Utilization Review Nurse | Up to $63/hr + Pension Benefits
Las Vegas, NV · On-site
$40 - $63/hr
Utilization Review Nurse (RN) Department ... Case Management Job Type: Full-Time Facility Details * Academic Medical Center * Nevada'
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Utilization Review Nurse | Up to $63/hr + Pension Benefits
Las Vegas, NV · On-site
$40 - $63/hr
Utilization Review Nurse (RN) Department ... Case Management Job Type: Full-Time Facility Details * Academic Medical Center * Nevada'
Utilization Review Nurse Location: Las Vegas, NV **This position is on-site in Las Vegas, NV, 89102 ... Utilization Management, Case Management, or Clinical Documentation Improvement. Licensing ...
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Utilization Review Nurse Location: Las Vegas, NV **This position is on-site in Las Vegas, NV, 89102 ... Utilization Management, Case Management, or Clinical Documentation Improvement. Licensing ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Utilization Review Nurse (RN) | Sign on Bonus Up to $15K + Benefits
Las Vegas, NV · On-site
$43 - $63/hr
Collaborate with case management and discharge planning teams * Utilize InterQual and Milliman criteria during utilization review processes * Accurately document findings and communicate review ...
Quick apply
Utilization Review Nurse (RN) | Sign on Bonus Up to $15K + Benefits
Las Vegas, NV · On-site
$43 - $63/hr
Collaborate with case management and discharge planning teams * Utilize InterQual and Milliman criteria during utilization review processes * Accurately document findings and communicate review ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
New
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
New
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
New
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
New
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
New
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
New
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)
Las Vegas, NV · On-site
$85K - $113K/yr
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)
Las Vegas, NV · On-site
$85K - $113K/yr
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at ...
Utilization Review Case Manager information
See Nevada salary details
$16.89 - $20.92
3% of jobs
$20.92 - $24.95
1% of jobs
$24.95 - $28.97
6% of jobs
$30.92 is the 25th percentile. Wages below this are outliers.
$28.97 - $33
30% of jobs
The median wage is $34.45 / hr.
$33 - $37.03
26% of jobs
$38.56 is the 75th percentile. Wages above this are outliers.
$37.03 - $41.06
22% of jobs
$41.06 - $45.09
3% of jobs
$45.09 - $49.11
0% of jobs
$49.11 - $53.14
5% of jobs
$53.14 - $57.17
2% of jobs
$57.17 - $61.20
1% of jobs
$16
$37
$61
How much do utilization review case manager jobs pay per hour?
As of Aug 9, 2026, the average hourly pay for utilization review case manager in Nevada is $37.15, according to ZipRecruiter salary data. Most workers in this role earn between $30.10 and $39.18 per hour, depending on experience, location, and employer.
What are some common challenges utilization review case managers face when coordinating care across multiple departments?
Utilization Review Case Managers often navigate complex communication between physicians, nursing staff, insurance providers, and patients to ensure appropriate care and resource use. Balancing timely authorizations with evolving patient needs and varying documentation standards can be challenging. Additionally, staying current with changing regulations and payer requirements requires ongoing learning and adaptability. Building strong collaborative relationships and maintaining clear, concise documentation are key strategies for overcoming these hurdles.
What is a utilization review case manager?
A Utilization Review Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical treatments and services provided to patients. They review clinical information, coordinate with providers and insurance companies, and ensure that patient care aligns with established guidelines and policies. Their goal is to optimize patient outcomes while managing healthcare costs and ensuring compliance with regulations.
What is the difference between Utilization Review Case Manager vs Utilization Review Nurse?
| Aspect | Utilization Review Case Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license or relevant healthcare certification | Registered Nurse (RN) license is required |
| Work Environment | Office-based, insurance companies, healthcare organizations | Hospital, clinic, insurance review departments |
| Primary Focus | Reviewing medical necessity, coordinating care, managing cases | Assessing medical records, clinical review, patient care evaluation |
Both roles involve healthcare review and require nursing credentials, but the Utilization Review Case Manager often focuses on coordinating care and managing cases, while the Utilization Review Nurse emphasizes clinical assessment and review of medical records. Understanding these differences helps in choosing the right career path or job search focus.
What are the key skills and qualifications needed to thrive as a utilization review case manager, and why are they important?
To thrive as a Utilization Review Case Manager, you need a clinical background such as an RN or LCSW license, strong knowledge of medical necessity criteria, and experience with case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory guidelines like Medicare and Medicaid are essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration between patients, providers, and payers. These skills ensure appropriate resource use, compliance with regulations, and high-quality patient care.
What are popular job titles related to Utilization Review Case Manager jobs in Nevada? For Utilization Review Case Manager jobs in Nevada, the most frequently searched job titles are:
- Manager Utilization Management
- Freelance Utilization Review Nurse
- No Experience Utilization Review Nurse
- Remote Telephonic Nurse
- Cvs Health Utilization Management Remote
- Temporary Admission Discharge Nurse
- Utilization Review Nurse
- Utilization Management
- Per Diem Utilization Review Nurse
- Evening Optum Health Utilization Review
What job categories do people searching Utilization Review Case Manager jobs in Nevada look for? The top searched job categories for Utilization Review Case Manager jobs in Nevada are:
What cities in Nevada are hiring for Utilization Review Case Manager jobs? Cities in Nevada with the most Utilization Review Case Manager job openings:
$40 - $63/hr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 21 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.
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