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Utilization Management Jobs in Nevada (NOW HIRING)

MNCP Staffing

Utilization Review Nurse

Las Vegas, NV

Minimum three (3) years of Utilization Management experience. * Minimum of three (3) year's experience with discharge planning in an acute care facility. * Recent documented experience with InterQual ...

Acadia Healthcare

Utilization Specialist

Henderson, NV · On-site

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.

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$39.7K

$91.1K

$166K

How much do utilization management jobs pay per year?

As of May 28, 2026, the average yearly pay for utilization management in Nevada is $91,121.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,700.00 and $106,400.00 per year, depending on experience, location, and employer.

What is a Utilization Management job?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the key skills and qualifications needed to thrive in the Utilization Management position, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What are the typical daily responsibilities of a Utilization Management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.
More about Utilization Management jobs
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What cities in Nevada are hiring for Utilization Management jobs? Cities in Nevada with the most Utilization Management job openings:
Utilization Management jobs near you
Registered Nurse - Utilization Management

Registered Nurse - Utilization Management

Spectrum Healthcare Resources

Las Vegas, NV • On-site

Full-time

Medical, Dental, Vision, Retirement

Posted 27 days ago

Job description

Spectrum Healthcare Resources has a potential opportunity for a Registered Nurse – Utilization Management at Nellis Air Force Base in Las Vegas, NV.  

Position Benefits:

  • 8 and 10-hour shifts offered
  • Schedule: Monday - Friday (40 hours/week)
  • No on-call or holiday requirements
  • Benefits offered: Medical, Dental, Vision, and 401(k), etc.
  • Opportunity to give back and care for military community

Job Requirements:

  • BSN degree
  • 3 years of direct patient care clinical inpatient and outpatient experience.
  • Must have utilization management experience for 2 years including case management care and discharge planning 
  • Certified Managed Care Nurse certification preferred
  • BLS certification
  • Active RN license

Company Overview:   

At Spectrum, we utilize over thirty-five years of experience providing optimal solutions for federal agencies that are both innovative and cost-effective. We hold ourselves to the highest standard to ensure successful outcomes for the facilities and health care professionals we serve. As a Joint Commission Certified Healthcare Resource, dependability and service are the driving forces of our mission. 

EOE/Disabled/Veterans


US-NV-Las Vegas
Lauren Larkin
5714102088
Lauren_Larkin@spectrumhealth.com
Spectrum Healthcare Resources logo

About Spectrum Healthcare Resources

Sourced by ZipRecruiter

Spectrum is a leading organization that provides program management and physician and clinical staffing services to United States Military Treatment Facilities, VA Clinics and Federal Agencies. We are dedicated to the markets we serve, leading our organization’s experience for almost three decades.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Saint Louis, MO, US

Year founded

1988

Social media

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