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Remote Utilization Management Nurse Jobs in Reno, NV

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Remote Utilization Management Nurse information

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How much do remote utilization management nurse jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for remote utilization management nurse in Reno, NV is $42.16, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.41 per hour, depending on experience, location, and employer.

What is a remote utilization management nurse?

A Remote Utilization Management Nurse is a registered nurse who works from a remote location, such as their home, to review patient medical records and determine the necessity, appropriateness, and efficiency of healthcare services. They collaborate with healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. Their main responsibilities include reviewing clinical documentation, conducting pre-authorization reviews, and ensuring compliance with healthcare regulations and insurance guidelines.

What does a remote utilization management nurse do?

As a remote utilization management nurse, you work from home to perform a variety of duties and responsibilities, such as corresponding with and interviewing physicians, modifying patient treatment plans, analyzing investigation information, and auditing patient records. As a UM nurse, you may also deal with other clinical tasks, referrals, authorizations, and reviews. You usually work for insurance companies and healthcare providers to help to determine if patients should receive authorization for needed treatments or for those that they already receive. In some cases, you may monitor processes to ensure that hospital patients are getting what they need during their stay.

What are the key skills and qualifications needed to thrive as a remote utilization management nurse?

To thrive as a Remote Utilization Management Nurse, you need a valid RN license, clinical experience (often in acute care), and a solid understanding of utilization review and healthcare regulations. Familiarity with case management software, electronic medical records (EMRs), and tools like InterQual or Milliman Care Guidelines is typically required. Strong analytical skills, attention to detail, and effective written and verbal communication are essential soft skills for successful remote collaboration and decision-making. These skills ensure accurate assessments, compliance with standards, and the delivery of cost-effective, quality patient care from a remote setting.

What are some common challenges faced by remote utilization management nurses, and how can they be addressed?

Remote Utilization Management Nurses often face challenges such as maintaining effective communication with interdisciplinary teams, staying updated on changing insurance guidelines, and managing a high volume of case reviews. To address these issues, it's helpful to establish regular virtual check-ins with team members, utilize digital tools for efficient documentation, and participate in ongoing training on payer requirements. Developing strong organizational skills and proactively seeking clarification on complex cases can also contribute to success in this role.

What is the difference between Remote Utilization Management Nurse vs Remote Case Manager?

AspectRemote Utilization Management NurseRemote Case Manager
CredentialsRN license, certifications like CCM or ANCCRN license, certifications like CCM or similar
Work EnvironmentHealthcare organizations, insurance companies, telehealthInsurance companies, healthcare providers, telehealth
Job FocusReviewing medical necessity, authorizations, and utilizationCoordinating patient care, discharge planning, resource management

Both roles require RN licensure and similar certifications, often working remotely within healthcare or insurance settings. The main difference lies in focus: Utilization Management Nurses primarily review medical necessity and authorization requests, while Case Managers coordinate patient care and discharge planning. Understanding these distinctions helps job seekers identify the role that best matches their skills and career goals.

Infographic showing various Remote Utilization Management Nurse job openings in Reno, NV as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 100% Remote job distribution, with an average salary of $87,689 per year, or $42.2 per hour.

Neurology Clinical Program Coordinator-RN

Renown Health

Reno, NV • Remote

Full-time

Posted 8 days ago


Renown Health rating

7.3

Company rating: 7.3 out of 10

Based on 99 frontline employees who took The Breakroom Quiz

306th of 889 rated healthcare providers


Job description

Position Purpose

The Neurology Clinical Program Coordinator-RN is a registered nurse with expertise in neurology, epilepsy, memory disorders, quality management, and outpatient clinical program coordination. This fully remote position is responsible for the development, implementation, coordination, and evaluation of epilepsy and memory clinic programs within the outpatient neurology service line.

The position supports multidisciplinary coordination of care, quality improvement initiatives, regulatory and accreditation readiness, and program development aligned with organizational strategic goals. The role plays a key part in supporting the organization’s efforts to attain and maintain Level 4 accreditation through the National Association of Epilepsy Centers (NAEC) and supports quality and safety initiatives related to memory disorder treatment programs. Responsibilities include oversight of program metrics, regulatory compliance, MRI surveillance coordination, ARIA tracking, infusion safety workflows, patient education, adverse-event reporting, and collaboration across neurology, radiology, infusion services, pharmacy, and ancillary departments. The position serves as a clinical and operational resource for a complex neurological patient population and supports performance improvement activities across the continuum of care.

This position is fully remote and utilizes electronic medical records, registry databases, telehealth platforms, and virtual collaboration tools to support patient coordination, quality initiatives, and program operations. Occasional onsite attendance may be required for meetings, accreditation activities, or organizational needs.

Nature and Scope

Program Leadership

• Develops and supports operational and strategic goals for epilepsy and memory clinic programs in alignment with organizational objectives and accreditation standards.

• Coordinates multidisciplinary care processes, clinical protocols, workflow improvements, and quality initiatives across the continuum of neurological care.

• Supports NAEC Level 4 accreditation readiness, regulatory compliance activities, and program performance monitoring.

• Coordinates MRI surveillance and ARIA tracking workflows for patients receiving memory disorder therapies.

• Assists with development and standardization of infusion safety workflows and monitoring processes.

• Collaborate with neurology, radiology, infusion services, pharmacy, and ancillary departments to ensure coordinated patient care.

• Oversee program metrics, quality data collection, audits, benchmarking, and reporting activities.

• Participates in operational planning, performance improvement initiatives, and approved clinical research activities.

• Serves as a clinical and operational resource for staff caring for epilepsy and memory disorder patients.

Program Performance

• Monitors clinical processes, quality outcomes, and patient safety indicators related to epilepsy and memory clinic services.

• Tracks and reports epilepsy program metrics required for NAEC accreditation and organizational quality initiatives.

• Facilitate data collection, audits, case reviews, and adverse-event reporting activities.

• Identifies opportunities to improve patient outcomes, operational efficiency, care coordination, and regulatory compliance.

• Research evidence-based best practices and supports implementation of process improvements.

• Coordinates patient follow-up, education, and continuity of care activities.

Education and Outreach

• Serves as a key patient and family resource for education, coordination, and treatment plan support.

• Develops patient education materials related to epilepsy, seizure safety, infusion therapies, MRI surveillance, ARIA monitoring, and memory disorders.

• Provides virtual education and support to staff and multidisciplinary teams.

• Participates in multidisciplinary meetings, accreditation activities, and quality improvement initiatives.

• Supports community and organizational education initiatives related to neurological care programs.

This position does provide patient care

Disclaimer

The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications
Requirements - Required and/or Preferred

Name

Description

Education:

Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively. Bachelor of Art or Bachelor of Science is preferred.

Experience:

Minimum of 2 years experience in a clinical setting is required. Experience in a specialty practice is preferred.

License(s):

Ability to obtain and maintain a State of Nevada Registered Nurse license.

Certification(s):

Neuroscience, epilepsy, or quality certification preferred.

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.


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About Renown Health

Sourced by ZipRecruiter

Renown Health is a leading and respected player in the healthcare industry, based in Reno, NV, US. Established in 1862, the company has a deep-rooted history in providing high-quality healthcare services to the community. Renown Health offers a wide array of services including urgent care centers, lab services, x-ray and imaging services, primary care doctors and specialists. Its central values include excellence in quality and service, caring for people first, being proactive in the community, fiscal responsibility, integrity, and respecting every person.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Reno, NV, US

Year founded

1862

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