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Remote Utilization Management Jobs in Nevada (NOW HIRING)

ABB

Data Center COE Project Management Leader

NV · Remote

$119K - $190K/yr

Remote in the US This role is contributing to the ELSE Data Center Services Center of Excellence in ... utilization, margin, satisfaction), and alignment with sales on planning, bids, estimating, and ...

Aggreko

Project Manager, Events (AES)

Las Vegas, NV · Remote

$115K - $140K/yr

Remote opportunity located in any city with a major airport located in the United States * Work ... Proficiency with CRM (i.e., Salesforce). * Adept at optimizing resource utilization, forecasting ...

ITW

National Sales Manager

Las Vegas, NV · Remote

The role is a remote position; location base will be reviewed as this position covers all regions ... Develop communication and territory management skills throughout the field sales team * Identify ...

Inizio

Remote Contact Center Representative

Las Vegas, NV · Remote

$17 - $22/hr

Exhibit effective communication and tele-management skills. * Converse with callers in an ... Display flexibility within department to maximize utilization, including performing administrative ...

Pine Park Health

Remote Registered Nurse (RN)

Reno, NV · On-site +1

Promote patient health through education on preventive care and self-management strategies ... Strong experience in remote roles, showcasing proficiency with technology and digital communication ...

Pine Park Health

Remote Registered Nurse (RN)

Reno, NV · Remote

Promote patient health through education on preventive care and self-management strategies ... Strong experience in remote roles, showcasing proficiency with technology and digital communication ...

Pine Park Health

Remote Registered Nurse (RN)

Reno, NV · Remote

Promote patient health through education on preventive care and self-management strategies ... Strong experience in remote roles, showcasing proficiency with technology and digital communication ...

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All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Nevada

Remote Utilization Management information

See Nevada salary details

$21

$43

$70

How much do remote utilization management jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for remote utilization management in Nevada is $43.06, according to ZipRecruiter salary data. Most workers in this role earn between $34.04 and $49.42 per hour, depending on experience, location, and employer.

How does a Remote Utilization Management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What are the key skills and qualifications needed to thrive as a Remote Utilization Management Nurse, and why are they important?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

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

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

What are the most commonly searched types of Utilization Management jobs in Nevada? The most popular types of Utilization Management jobs in Nevada are:
What are popular job titles related to Remote Utilization Management jobs in Nevada? For Remote Utilization Management jobs in Nevada, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Nevada look for? The top searched job categories for Remote Utilization Management jobs in Nevada are:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Nevada as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $89,556 per year, or $43.1 per hour.

Pharmacist, Pharmacy Benefit Management (PBM) Clinical Strategy

SlateRx

Las Vegas, NV • Remote

$113K - $135K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Job description

Company Bio:

Founded by industry pioneers, SlateRx provides simple and affordable pharmacy benefit programs to employer groups, unions, public sector groups, health systems, and other payers throughout the United States. As the industry's only PBXTM, SlateRx is creating real value for plan sponsors on day one through purchasing scale and continued management via innovation and transparency.  Our model is designed to improve an out-of-touch healthcare model to make pharmacy benefits simple and affordable for plan sponsors and members.   

Job Overview:

As the Clinical Strategy Pharmacist, you will play a pivotal role in shaping the client experience and clinical program strategies for our organization. Leveraging your expertise in quality of care while controlling or decreasing overall healthcare costs, you will provide, recommend, implement, and evaluate clinical programs and services for our clients. Collaborating closely with cross-functional teams, you will interact with clients to translate clinical information into a format appropriate for both clinical and non-clinical audiences.   You will drive the success of our organization, enhance member health outcomes, and support ongoing organizational growth.

Responsibilities:

As the Clinical Strategy Pharmacist, your key responsibilities will include:

  • Clinical Strategy and Management:
    • Regularly evaluate pharmaceutical products and the new drug pipeline for clinical efficacy, safety, and cost-effectiveness to inform formulary decisions.
    • Monitor and assess emerging therapies, clinical guidelines, and treatment trends to inform strategic program development.
    • Support Pharmacy and Therapeutics (P&T) Committee meetings.
    • Provide clinical oversight and administration of clinical programs and services provided by SlateRx.
    • Provide ongoing evaluation of clinical programs and services to key stakeholders.
    • Collaborate with clinical operations and analytics teams to evaluate program performance and identify opportunities for enhancement.
  • Benefit Design and Optimization:
    • Consult on plan/benefit design recommendations during new client implementation.
    • Develop and implement a clinical plan that meets the goals and objectives of the client.
    • Analyze member demographics, healthcare utilization patterns, and cost projections to recommend appropriate benefit design updates to clients to improve healthcare and/or cost control.
  • Data Analysis and Reporting:
    • Generate reports and presentations to communicate insights and recommendations to key stakeholders and clients.
    • Utilize data analytics to assess the impact of clinical programs and strategies on member health outcomes and plan performance.
    • Identify high-impact opportunities for targeted clinical outreach, risk reduction, and cost savings.
  • Performs miscellaneous job-related duties as assigned.

Qualifications:

To excel in this role, you should possess the following qualifications:

  • Minimum of 2 years of managed care experience, including a strong understanding of provider, health plan, employer, and member dynamics.
  • Extensive experience in formulary management, clinical program design, benefit plan design, or pharmaceutical industry roles.
  • In-depth knowledge of pharmacy benefit management, pharmaceutical pricing, and pharmacy regulatory requirements.
  • Proficiency in MS Word, Excel and PowerPoint including use of tables, charts and figures is desirable
  • Proficiency required in interpreting drug literature and clinical trial evaluation, including proficiency with electronic databases (e.g., Micromedex, Medline, Internet evaluation).
  • Strong analytical skills with the ability to interpret complex healthcare data to inform strategic decision-making.
  • Excellent leadership, communication, and presentation skills.
  • Ability to adapt to a dynamic and fast-paced environment.

Education:

Bachelor's degree or Pharm.D. or relevant experience.

License Requirement:

Current, valid, and unrestricted clinical license is required.

Job Benefits:

Health, Dental, Vision, Life, 401k, Paid Time Off.

Location:

Remote

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