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Remote Utilization Management Jobs in Nevada (NOW HIRING)

Nurse Case Manager Senior

Carson City, NV · Remote

$90K - $100K/yr

Carson City, NV (Remote) Schedule: Monday - Friday, 8:00 AM - 4:30 PM (PST) Salary Range: $90,000 ... Candidates with utilization review experience are strongly encouraged to apply, and case management ...

Nurse Case Manager Senior

Carson City, NV · Remote

$90K - $100K/yr

Carson City, NV (Remote) Schedule: Monday - Friday, 8:00 AM - 4:30 PM (PST) Salary Range: $90,000 ... Candidates with utilization review experience are strongly encouraged to apply, and case management ...

Candidates should be comfortable working in remote locations and have demonstrated success ... Lead target generation, assessment, and project pipeline management activities. * Design, evaluate ...

Showing results 21-40

Remote Utilization Management information

See Nevada salary details

$21

$43

$70

How much do remote utilization management jobs pay per hour?

As of Sep 6, 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.

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 are the key skills and qualifications needed to thrive in remote utilization management?

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.

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 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:

Infographic showing various Remote Utilization Management job openings in Nevada as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $89,556 per year, or $43.1 per hour.

Full-Time Licensed Clinical Social Worker (LCSW) - Remote at Desta Care Therapeutic

Desta Care Therapeutic

Reno, NV • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 19 days ago


Job description

Position Overview

Desta Care Therapeutic is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our remote hospice care team in Reno, Nevada. This full-time position offers an exciting opportunity to provide high-quality mental health support to clients with a range of emotional and psychological needs. The ideal candidate will have a strong commitment to fostering healing and empowerment in a supportive, collaborative environment.

About the Organization

Desta Care Therapeutic is a leading provider of mental health services that specializes in addressing the unique needs of individuals and families facing complex challenges. With an overarching mission to deliver exceptional, empathetic care, we cultivate a nurturing environment that promotes personal growth and healing. Our experienced team members work cohesively to implement evidence-based practices that enhance patient outcomes, ensuring each individual receives tailored support suited to their unique circumstances.

Work Environment

This position allows for a flexible remote work setting, providing an ideal work-life balance for our team members while they support clients from their own homes or comfortable spaces. The role offers a Monday to Friday schedule from 9:00 AM to 5:00 PM, making it suitable for professionals seeking stability along with the ability to contribute significantly to client care remotely.

Key Responsibilities
  • Act as a liaison between families, clients, and outpatient providers to ensure seamless coordination of care.
  • Engage in proactive communications with insurance companies for pre-certifications and to facilitate utilization management.
  • Participate in thorough discharge and aftercare planning, ensuring clients have the necessary resources for ongoing support.
  • Provide therapeutic meal support, guiding clients in developing healthy relationships with food and nourishment.
  • Deliver compassionate, affirming, and individualized care, acknowledging the unique intersecting identities of each client.
Patient Population / Client Focus

At Desta Care Therapeutic, our primary focus is on providing care to older adults, often facing complex emotional and mental health challenges. The population we serve may include clients with chronic illnesses, disabilities, and those navigating the end-of-life process. As an LCSW, you will play a pivotal role in helping these individuals and their families manage grief, overcome emotional barriers, and advocate for their needs within a hospice setting.

Qualifications
  • A Master's degree in Social Work from an accredited institution is required.
  • Must possess an active LCSW license in the state of Nevada.
  • Demonstrated experience working with older adult populations is essential, along with strong clinical and diagnostic skills.
  • Exceptional communication and interpersonal abilities are critical to engage effectively with clients and multidisciplinary teams.
  • The candidate must be capable of working independently while also embracing teamwork and collaboration.
Preferred Experience
  • Previous experience in hospice or palliative care settings is highly desired.
  • Familiarity with insurance navigation and related documentation processes is a plus.
  • Experience in therapeutic meal guidance or similar interventions can be beneficial.
Compensation and Benefits

The salary range for this position is competitive, offering between USD 90,000 and USD 105,000 annually, commensurate with experience and qualifications. In addition to a competitive salary, our organization provides a comprehensive benefits package that includes:

  • Medical, Dental, and Vision Coverage
  • 401(k) plan with contribution matching
  • Flexible Spending Accounts
  • Life Insurance and Accidental Death & Dismemberment Coverage
  • Short-term disability coverage
Career Growth Opportunities

Desta Care Therapeutic is committed to the professional growth and development of its staff. As a part of our team, you will have access to continuing education programs and potential pathways for advancement within the organization, allowing you to deepen your clinical expertise and expand your impact in the mental health field.

Why Join Our Team

By joining Desta Care Therapeutic, you will be part of an innovative team that prioritizes open communication, respect, and collaboration. Your perspective and contributions will be valued, making a tangible difference in the lives of clients and their families during challenging times. We pride ourselves on fostering an inclusive culture that supports diversity, equity, and personal fulfillment.

Application Information

If you share our passion for providing high-quality mental health support and are ready to make a positive impact in the lives of clients, we encourage you to apply today. Please submit your resume and a cover letter outlining your relevant experience and motivation for joining the Desta Care Therapeutic team.