. This ensures that patient care decisions align with best practices, regulatory requirements, and payer policies.

What is a medical director utilization management?

A Medical Director of Utilization Management is a physician who oversees and ensures the appropriate use of medical resources within a healthcare organization or insurance company. Their responsibilities include reviewing clinical cases, developing utilization review policies, and working with healthcare providers to ensure that treatment plans are medically necessary and cost-effective. They play a key role in balancing patient care quality with regulatory and financial considerations, helping to improve healthcare outcomes and system efficiency.

What is the difference between Medical Director Utilization Management vs Medical Director Case Management?

AspectMedical Director Utilization ManagementMedical Director Case Management
CredentialsMedical degree, medical license, possibly board certificationMedical degree, medical license, possibly board certification
Work EnvironmentUtilization review departments, insurance companies, healthcare organizationsCase management teams, hospitals, healthcare providers
Employer & IndustryInsurance companies, managed care organizationsHospitals, healthcare systems, community health agencies
Primary FocusReviewing medical necessity and approving servicesCoordinating patient care and discharge planning

Both roles require medical credentials and involve improving patient care, but Medical Director Utilization Management primarily focuses on reviewing and approving healthcare services for insurance purposes, while Medical Director Case Management emphasizes coordinating ongoing patient care and discharge planning within healthcare settings.

What are popular job titles related to Medical Director Utilization Management jobs in Reno, NV?

For Medical Director Utilization Management jobs in Reno, NV, the most frequently searched job titles are:

What job categories do people searching Medical Director Utilization Management jobs in Reno, NV look for?

The top searched job categories for Medical Director Utilization Management jobs in Reno, NV are:

Infographic showing various Medical Director Utilization Management job openings in Reno, NV as of August 2026, with employment types broken down into 100% Full Time. Highlights an 74% In-person, and 26% Remote job distribution, with an average salary of $231,687 per year, or $111.4 per hour.

Advanced Imaging II Per Diem Union - Mixed - SMRMC CT Scan

Saint Mary's Regional Medical Center

Reno, NV โ€ข On-site

Other

Posted 5 days ago


Job description

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Saint Maryโ€™s Health Network, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

As a long-standing community partner with a 116-year history, Saint Maryโ€™s Health Network offers Northern Nevada inpatient, outpatient, ancillary, and wellness services. Nationally recognized and accredited by the Joint Commission, as well as named one of the Top 100 Hospitals by Fortune/Merative and Americaโ€™s Best 250 hospitals by Healthgrades, Saint Maryโ€™s Regional Medical Center is a 352-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center for Cancer, surgical and orthopedic services, and an award-winning Cardiology program and more. The health system, a member of Prime Healthcare, also operates a fully-integrated Medical Group, multiple urgent care clinics, freestanding imaging, lab, and primary care clinics. For more information, visit www.SaintMarysReno.com.

Responsibilities

Advanced Imaging II, use equipment to visualize internal structures, blood flow and obtain measurements. American College of Radiology (ACR) and Intersocietal Accreditation Commission (IAC) are the 2 guiding bodies used in Imaging. In the Radiology settings, ACR is followed. In the Cardio-vascular Ultrasound setting, IAC is followed. Cardio-Vascular Sonographer practice following Protocols and Techniques as per scribed by the Cardio-Vascular Medical Director. General Sonographer and Advance Imaging Technologists practice following the protocols and techniques as per scribed by Imaging Medical Director. All Advanced Imaging II, will practice their skills within the scope of their credentials and with a valid written physicianโ€™s order always. Skill evaluations will be done by the area supervisor or preceptor assigned. Advanced Imaging II, will perform, under the supervision of a physician and complete exams per protocol using diagnostic criteria; completes required information on PACS. Promotes the smooth and efficient operation of the Imaging Department through the appropriate utilization and management of all clerical functions within the department including document handling and disposition, interpersonal relationships and information gathering and dispersion. Meets all requirements set forth by accreditation (ICAEL, ICAVL and ACR) as appropriate and governing bodies, including JCAHO, federal and state bodies, and department-specific requirements. Performs other duties and responsibilities as required.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

1. Proof of completion of a AAS or equivalent program required. 2. Graduate from an accredited program with clinical experience required. 3. Must be registered and/or certified by ARDMS, ARRT, CCI, ARMRIT, CNMT, MQSA and hold an advanced imaging credential. 4. License required if required by state. 5. To qualify for II a minimum of two additional registries or certifications OR one additional registry or certification in combination with a bachelor degree or higher in the Radiology Sciences. 6. Current and valid BLS (AHA) certification required. 7. Previous experience in performing imaging on patients of all ages, hospital-based experience preferred.

Employment Status Per Diem Shift Variable Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights:https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf