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Remote Utilization Management Jobs in Nevada (NOW HIRING)

... utilization of both equipment and personnel through effective planning, managing, organizing and directing. This position is responsible for providing quality cardiology remote monitoring services to ...

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Remote Utilization Management information

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$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.

Licensed Clinical Social Worker (LCSW) - Remote Mental Health Specialist

Private Counseling, LLC

Henderson, NV • Remote

$90K - $105K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 4 days ago


Job description

Position Overview

Private Counseling, LLC is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our team in a full-time, remote capacity. This role allows the successful candidate to make a meaningful impact on the lives of clients by providing quality mental health support tailored to their diverse needs. You will be pivotal in enhancing our clients' well-being and outcomes through expert clinical interventions and collaborative care.

About the Organization

At Private Counseling, LLC, we pride ourselves on delivering exceptional mental health services in a community health clinic setting. Our organization is dedicated to fostering a culture of inclusivity and respect, where the unique experiences and identities of our clients are honored. We emphasize the importance of a holistic approach to mental health, ensuring that our clients receive comprehensive care informed by their individual circumstances and perspectives. We are a team of passionate professionals committed to creating a supportive environment where healing and personal growth can thrive.

Work Environment

This position is structured as a remote role, providing you the flexibility to work from the comfort of your home while remaining connected to our collaborative team. Our standard working hours are Monday through Friday from 9:00 AM to 5:00 PM, allowing for a balanced work-life integration. You will utilize telehealth platforms to conduct sessions, interact with clients, and collaborate with other healthcare professionals to ensure optimal treatment plans are implemented effectively.

Key Responsibilities
  • Act as a vital liaison between clients, their families, and various outpatient providers to streamline and enhance care delivery.
  • Engage with insurance companies to handle pre-certification processes and manage the utilization of mental health services efficiently.
  • Contribute actively to discharge and aftercare planning, ensuring continuity of care and a smooth transition post-treatment.
  • Provide therapeutic meal support, educating clients on developing a healthy relationship with food, thereby promoting overall well-being.
  • Deliver safe, empathetic, and client-centered care that acknowledges and affirms the intersecting identities of clients, ensuring they feel secure and valued in their healing journey.
Patient Population / Client Focus

You will primarily work with a diverse clientele, including individuals from various backgrounds, experiences, and demographics. Critical to this role is your readiness to support older adults through their unique challenges, employing your clinical expertise to foster resilience and recovery. Your work will significantly impact their mental health outcomes, supporting them in navigating life's complexities.

Qualifications
  • A Master’s degree in Social Work from an accredited institution is required.
  • A valid Licensed Clinical Social Worker (LCSW) license in the state of Nevada is essential.
  • Proven experience in working with older adults is necessary to effectively engage and support this client population.
  • Strong proficiency in clinical and diagnostic skills, with a solid understanding of various therapeutic modalities.
  • Exceptional communication and interpersonal skills that facilitate rapport-building and trust with clients and their families.
  • Demonstrated ability to work both independently and collaboratively within a team-oriented environment.
Preferred Experience
  • Experience in a community health context or remote care setting is preferred, particularly using telehealth technology for client engagements.
  • Prior involvement in developing and implementing care plans tailored to individual patient needs, showcasing adaptability and creativity.
Compensation and Benefits

The salary for this position ranges from $90,000 to $105,000 annually, reflective of experience and qualifications. In addition to competitive pay, we offer a robust benefits package that includes:

  • Comprehensive medical, dental, and vision coverage.
  • 401(k) plan with employer matching and flexible spending options to support your financial health.
  • Life insurance and short-term disability coverage to ensure your peace of mind.
  • Opportunities for continuing education and professional development to enhance your skills and career trajectory.
Career Growth Opportunities

As a member of our team, you will have access to numerous opportunities for professional growth. We emphasize continuous learning and development within the organization, encouraging participation in workshops, training sessions, and additional certifications. Your role will grow as you gain experience, with potential pathways into management or specialized clinical roles.

Why Join Our Team

Joining Private Counseling, LLC means becoming part of a dedicated team that values each member's contributions and strives for excellence in patient care. You will be empowered to implement innovative solutions and practices that enhance client outcomes while collaborating with like-minded professionals who are equally passionate about mental health. Your work will have a lasting impact on individuals’ lives, making this job more than just a position—it is an opportunity to make a difference.

Application Information

If you are looking to take the next step in your career as a Licensed Clinical Social Worker and share our commitment to providing quality mental health support, we encourage you to apply today! Please submit your resume and a cover letter detailing your relevant experience and philosophy on client care. We look forward to welcoming a new member to our compassionate team.