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Utilization Review Case Manager Jobs in Nevada (NOW HIRING)

twenty80.io

Nurse Case Manager

Las Vegas, NV · On-site

Utilization Review or Discharge Planning * Professional certification preferred, including: * Certified Case Manager (CCM) * Accredited Case Manager (ACM) * Membership in professional organizations ...

twenty80.io

Nurse Case Manager

Las Vegas, NV

$83K - $131K/yr

Utilization Review or Discharge Planning * Professional certification preferred, including: * Certified Case Manager (CCM) * Accredited Case Manager (ACM) * Membership in professional organizations ...

Zaddy Solutions

Nurse Case Manager

Las Vegas, NV · On-site

Recent Utilization Review experience a plus * One or more of the following certifications or professional affiliations strongly preferred: * Certified Case Manager (CCM) * Accredited Case Manager ...

Omega Point Partners

Nurse Case Manager

Las Vegas, NV · On-site

Recent Utilization Review experience a plus * One or more of the following certifications or professional affiliations strongly preferred: * Certified Case Manager (CCM) * Accredited Case Manager ...

KOB Solutions , Inc.

Nurse Case Manager

Las Vegas, NV · On-site

Recent Utilization Review experience a plus * One or more of the following certifications or professional affiliations strongly preferred: * Certified Case Manager (CCM) * Accredited Case Manager ...

Soap Creek Resources

Nurse Case Manager

Las Vegas, NV · On-site

Recent Utilization Review experience a plus * One or more of the following certifications or professional affiliations strongly preferred: * Certified Case Manager (CCM) * Accredited Case Manager ...

SteveRecruiter, LLC

Nurse Case Manager

Las Vegas, NV · On-site

Recent Utilization Review experience a plus * One or more of the following certifications or professional affiliations strongly preferred: * Certified Case Manager (CCM) * Accredited Case Manager ...

Welsh and Associates

Nurse Case Manager

Las Vegas, NV · On-site

Recent Utilization Review experience a plus * One or more of the following certifications or professional affiliations strongly preferred: * Certified Case Manager (CCM) * Accredited Case Manager ...

ExcelliSearch, Inc.

Nurse Case Manager

Las Vegas, NV · On-site

Recent Utilization Review experience a plus * One or more of the following certifications or professional affiliations strongly preferred: * Certified Case Manager (CCM) * Accredited Case Manager ...

JobFormance

Nurse Case Manager

Las Vegas, NV · On-site

Recent Utilization Review experience a plus * One or more of the following certifications or professional affiliations strongly preferred: * Certified Case Manager (CCM) * Accredited Case Manager ...

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Showing results 41-60

All JobsUtilization Review Case JobsUtilization Review Case Manager JobsUtilization Review Case Manager Jobs in Nevada

Utilization Review Case Manager information

See Nevada salary details

$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?

AspectUtilization Review Case ManagerUtilization Review Nurse
CredentialsTypically requires a nursing license or relevant healthcare certificationRegistered Nurse (RN) license is required
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHospital, clinic, insurance review departments
Primary FocusReviewing medical necessity, coordinating care, managing casesAssessing 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:
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:
Utilization Review Case Manager jobs near you
Infographic showing various Utilization Review Case Manager job openings in Nevada as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $77,280 per year, or $37.2 per hour.

RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)

Spring Mountain Treatment Center

North Las Vegas, NV

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 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.

Qualifications

Education: 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.

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