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Utilization Case Manager Jobs in Reno, NV (NOW HIRING)

Reliable Health Care Services Inc

Psychiatrist

Sparks, NV · On-site

$155/hr

Facilitate safe and timely discharge planning in collaboration with social services, nursing, case management, and utilization review staff. * Coordinate ongoing medical maintenance care, collaborate ...

Reliable Healthcare Services

Psychiatrist

Sparks, NV · On-site

$155/hr

Facilitate safe and timely discharge planning in collaboration with social services, nursing, case management, and utilization review staff. * Coordinate ongoing medical maintenance care, collaborate ...

Renown Health

Physician Scheduling Coordinator

Reno, NV

$17.75 - $22.50/hr

May assist with other activities including hospital transfers, arranging care with case managers ... needs and utilization. The role also facilitates vacations or scheduling changes on physician ...

Renown Health

Physician Scheduling Coordinator

Reno, NV · On-site

$17.75 - $22.50/hr

May assist with other activities including hospital transfers, arranging care with case managers ... needs and utilization. The role also facilitates vacations or scheduling changes on physician ...

Renown Health

Physician Scheduling Coordinator

Reno, NV · On-site

$21.11 - $29.56/hr

May assist with other activities including hospital transfers, arranging care with case managers ... needs and utilization. The role also facilitates vacations or scheduling changes on physician ...

Washoe County, NV

MENTAL HEALTH COUNSELOR II

Reno, NV · On-site

$87K - $113K/yr

Case management or discharge planning experience. * An understanding of legal processes related to ... utilization of emergency resources, and deflection from entering the criminal justice system with ...

Washoe County

MENTAL HEALTH COUNSELOR II

Reno, NV

$87K - $113K/yr

Case management or discharge planning experience. An understanding of legal processes related to ... utilization of emergency resources, and deflection from entering the criminal justice system with ...

Reliant Rehabilitation

Occupational Therapist

Sparks, NV · On-site

$41.25 - $54.25/hr

... rehab technicians, and case management. Uphold professional conduct that reflects Reliant ... utilization and skill development in accordance with State Practice Acts, OBRA, and company ...

Reliant Rehabilitation

Occupational Therapist

Sparks, NV

$41.25 - $54.25/hr

... rehab technicians, and case management. Uphold professional conduct that reflects Reliant ... utilization and skill development in accordance with State Practice Acts, OBRA, and company ...

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All JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Reno, NV

Utilization Case Manager information

See Reno, NV salary details

$16

$36

$59

How much do utilization case manager jobs pay per hour?

As of Jul 1, 2026, the average hourly pay for utilization case manager in Reno, NV is $36.38, according to ZipRecruiter salary data. Most workers in this role earn between $29.47 and $38.37 per hour, depending on experience, location, and employer.

What is a Utilization Case Manager?

A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.

What does a utilization case manager do?

A utilization case manager reviews and authorizes healthcare services to ensure they are necessary and appropriate, often working with insurance companies and healthcare providers. They analyze patient records, coordinate care plans, and ensure compliance with policies, typically using case management software and requiring strong communication skills.

How does a Utilization Case Manager typically collaborate with healthcare providers and insurance companies?

Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.

What jobs pay 4000 a week without a degree?

Utilization Case Managers typically do not earn $4,000 weekly without relevant experience or certifications; most roles in healthcare or social services pay less. High-paying jobs that can reach this level without a degree are rare and often involve specialized skills, sales, or entrepreneurship. Generally, achieving such income without a degree requires significant experience, licensing, or working in high-demand fields like real estate or certain trades.

What is the highest paid case manager?

The highest paid case managers are often those with advanced certifications, specialized skills, or experience in high-demand fields such as healthcare or insurance. Senior or managerial roles, such as Utilization Review Managers, can earn salaries exceeding $80,000 to $100,000 annually. Compensation varies based on location, industry, and level of responsibility.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative and clinical skills. It provides experience with medical records, patient communication, and office procedures, which can serve as a foundation for advancing in healthcare careers. However, the job's suitability depends on individual career goals and the specific workplace environment.

What are the key skills and qualifications needed to thrive as a Utilization Case Manager, and why are they important?

To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.

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

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific review of medical necessity and insurance claims

While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.

What are popular job titles related to Utilization Case Manager jobs in Reno, NV? For Utilization Case Manager jobs in Reno, NV, the most frequently searched job titles are:
What job categories do people searching Utilization Case Manager jobs in Reno, NV look for? The top searched job categories for Utilization Case Manager jobs in Reno, NV are:
What cities near Reno, NV are hiring for Utilization Case Manager jobs? Cities near Reno, NV with the most Utilization Case Manager job openings:
Utilization Case Manager jobs near you
Psychiatrist

Psychiatrist

Reliable Health Care Services Inc

Sparks, NV • On-site

$155/hr

Other

Medical, PTO

Posted 8 days ago

Job description

Attending Psychiatrist Position

Location: Northern Nevada Adult Mental Health Services – Dini-Townsend Hospital (Sparks, Nevada) Schedule: Monday–Friday, 8:00 AM – 5:00 PM Assignment Type: Full-Time Salary: Highly Competitive, starting at $155/hour

Dini-Townsend Hospital, a 30-bed state-operated inpatient psychiatric facility under Northern Nevada Adult Mental Health Services (NNAMHS), is seeking a full-time Attending Psychiatrist to provide comprehensive psychiatric care to adult patients in an acute inpatient setting. This role requires strong clinical judgment, leadership, and collaboration within a multidisciplinary environment. The attending psychiatrist manages a patient caseload of approximately 8–15 patients, oversees University of Nevada psychiatry residents, and ensures high-quality, trauma-informed, and recovery-focused care. Residents contribute to patient care activities; however, the Attending Psychiatrist retains full responsibility for all assigned patients, including all documentation, orders, assessments, and clinical decisions.

Responsibilities:

  • Provide direct psychiatric evaluation, diagnosis, and treatment for an assigned inpatient caseload (average 8–15 patients).
  • Oversee and supervise University of Nevada psychiatry residents participating in patient care.
  • Complete all required clinical documentation in the AVATAR electronic health record, including progress notes, orders, treatment plans, admission assessments, forensic evaluations (when applicable), and discharge summaries.
  • Participate actively in interdisciplinary treatment team meetings, contributing to individualized treatment planning, patient progress review, and coordination of services.
  • Conduct and manage psychiatric admission evaluations and determine appropriateness of referrals from external sources.
  • Facilitate safe and timely discharge planning in collaboration with social services, nursing, case management, and utilization review staff.
  • Coordinate ongoing medical maintenance care, collaborate with internal medical providers, and ensure continuity of treatment.
  • Collaborate with the utilization review nurse to provide required documentation for prior authorizations, continued stay reviews, and discharge medication approvals.
  • Participate in hospital committees such as Denial of Rights and other quality and oversight groups as assigned.
  • Support operational coverage during colleague absences (sick or personal time off) as needed.
  • Maintain compliance with Joint Commission, state, federal, and NNAMHS policies and standards of psychiatric care.
  • Uphold safety protocols and maintain awareness of risks associated with an inpatient psychiatric population, including patients with aggression, psychosis, or complex behavioral needs.

Qualifications:

  • Medical degree (MD or DO) from an accredited institution.
  • Completion of an accredited Psychiatry residency training program.
  • Board Certified or Board Eligible in Psychiatry.
  • Current Nevada medical license or eligibility for licensure.
  • Current DEA registration and ability to prescribe controlled substances in Nevada.
  • Strong knowledge of psychiatric assessment, psychopharmacology, crisis stabilization, trauma-informed care, and inpatient psychiatric treatment models.
  • Experience working with multidisciplinary teams in an inpatient psychiatric setting.
  • Ability to provide resident supervision, mentoring, and clinical oversight.
  • Excellent clinical documentation and EHR proficiency (AVATAR experience preferred but not required).

About Reliable Health Care Services: Since 1991, Reliable Health Care Services has placed highly qualified professionals in premier public and private healthcare settings. We are Joint Commission Certified and dedicated to connecting compassionate clinicians with opportunities that make a real difference.

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