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 ...
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 ...
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 ...
Utilization Review Nurse (RN) | Sign on Bonus Up to $15K + Benefits
Las Vegas, NV · On-site
$43 - $63/hr (+ commission)
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 (+ commission)
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 ...
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 ...
Nurse Case Manager Senior
Carson City, NV · On-site
$90K - $100K/yr
Candidates with utilization review experience are strongly encouraged to apply, and case management experience is preferred. Responsibilities At CCMSI, we look for clinicians who combine compassion ...
Nurse Case Manager Senior
Carson City, NV · On-site
$90K - $100K/yr
Candidates with utilization review experience are strongly encouraged to apply, and case management experience is preferred. Responsibilities At CCMSI, we look for clinicians who combine compassion ...
Nurse Case Manager Senior
Carson City, NV · Remote
$90K - $100K/yr
Candidates with utilization review experience are strongly encouraged to apply, and case management experience is preferred. At CCMSI, we look for clinicians who combine compassion, critical thinking ...
Nurse Case Manager Senior
Carson City, NV · Remote
$90K - $100K/yr
Candidates with utilization review experience are strongly encouraged to apply, and case management experience is preferred. At CCMSI, we look for clinicians who combine compassion, critical thinking ...
Nurse Case Manager Senior
Carson City, NV · Remote
$90K - $100K/yr
Candidates with utilization review experience are strongly encouraged to apply, and case management experience is preferred. Responsibilities At CCMSI, we look for clinicians who combine compassion ...
Nurse Case Manager Senior
Carson City, NV · Remote
$90K - $100K/yr
Candidates with utilization review experience are strongly encouraged to apply, and case management experience is preferred. Responsibilities At CCMSI, we look for clinicians who combine compassion ...
Utilization Review or Discharge Planning * Professional certification preferred, including: * Certified Case Manager (CCM) * Accredited Case Manager (ACM) * Membership in professional organizations ...
Quick apply
Utilization Review or Discharge Planning * Professional certification preferred, including: * Certified Case Manager (CCM) * Accredited Case Manager (ACM) * Membership in professional organizations ...
Nurse Case Manager
Las Vegas, NV · On-site
$40.72 - $63.12/hr
Nurse Case Manager Location: Las Vegas, NV Shift: Full-time | Day shift Salary: $40.72 - $63.12 ... Support discharge planning and utilization review processes * Serve as a clinical resource for ...
Quick apply
Nurse Case Manager
Las Vegas, NV · On-site
$40.72 - $63.12/hr
Nurse Case Manager Location: Las Vegas, NV Shift: Full-time | Day shift Salary: $40.72 - $63.12 ... Support discharge planning and utilization review processes * Serve as a clinical resource for ...
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 Sep 2, 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 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 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 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 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 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:
- Freelance Utilization Review Nurse
- No Experience Utilization Review Nurse
- Telephonic Nurse Case Manager
- Remote Concurrent Review Nurse
- Per Diem Utilization Review Nurse
- Evening Optum Health Utilization Review
- Utilization Review Nurse
- Non Exempt No Experience Utilization Management Nurse
- Remote Utilization Review Social Worker
- Overnight Utilization Review Nurse
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:
- Remote Hca Utilization Review
- Per Diem Remote Occupational Therapy Utilization Review
- Remote Navihealth Utilization Review
- Lpn Utilization Review
- Contract Case Management
- Utilization Review Nurse Compact License
- Remote Dental Utilization Review
- Optum Utilization Review Nurse
- Remote Cigna Utilization Review Nurse
- Anthem Utilization Review Nurse
What cities in Nevada are hiring for Utilization Review Case Manager jobs?
Cities in Nevada with the most Utilization Review Case Manager job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 27 days ago
Job description
Responsibilities
The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center,Henderson Hospital, Valley Health Specialty Hospital, and West Henderson Hospital.
Benefit Highlights:
- Comprehensive education and training center
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career opportunities within VHS and UHS Subsidies
- Challenging and rewarding work environment
Job Description:
To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all patient visits. These goals can be achieved through proactive collaboration with the patient, family and healthcare team.
QualificationsEducation: Graduate of an accredited school of nursing.
Experience: A minimum three years experience in varied clinical settings. 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 discharge, and knowledge of community resources to meet post discharge clinical and social needs.
Technical Skills:
Computer proficiency to include word processing, spreadsheet, and data collection/management computer programs.
License/Certification:
Has a current license to practice as a Registered Nurse in the State of Nevada.
Other:
Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.
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.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
About Spring Mountain Treatment Center
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
51 - 200 Employees
Headquarters location
Las Vegas, NV, US
Year founded
2001