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Mid Level Occupational Therapy Utilization Review Jobs in Nevada

Fusion HCR

Utilization Review Nurse

Las Vegas, NV · On-site

Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works ...

PACS Inc

Occupational Therapist-H

Las Vegas, NV · On-site

$38.75 - $51/hr

... Occupational Therapy Assistants in direct patient care and patient related activities, following ... Utilization Review meetings and Rehabilitation Conferences as needed. • Participate in in ...

PACS

Occupational Therapist-H

Las Vegas, NV · On-site

$34.50 - $45.25/hr

... Occupational Therapy Assistants in direct patient care and patient related activities, following ... Utilization Review meetings and Rehabilitation Conferences as needed. • Participate in in ...

Infinity Rehab

Occupational Therapy Assistant

Las Vegas, NV · On-site

$24.25 - $32.75/hr

Utilization of NetHealth for point of service documentation with laptop or iPad * Clinical ... You will provide occupational therapy services to residents including treatment, related ...

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All JobsMid Level Occupational Therapy Utilization Review JobsMid Level Occupational Therapy Utilization Review Jobs in Nevada

Mid Level Occupational Therapy Utilization Review information

What is the difference between Mid Level Occupational Therapy Utilization Review vs Entry Level Occupational Therapy Utilization Review?

AspectMid Level Occupational Therapy Utilization ReviewEntry Level Occupational Therapy Utilization Review
CredentialsOccupational Therapy License, Certification in Utilization Review (if required)Occupational Therapy License, Basic understanding of Utilization Review processes
Work EnvironmentHealthcare facilities, insurance companies, case review teamsHealthcare settings, insurance companies, supervised review tasks
Employer & Industry UsageHospitals, insurance providers, rehab centersInsurance companies, outpatient clinics, healthcare agencies

The Mid Level Occupational Therapy Utilization Review typically involves more independent decision-making, advanced knowledge of insurance policies, and greater responsibility in case assessments. Entry Level roles focus on learning review processes under supervision, gaining experience, and developing foundational skills. Both roles are essential in healthcare and insurance industries, but the mid level position offers increased autonomy and expertise.

Mid Level Occupational Therapy Utilization Review jobs near you

Utilization Review Nurse

Fusion HCR

Las Vegas, NV • On-site

Other

Re-posted yesterday

Job description

Fusion HCR is hiring!Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care.
Overview
Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works closely with clinical teams to ensure efficient resource utilization and quality patient outcomes.
Responsibilities
  • Review admissions using InterQual and/or Milliman criteria
  • Evaluate medical necessity, level of care, and documentation accuracy
  • Ensure compliance with Medicare, Medicaid, and regulatory guidelines
  • Collaborate with physicians, case management, and care teams
  • Support discharge planning and care coordination
  • Document findings and communicate recommendations

Requirements
  • Active RN license (Nevada)
  • 5+ years acute care nursing experience
  • 3+ years Utilization Review experience
  • 3+ years discharge planning experience (acute care)
  • Experience with InterQual (must be able to pass exam)
  • Experience with Milliman guidelines

Preferred
  • Background in Case Management or CDI
  • Strong knowledge of Joint Commission and CMS guidelines

Why Apply
  • Competitive pay
  • Stable, high-demand role
  • Collaborative healthcare environment

Apply Now
If you have strong Utilization Review, InterQual, and acute care experience, we want to hear from you!

Apply