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Utilization Management Jobs in Nevada (NOW HIRING)

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.

Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in ... Collaborate with physicians, case management, and care teams * Support discharge planning and care ...

Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in ... Collaborate with physicians, case management, and care teams * Support discharge planning and care ...

Minimum of three (3) years of experience in Case Management, Discharge Planning, or Utilization Review Licensure & Certification * Active Registered Nurse (RN) license in the state of practice (e.g ...

Minimum of three (3) years of experience in Case Management, Discharge Planning, or Utilization Review Licensure & Certification * Active Registered Nurse (RN) license in the state of practice (e.g ...

Hospital Care Manager, RN

Las Vegas, NV · On-site

$93.90K - $117.30K/yr

The Medical Management department is participant focused and strives to provide the best possible care for the participants through Utilization Review and Utilization Management services, Care ...

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Utilization Management information

See Nevada salary details

$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.
What are the most commonly searched types of Utilization Management jobs in Nevada? The most popular types of Utilization Management jobs in Nevada are:
What cities in Nevada are hiring for Utilization Management jobs? Cities in Nevada with the most Utilization Management job openings:
Utilization Review Nurse (RN) - "Urgent Need"

Utilization Review Nurse (RN) - "Urgent Need"

Lancesoft INC

Las Vegas, NV • On-site

$41 - $64/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago


Job description

Utilization Review Nurse (RN)

Location: Las Vegas, NV
Job Type: Full-Time
Pay: $41 – $64/hr (DOE)

We are seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate resource utilization, and compliance with payer guidelines in an acute care setting.

Responsibilities

  • Perform utilization review and medical necessity assessments
  • Review clinical documentation and payer compliance
  • Apply InterQual and Milliman criteria
  • Collaborate with case management and clinical teams
  • Assist with discharge planning and care coordination

Qualifications

  • Active RN license
  • 5+ years acute care nursing experience
  • 3+ years Utilization Management experience
  • 3+ years discharge planning experience in acute care
  • Recent InterQual and Milliman experience required

Benefits

  • Competitive compensation
  • Comprehensive benefits package
  • Retirement/pension benefits
  • Growth and advancement opportunities

Company Description

LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.

LanceSoft logo

About LanceSoft

Sourced by ZipRecruiter

Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Herndon, VA, US

Year founded

2000

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