ZipRecruiter

Log In

1

Senior Rn Utilization Review Nurse Jobs in Reno, NV

Reliable Healthcare Services

Psychiatrist

Sparks, NV · On-site

$155/hr

Collaborate with the utilization review nurse to provide required documentation for prior authorizations, continued stay reviews, and discharge medication approvals. * Participate in hospital ...

Ageless Men's Health

Registered Nurse (RN)

Reno, NV · On-site

$87K/yr

Registered Nurse (RN) - Men's Health Clinic | Ageless Men's Health Location: Reno, NV Schedule ... Performing patient assessments, reviewing medical histories, and documenting care in the EMR.

Ageless Mens Health

Registered Nurse (RN)

Reno, NV · On-site

$87K/yr

Registered Nurse (RN) - Men's Health Clinic | Ageless Men's Health Location: Reno, NV Schedule ... Performing patient assessments, reviewing medical histories, and documenting care in the EMR.

Ageless Mens Health

Registered Nurse (RN)

Reno, NV · On-site

$87K/yr

Registered Nurse (RN) - Men's Health Clinic | Ageless Men's Health Location: Reno, NV Schedule ... Performing patient assessments, reviewing medical histories, and documenting care in the EMR.

Fastaff Travel Nursing

Travel Telemetry RN

Reno, NV · On-site

$2.0K - $2.7K/wk

MS/Tele RNs closely monitor the patients' condition, including heart function, so you must be able to accurately review telemetry readouts. Fastaff Travel Nursing Job ID #2131372. Pay package is ...

next page

Showing results 1-20

All JobsRn Utilization Review Nurse JobsSenior Rn Utilization Review Nurse JobsSenior Rn Utilization Review Nurse Jobs in Reno, NV

Senior Rn Utilization Review Nurse information

See Reno, NV salary details

$21

$42

$68

How much do senior rn utilization review nurse jobs pay per hour?

As of Aug 5, 2026, the average hourly pay for senior rn utilization review 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 the difference between Senior Rn Utilization Review Nurse vs Rn Case Manager?

AspectSenior Rn Utilization Review NurseRn Case Manager
CertificationsRN license, possibly UR or case management certificationRN license, often case management certification
Work EnvironmentHospitals, insurance companies, healthcare organizationsHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and utilization of servicesCoordinating patient care and discharge planning
Common UsageUsed in insurance and healthcare review settingsUsed in patient care coordination and discharge planning

The Senior Rn Utilization Review Nurse primarily focuses on evaluating the necessity and appropriateness of healthcare services, often working within insurance companies or healthcare organizations. In contrast, Rn Case Managers concentrate on coordinating patient care, discharge planning, and ensuring smooth healthcare delivery. Both roles require RN licensure and relevant certifications, but their daily responsibilities and work environments differ slightly.

What does a Senior RN Utilization Review Nurse do?

A Senior RN Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, apply clinical guidelines, and collaborate with healthcare providers to ensure that treatments are cost-effective and meet established standards of care. Additionally, they often mentor junior staff, participate in policy development, and help optimize resource utilization within healthcare organizations. Their work supports quality patient care while managing healthcare costs.

What are some typical challenges faced by a Senior RN Utilization Review Nurse when coordinating with multidisciplinary teams?

Senior RN Utilization Review Nurses often collaborate with physicians, case managers, and insurance representatives to ensure patients receive appropriate, cost-effective care. A common challenge is balancing clinical guidelines with payer requirements, which can sometimes lead to differing opinions on the necessity of certain treatments or services. Effective communication, strong negotiation skills, and up-to-date knowledge of regulatory standards are essential to navigate these situations successfully. Being proactive and maintaining strong professional relationships helps facilitate smoother approvals and promotes patient-centered care.

What are the key skills and qualifications needed to thrive as a Senior RN Utilization Review Nurse, and why are they important?

To thrive as a Senior RN Utilization Review Nurse, you need a strong clinical nursing background, active RN licensure, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and certifications like CCM (Certified Case Manager) or URAC are highly beneficial. Exceptional critical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These skills ensure accurate case evaluations, compliance with regulations, and optimized patient care while controlling healthcare costs.
What are popular job titles related to Senior Rn Utilization Review Nurse jobs in Reno, NV? For Senior Rn Utilization Review Nurse jobs in Reno, NV, the most frequently searched job titles are:
What job categories do people searching Senior Rn Utilization Review Nurse jobs in Reno, NV look for? The top searched job categories for Senior Rn Utilization Review Nurse jobs in Reno, NV are:
What cities near Reno, NV are hiring for Senior Rn Utilization Review Nurse jobs? Cities near Reno, NV with the most Senior Rn Utilization Review Nurse job openings:
Senior Rn Utilization Review Nurse jobs near you

UTILIZATION REVIEW NURSE (RN), Case Management - Per Diem

Alan B. Miller Medical Center

Sparks, NV • On-site

Other

Posted 4 days ago

Job description

Utilization Review Nurse (RN)

This Utilization Review Nurse (RN) is Per Diem on our Case Management Unit and offers a convenient schedule. The Northern Nevada Health System is seeking a Utilization Review Nurse (RN) who will be responsible for carrying out utilization management functions by planning, coordinating, and managing patient needs during hospitalization and throughout the continuum of care. Must be available to work weekends and holidays.

Job Duties/Responsibilities:

  • Conducts admission and continued stay reviews per guidelines to ensure medical necessity of level of care and hospitalization for multiple entities.
  • Reviews medical record for presence of accurate placement orders reconciles variances with patient providers.
  • Works collaboratively with attending providers, specialty providers, and physician advisors to ensure application of evidence-based guidelines for determining appropriate status.
  • Collaborate with Patient Access team to ensure correct payer source for hospitalization and communication.

Qualifications Requirements:

  • Graduate of an accredited or NLN approved RN program.
  • Current license as a RN in the State of Nevada required.
  • Two (2) years of clinical experience in an acute care hospital setting with (1) year in an inpatient or outpatient case management setting required.
  • Demonstrates compliance with hospital policies and procedures at all times.
  • Demonstrates strong leadership, organization, communication and interpersonal skills.

EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Apply