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Utilization Management Coordinator Jobs in Reno, NV

Prime Healthcare

Director of Case Management

Reno, NV · On-site

$120 - $165/hr

Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses needs ...

Prime Healthcare

Director of Case Management

Reno, NV · On-site

Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses needs ...

Renown Health

Pharmacy Liaison

Reno, NV · On-site

$17.50 - $21.25/hr

... management. In outpatient pharmacy settings, this position is responsible for coordinating patient ... utilization management with leadership and peers. This position communicates with the Pharmacy ...

Renown Health

Pharmacy Liaison

Reno, NV · On-site

$23.28 - $32.59/hr

... management. In outpatient pharmacy settings, this position is responsible for coordinating patient ... utilization management with leadership and peers. This position communicates with the Pharmacy ...

Renown Health

Pharmacy Liaison

Reno, NV

$17.50 - $21.25/hr

... management. In outpatient pharmacy settings, this position is responsible for coordinating patient ... utilization management with leadership and peers. This position communicates with the Pharmacy ...

Weeks Grp, LLC

Warehouse & Logistics Coordinator

Reno, NV · On-site

$18.75 - $24.25/hr

... management of Owner Furnished Contractor Installed (OFCI) equipment and mission-critical ... Monitor warehouse utilization, staging areas, and material flow. * Identify opportunities to ...

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

$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 ...

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Utilization Management Coordinator information

See Reno, NV salary details

$15

$29

$46

How much do utilization management coordinator jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for utilization management coordinator in Reno, NV is $29.52, according to ZipRecruiter salary data. Most workers in this role earn between $21.35 and $34.52 per hour, depending on experience, location, and employer.

What does a utilization management coordinator do?

A Utilization Management Coordinator is responsible for reviewing and assessing healthcare services to ensure that patients receive appropriate care while managing costs for healthcare providers or insurance companies. They evaluate medical records, coordinate with healthcare professionals, and help determine if certain treatments or procedures are medically necessary according to established guidelines. Their goal is to optimize the use of healthcare resources, prevent unnecessary treatments, and support quality patient outcomes.

What are the key skills and qualifications needed to thrive as a utilization management coordinator?

To thrive as a Utilization Management Coordinator, you need a background in healthcare or nursing, knowledge of medical terminology, and experience in case management or utilization review, often supported by a relevant degree or certification (such as RN or LPN). Familiarity with utilization management software, electronic health records (EHRs), and insurance authorization platforms is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this role. These capabilities ensure accurate review of medical cases, compliance with regulations, and efficient coordination between providers, payers, and patients.

How does a utilization management coordinator typically collaborate with clinical staff and insurance providers?

A Utilization Management Coordinator serves as a vital link between healthcare providers, clinical staff, and insurance companies. They regularly communicate with physicians and nurses to gather clinical information, review treatment plans, and ensure that proposed services meet medical necessity criteria. Coordinators also interact with insurance providers to obtain pre-authorizations, clarify coverage policies, and appeal denied claims when appropriate. Effective collaboration and strong communication skills are essential, as the role requires balancing the needs of patients, providers, and payers while ensuring timely and cost-effective care.

What degree do you need for utilization management coordinator?

A utilization management coordinator typically needs at least a bachelor's degree in healthcare administration, nursing, or a related field. Relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Strong knowledge of medical terminology, insurance processes, and data analysis tools is also important.

What job categories do people searching Utilization Management Coordinator jobs in Reno, NV look for?

The top searched job categories for Utilization Management Coordinator jobs in Reno, NV are:

Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in Reno, NV as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 85% Physical, 3% Hybrid, and 12% Remote job distribution, with an average salary of $61,404 per year, or $29.5 per hour.

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

Wellington Regional Medical Center

Sparks, NV • On-site

Other

Posted 19 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.

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