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Utilization Review Np Jobs in Reno, NV (NOW HIRING)

Eden Health

Hospice Nurse Practitioner (NP)

Reno, NV · On-site

The Nurse Practitioner will be responsible for rounding in hospitals and skilled nursing facilities, reviewing patients currently on our services and updating care plans accordingly. Under the ...

Eden Health

Hospice Nurse Practitioner (NP)

Reno, NV · On-site

The Nurse Practitioner will be responsible for rounding in hospitals and skilled nursing facilities, reviewing patients currently on our services and updating care plans accordingly. Under the ...

BrightSpring Health Services

Nurse Practitioner

Reno, NV · On-site

$1/hr

Our Nurse Practitioners provide expert, patient-centered care at a critical time in people's lives ... Review and interpret test results * Diagnose health problems * Detect changes in patient condition

BrightSpring

Nurse Practitioner

Reno, NV

PRN Are you a Nurse Practitioner looking for a new opportunity? COMPASSION CARE HOSPICE is seeking ... Review and interpret test results * Diagnose health problems * Detect changes in patient condition

CompassionCare

Nurse Practitioner

Reno, NV

PRN Are you a Nurse Practitioner looking for a new opportunity? COMPASSION CARE HOSPICE is seeking ... Review and interpret test results * Diagnose health problems * Detect changes in patient condition

CompassionCare

Nurse Practitioner

Reno, NV · On-site

Review and interpret test results * Diagnose health problems * Detect changes in patient condition ... Current state nurse practitioner license required * 5+ years nursing experience required ...

MRG Exams

Nurse Practitioner - Sparks NV

Sparks, NV · On-site

Nurse Practitioner (NP) - Veteran Disability Assessments We are seeking a dedicated Nurse ... Review and analyze electronic medical records via a secure web portal. * Accurately document exam ...

MRG Exams

Nurse Practitioner - Sparks NV

Sparks, NV · On-site

Nurse Practitioner (NP) - Veteran Disability Assessments We are seeking a dedicated Nurse ... Veterans. Review and analyze electronic medical records via a secure web portal. Accurately ...

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Utilization Review Np information

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How much do utilization review np jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for utilization review np in Reno, NV is $42.16, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.41 per hour, depending on experience, location, and employer.

What does a utilization review nurse practitioner do?

A Utilization Review Nurse Practitioner (NP) evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance coverage to ensure that care meets established guidelines and regulatory requirements. Utilization Review NPs help coordinate care, prevent unnecessary procedures, and support cost-effective healthcare delivery while ensuring patient safety and quality outcomes.

What are some common challenges utilization review nurse practitioners face when collaborating with healthcare providers and insurance companies?

Utilization Review Nurse Practitioners often navigate the challenge of balancing patient advocacy with payer requirements. They must effectively communicate clinical justifications to both healthcare providers and insurance representatives, sometimes mediating disagreements over the necessity of certain treatments or hospital stays. Staying up-to-date with ever-changing insurance guidelines and ensuring timely documentation can also be demanding, but strong organizational and interpersonal skills help facilitate smooth collaboration and successful patient outcomes.

What are the key skills and qualifications needed to thrive as a utilization review nurse practitioner, and why are they important?

To thrive as a Utilization Review Nurse Practitioner (NP), you need expert clinical judgment, a strong understanding of healthcare regulations, and advanced assessment skills, typically supported by an active NP license and clinical experience. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare and Medicaid are commonly required. Excellent communication, attention to detail, and critical thinking are vital soft skills for effective case evaluations and collaboration with providers. These competencies ensure accurate, efficient reviews that support quality care, compliance, and cost-effective treatment decisions.

What is the difference between Utilization Review Np vs Utilization Review Nurse?

AspectUtilization Review NpUtilization Review Nurse
CredentialsMaster's degree in Nursing, Nurse Practitioner certification, state licensureRegistered Nurse (RN) license, possibly with certification in utilization review
Work EnvironmentHealthcare facilities, insurance companies, utilization review organizationsHospitals, insurance companies, outpatient clinics
Job ResponsibilitiesAssess medical necessity, authorize treatments, make clinical decisions, often with greater autonomyReview medical records, support authorization processes, follow established guidelines

Utilization Review NPs typically have advanced clinical training and greater decision-making authority compared to Utilization Review Nurses. Both roles focus on evaluating medical necessity, but NPs often perform more complex assessments and can make independent recommendations, whereas nurses support the review process under supervision or guidelines.

What are popular job titles related to Utilization Review Np jobs in Reno, NV?

For Utilization Review Np jobs in Reno, NV, the most frequently searched job titles are:

What job categories do people searching Utilization Review Np jobs in Reno, NV look for?

The top searched job categories for Utilization Review Np jobs in Reno, NV are:

What cities near Reno, NV are hiring for Utilization Review Np jobs?

Cities near Reno, NV with the most Utilization Review Np job openings:

Utilization Review Np jobs near you
Infographic showing various Utilization Review Np job openings in Reno, NV as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,689 per year, or $42.2 per hour.

UTILIZATION REVIEW NURSE (RN), Case Management - Per Diem

Wellington Regional Medical Center

Sparks, NV • On-site

Other

Posted 22 days ago

Job description

Utilization Review Nurse (RN)

This Utilization Review Nurse (RN) is Per Diem on our Case Management Unit and offers a convenient schedule. The Northern Nevada Health System is seeking a Utilization Review Nurse (RN) who will be responsible for carrying out utilization management functions by planning, coordinating, and managing patient needs during hospitalization and throughout the continuum of care. Must be available to work weekends and holidays.

Job Duties/Responsibilities:

  • Conducts admission and continued stay reviews per guidelines to ensure medical necessity of level of care and hospitalization for multiple entities.
  • Reviews medical record for presence of accurate placement orders reconciles variances with patient providers.
  • Works collaboratively with attending providers, specialty providers, and physician advisors to ensure application of evidence-based guidelines for determining appropriate status.
  • Collaborate with Patient Access team to ensure correct payer source for hospitalization and communication.

Qualifications Requirements:

  • Graduate of an accredited or NLN approved RN program.
  • Current license as a RN in the State of Nevada required.
  • Two (2) years of clinical experience in an acute care hospital setting with (1) year in an inpatient or outpatient case management setting required.
  • Demonstrates compliance with hospital policies and procedures at all times.
  • Demonstrates strong leadership, organization, communication and interpersonal skills.

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.

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