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Utilization Manager Jobs in Nevada (NOW HIRING)

Harbor Oaks

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.

New

Harbor Oaks

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.

New

Fusion HCR

Utilization Review Nurse

Las Vegas, NV · On-site

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 ...

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Showing results 21-40

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Nevada

Utilization Manager information

See Nevada salary details

$39.7K

$92.7K

$170.6K

How much do utilization manager jobs pay per year?

As of Sep 1, 2026, the average yearly pay for utilization manager in Nevada is $92,677.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,600.00 and $111,500.00 per year, depending on experience, location, and employer.

What is a utilization manager?

A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.

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

To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What are some common challenges faced by utilization managers, and how can they be addressed?

Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound in similar settings, often working under Utilization Managers

In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.

More about Utilization Manager jobs

What are the most commonly searched types of Utilization jobs in Nevada?

The most popular types of Utilization jobs in Nevada are:

What are popular job titles related to Utilization Manager jobs in Nevada?

For Utilization Manager jobs in Nevada, the most frequently searched job titles are:

What job categories do people searching Utilization Manager jobs in Nevada look for?

The top searched job categories for Utilization Manager jobs in Nevada are:

What cities in Nevada are hiring for Utilization Manager jobs?

Cities in Nevada with the most Utilization Manager job openings:

What are popular job titles related to Utilization Manager jobs in NV?

For Utilization Manager jobs in NV, the most frequently searched job titles are:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Nevada as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $92,677 per year, or $44.6 per hour.

Utilization Review Nurse | Up to $63/hr + Pension Benefits

Lancesoft INC

Las Vegas, NV • On-site

$40 - $63/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Job description

Title: Utilization Review Nurse (RN)
Department: Case Management
Job Type: Full-Time


Facility Details

  • Academic Medical Center
  • Nevada’s:
    • Level I Trauma Center
    • Verified Burn Center
    • Transplant Center
  • First & only Magnet®-Recognized hospital in Nevada
  • Major tertiary care hospital serving Southern Nevada


Pay & Benefits

  • Hourly Pay: $40 – $63/hour
  • Employer-paid Nevada PERS pension
  • Competitive health & retirement benefits
  • No state income tax in Nevada


Position Summary

The Utilization Review Nurse evaluates patient admissions and hospital stays to ensure:

  • Medical necessity
  • Appropriate level of care
  • Efficient resource utilization
  • Compliance with insurance/payer requirements

Main duties:

  • Review medical records/charts
  • Apply InterQual & Milliman criteria
  • Coordinate with physicians/case managers
  • Ensure accurate documentation
  • Support discharge planning and utilization management
  • Verify compliance with Medicare/Medicaid guidelines


Requirements

Education

  • Graduate of accredited nursing school

Experience

Required:

  • 5 years acute-care clinical RN experience
  • Minimum 1 year in:
    • Utilization Management
    • Case Management
    • Clinical Documentation Improvement (CDI)
  • 3+ years Utilization Management experience
  • 3+ years discharge planning experience in acute care
  • Experience with:
    • InterQual
    • Milliman guidelines

Must be able to pass InterQual exam.


License & Certifications

Required:

  • Active Nevada RN license



~SK

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

Social media

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