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

... utilization of Warehouse Management & Voice Picking Systems to maximize inventory & picking ... and empty case dock per company expectations. § Working closely with Customer Service ...

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 ...

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 ...

... utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams * Fully prepped cases, streamlined case flow, transcription services at no cost, and a user ...

... utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams * Fully prepped cases, streamlined case flow, transcription services at no cost, and a user ...

... utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams * Fully prepped cases, streamlined case flow, transcription services at no cost, and a user ...

... utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams * Fully prepped cases, streamlined case flow, transcription services at no cost, and a user ...

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 ...

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 ...

Showing results 41-60

Utilization Case Manager information

See Reno, NV salary details

$16

$36

$59

How much do utilization case manager jobs pay per hour?

As of Aug 17, 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 are the key skills and qualifications needed to thrive as a utilization case manager?

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.

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 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 degree do I need for utilization review?

Utilization case managers typically need at least a bachelor's degree in healthcare, nursing, social work, or a related field. Some positions may require a master's degree or professional certification, such as a Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ), to advance in the role or handle complex cases.

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:

Physical Therapist Senior Living

Reliant Rehabilitation

Reno, NV • On-site

$50 - $55/hr

Per diem

Posted 10 days ago


Reliant Rehabilitation rating

6.3

Company rating: 6.3 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

670th of 887 rated healthcare providers


Job description

#LI-RT1

*This role is based in an Assisted Living, Independent Living, and Memory Care setting. 

Flexible, PRN

Summary: 

Provides physical therapy and related services for patients while maintaining positive levels of interaction with communities and clients in accordance with the principles and practices of physical therapy and within Reliant Rehabilitation guidelines.  Provides quality patient care including screening and evaluation of patients, development of initial and ongoing treatment plans of care, discharge plan, supervision of assistants and Rehab Techs, and case management responsibilities.  Maintains professional conduct that represents Reliant Rehabilitation’s commitment to quality and service in all interactions with clients, including positive levels of interaction and rapport with communities and clients.  Adheres to all state and federal regulations regarding physical therapy.


Essential Duties and Responsibilities:

  • Optimize the functionality and skills of patients by providing, directing, and/or overseeing physical therapy in the following:
    1. screening of residents, as appropriate.
    2. evaluate and treat patients who may benefit from therapy as referred by state approved referral source.
    3. comply with state and federal guidelines regarding accurate and timely billing and documentation in the medical record.
    4. Establish and maintain effective interactions with patients, interdisciplinary team, and other clientele which reflects patient-centered care.
  • Refer patients for treatment to Certified Physical Therapy Assistants (PTA) throughout the cluster.
  • Provide consultation and clinical supervision to PTAs throughout the cluster.
  • Maintain availability to answer questions from PTAs.
  • Directly supervise PTA and Rehab Tech in skilled tasks during group and individual treatment in a manner that promotes efficient and effective utilization of resources and facilitates the ongoing development of clinical skills in accordance with State Practice Acts, Omnibus Reconciliation Act (OBRA), and Reliant Rehabilitation policy.
  • Build a strong physical therapy program by participating in the following activities:
    1. actively integrating physical therapy’s role into community and interdisciplinary treatment team.
    2. contributing to community patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications.
    3. establishing and maintaining a good working relationship with other health care professionals and colleagues in the community.
    4. making appropriate referrals to other members of the rehabilitation team,
    5. developing and implementing new programs/techniques to enhance rehabilitation services.
    6. adhering to Reliant Rehabilitation and client specific policies and procedures related to environmental safety, orderliness, risk management, infection control, and emergency preparedness; and
    7. adhering to the requirements of the patient’s rights and privacy.
  • Enhance clinical expertise, professional and management skills through interaction with managers, therapists and other professional staff, self-study, and other continuing education activities. 
  • Maintain valid state license (where appropriate).  Maintain awareness of issues related to the profession of physical therapy and the health care environment.
  • Understands various relevant payment models related to billing and treatment guidelines, as well as clinically appropriate means/modes of delivery.  Provide quality care as well as reasonable goals and outcomes within the guidelines.
  • Be compliant with infection control procedures and environmental safety protocol within a community.
  • This position requires patient lifting using appropriate biomechanical techniques frequently throughout the course of a workday/shift.  Must be capable of lifting fifty (50) pounds of dead weight alone.
  • Maintain confidentiality of Reliant Rehabilitation, community, and patient information. 
  • Must conduct self in an ethical, legal, and responsible manner at all times.
  • Must adhere to the policies, principles, and guidance within the Team Member Handbook and Code of Business Conduct.
  • Must be able to travel between communities during scheduled hours.
  • Must be able to work varying hours and shifts, including weekends and holidays.
  • Attends all mandatory meetings, trainings, and assignments as delegated.
  • Perform other duties and responsibilities as assigned.

Competency:

Prior to beginning patient care for Reliant Rehabilitation, a peer PT may complete a Competency Checklist.

To perform the job successfully, an individual should demonstrate the following competencies:

  • Effective clinical problem-solving skills to include but not limited to: identify and prioritize issues in a responsive manner, develop sound and innovative action plans, execute action plans on a timely basis, and ensure appropriate results
  • Be a strong team player.
  • Strong verbal and written communication skills.
  • Ability to build strong relationships with a diverse population.
  • Ability to read, write, speak, and comprehend in English: instructions, correspondence, charts, memos, and reports.
  • Ability to work in a fast-paced, productive work environment.

Education/Experience:

  • Graduate of an APTA accredited school of physical therapy.

Computer Skills:

  • Proficient knowledge of Microsoft Office (Outlook, Word, Excel, Power Point, etc.)
  • Basic Internet navigation skills

 

Certificates and Licenses:

  • Valid physical therapist state license (where applicable)

 

Supervisory Responsibilities:

Supervise the work of one or more Physical Therapist Assistants (PTAs), Rehab Techs, and/or Physical Therapy students, following state practice act guidelines by providing consultation and clinical supervision; creating and ensuring treatment plans are executed; and assisting the RDO and DOR with clinical development of PTAs and rehab techs in the various covered communities.


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