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Temporary 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 ...

CCMSI

Nurse Case Manager Senior

Carson City, NV · On-site

$90K - $100K/yr

Candidates with utilization review experience are strongly encouraged to apply, and case management ... Successful Nurse Case Managers are collaborative problem-solvers who understand how to balance ...

CCMSI

Nurse Case Manager Senior

Carson City, NV · Remote

$90K - $100K/yr

Candidates with utilization review experience are strongly encouraged to apply, and case management ... Successful Nurse Case Managers are collaborative problem-solvers who understand how to balance ...

CCMSI

Nurse Case Manager Senior

Carson City, NV · Remote

$90K - $100K/yr

Senior Nurse Case Manager - Workers' Compensation Location: Carson City, NV (Remote) Schedule ... Candidates with utilization review experience are strongly encouraged to apply, and case management ...

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How much do temporary utilization review nurse jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for temporary 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 a temporary utilization review nurse?

A Temporary Utilization Review Nurse is a registered nurse hired on a short-term basis to assess the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance coverage to ensure that care meets established guidelines and is cost-effective. These nurses often work with hospitals, insurance companies, or healthcare agencies, typically filling in for permanent staff or handling increased workloads. Their goal is to promote quality care while managing healthcare resources responsibly.

How does a temporary utilization review nurse typically collaborate with other healthcare professionals to ensure proper patient care?

A Temporary Utilization Review Nurse works closely with physicians, case managers, and insurance representatives to review patient records and determine the medical necessity of treatments and services. This collaboration often involves attending interdisciplinary meetings, clarifying clinical information, and providing recommendations for care plans. The role requires effective communication skills to facilitate timely approvals and prevent unnecessary delays in patient care, all while maintaining compliance with regulatory standards. Working as part of a team, the nurse helps bridge the gap between clinical staff and administrative requirements, ensuring optimal outcomes for both patients and the organization.

What are the key skills and qualifications needed to thrive as a temporary utilization review nurse, and why are they important?

To thrive as a Temporary Utilization Review Nurse, you need a registered nursing license, strong clinical judgment, and experience in patient care or case management. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of insurance regulations and medical necessity criteria are typically required. Outstanding analytical thinking, attention to detail, and effective communication skills set individuals apart in this position. These skills ensure accurate evaluation of care appropriateness, support compliance, and facilitate collaboration with healthcare providers for optimal patient outcomes.

What is the difference between Temporary Utilization Review Nurse vs Case Manager?

AspectTemporary Utilization Review NurseCase Manager
CredentialsRN license, certification in utilization review (e.g., CURN)RN license, case management certification (e.g., CCM)
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community health, insurance companies
Employer & IndustryHealthcare providers, insurance firmsHealthcare organizations, insurance providers
Primary FocusReview medical necessity and insurance coverageCoordinate patient care and discharge planning

While both roles require nursing credentials and involve patient-related assessments, the Temporary Utilization Review Nurse primarily focuses on evaluating medical necessity for insurance purposes, whereas the Case Manager concentrates on coordinating patient care and discharge planning. Understanding these differences helps healthcare professionals and employers select the right role for their needs.

How to get into utilization review as a temporary utilization review nurse?

To become a temporary utilization review nurse, candidates typically need a registered nurse (RN) license and experience in case management or clinical review. Gaining knowledge of insurance policies, medical coding, and utilization review processes, along with familiarity with electronic health records (EHR) systems, can improve job prospects. Temporary roles often require flexibility and the ability to adapt to different healthcare settings or insurance companies.

What are the most commonly searched types of Utilization Review Nurse jobs in Reno, NV?

The most popular types of Utilization Review Nurse jobs in Reno, NV are:

What are popular job titles related to Temporary Utilization Review Nurse jobs in Reno, NV?

For Temporary Utilization Review Nurse jobs in Reno, NV, the most frequently searched job titles are:

What job categories do people searching Temporary Utilization Review Nurse jobs in Reno, NV look for?

The top searched job categories for Temporary Utilization Review Nurse jobs in Reno, NV are:

What cities near Reno, NV are hiring for Temporary Utilization Review Nurse jobs?

Cities near Reno, NV with the most Temporary Utilization Review Nurse job openings:

Temporary Utilization Review Nurse jobs near you
Infographic showing various Temporary Utilization Review Nurse job openings in Reno, NV as of June 2026, with employment types broken down into 92% Full Time, 4% Part Time, 1% Temporary, and 3% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $87,689 per year, or $42.2 per hour.

UTILIZATION REVIEW AND APPEALS RN

Carson Tahoe Health

Carson City, NV • On-site

Full-time

Posted 21 days ago

Carson Tahoe Health rating

7.9

Company rating: 7.9 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

US:NV:Carson City Case Management
Full Time Day Shift
Summary
This position is responsible for facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources while respecting patient's right to self-determination. This position has the overall responsibility to maintain current knowledge of disease processes, available resources, treatment options appropriate to patient population and reviewing medical necessity, responding to authorization concerns, and/or reconciling coverage related issues. This position collaborates with medical staff, interdisciplinary team, and external resources to screen for accurate medical necessity and appeal appropriate accounts according to internal guidelines.
Qualifications
Required:
  • Minimum (2) years of acute care hospital patient care experience
  • Current unrestricted registered nurse license in the State of Nevada
  • Organizational skills, excellent verbal & written communication skills, ability to lead, coordinate diverse group in fast paced environment, critical thinking, problem solving and negotiation skills

Preferred:
  • Two (2) years of experience as acute care case manager
  • Bachelor of Science in Nursing
  • Ability to obtain Accredited Case Manager (ACM) certification

Essential Functions
  • Transition management - Assigns appropriate length of stay, participates in readmission prevention, transition level of care and patient satisfaction
  • Utilization management - Screens for accurate medical necessity using approved evidenced based criteria, application of supporting medical necessity and denial prevention utilizing physician advisor when necessary
  • Reviews clinical denials and initiates process, if determined appeal appropriate according to internal guidelines
  • Clinical Appeals - Responsible for drafting, finalizing, and sending clinical appeal letters in order to reverse a denial for payment on an insurance claim
  • Uses provided tools and patient medical records, working within and through the regulations to develop a documented response to the denial and overturn the payer's decision
  • Stays current with assigned accounts and follow-up on the appeal after submission to determine next steps to ensure appeals are overturned or upheld
  • Responsible for appealing denials using clinical based rationale, the need to produce high quality work with meeting compliance timeframes and production goals
  • Supports billing and authorization coordination staff in reviewing high-risk and high-dollar accounts before claim submission to prevent clinical denial
  • Works in partnership with Integrated Care Management Authorization Coordinators and Admin Staff
  • Assists staff in care coordination and demonstrates efficient throughput while assuring care is sequenced and at appropriate level of care
  • Accurately conducts a thorough, objective assessment of patient's current status, including psychosocial, physical, financial, educational needs, treatment course and services needed
  • Compliance with state and federal regulations, The Joint Commission's standards, Center for Improvement in Healthcare Quality (CIHQ), Conditions of Participation and hospital policy
  • Maintains current knowledge of disease processes, available resources, and treatment options appropriate to patient population
  • Collaborates with interdisciplinary team to promote patient throughput and efficient use of resources
  • Continuously demonstrates a positive attitude and understanding of case management philosophy, supports team building, and is motivated to fulfill department objectives
  • Utilizes Evidence -based clinical guideline tool (Milliman Care Guidelines ® or InterQual ®)
  • Documents all activity according to policy, including the electronic automated systems
  • Precepts new staff members and is a resource to all staff
  • Participates in department quality improvement initiatives and projects as assigned
  • Ability to perform role remotely and maintain collaboration with interdisciplinary team
  • Performs other related duties as assigned

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