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

Registered Nurse (RN) - Men's Health Clinic | Ageless Men's Health Location: Reno, NV Schedule ... Performing patient assessments, reviewing medical histories, and documenting care in the EMR.

Registered Nurse (RN) - Men's Health Clinic | Ageless Men's Health Location: Reno, NV Schedule ... Performing patient assessments, reviewing medical histories, and documenting care in the EMR.

Registered Nurse (RN) - Men's Health Clinic | Ageless Men's Health Location: Reno, NV Schedule ... Performing patient assessments, reviewing medical histories, and documenting care in the EMR.

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Utilization Review Rn information

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$42

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How much do utilization review rn jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for utilization review rn 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.

How does a Utilization Review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

How do I become a utilization review RN?

To become a utilization review RN, you typically need to hold a valid registered nurse (RN) license and have experience in clinical nursing. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Utilization Review Certification (URAC) can enhance job prospects, and strong knowledge of medical coding, insurance policies, and healthcare regulations is important.

What are the key skills and qualifications needed to thrive as a Utilization Review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

What does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the appropriateness, necessity, and efficiency of healthcare services. They ensure compliance with insurance policies and clinical guidelines, often using electronic health records and requiring knowledge of coding and documentation standards. This role supports cost-effective patient care and involves collaboration with healthcare providers and insurance companies.

How to make $300,000 a year as a nurse?

To earn $300,000 annually as a Utilization Review RN, professionals typically need extensive experience, advanced certifications such as CCM or ANCC, and may work in high-paying settings like insurance companies or healthcare consulting firms. Increasing specialization, taking on leadership roles, or working overtime can also boost income, but reaching this level often requires a combination of skills, experience, and strategic career moves.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

How to make $150,000 as a nurse?

A Utilization Review RN can earn $150,000 by gaining extensive experience, obtaining certifications such as CCM or ANCC, and working in high-paying settings like insurance companies or managed care organizations. Advanced skills in case management, strong clinical knowledge, and sometimes working overtime or in leadership roles can also contribute to higher earnings.

What is a Utilization Review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.
What are the most commonly searched types of Utilization Review Rn jobs in Reno, NV? The most popular types of Utilization Review Rn jobs in Reno, NV are:
Infographic showing various Utilization Review Rn job openings in Reno, NV as of June 2026, with employment types broken down into 1% As Needed, 61% Full Time, 6% Part Time, 1% Temporary, 30% Contract, and 1% Nights. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $87,689 per year, or $42.2 per hour.
PSYCHIATRIC NURSE 2

$79K - $119K/yr

Other

Posted 24 days ago


State Of Nevada rating

7.1

Company rating: 7.1 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

38th of 50 rated states


Job description

***THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE*** Job Summary The Division of Public and Behavioral Health: Rural Clinics has an opening for a part-time Psychiatric Nurse 2 in Yerington or Hawthorne, NV. This position provides direct psychiatric nursing services for consumers, including assessments and therapeutic interventions, organizes and oversees medication services including tele-medication services for prescribers, and client/family education on medications, health related issues.

The incumbent will monitor effectiveness of treatment and side effects, provide consultation and education to consumers, the community, and other service providers. Under general supervision of a higher level nurse, Psychiatric Nurses provide professional nursing care to individuals with developmental delays, developmental disabilities, intellectual disabilities or social, emotional and/or behavioral disorders, in an institution or out-patient setting in accordance with the authorized scope of practice specified in the Nurse Practice Act. Essential Qualifications Current license to practice as a Registered Nurse and two years of professional nursing experience, one of which included working in a facility or institution with individuals with mental illness, developmental disabilities or intellectual disabilities; OR one year of experience as a Psychiatric Nurse I in Nevada State service; OR an equivalent combination of education and experience as described above.

Job Duties Identify patient health care needs utilizing physical and behavioral professional nursing assessment skills; make comprehensive clinical observations and evaluations of health needs including subtle abnormalities and changes in condition; record and report indicative signs and symptoms of physical and mental condition. Participate in multi-disciplinary treatment teams by coordinating health services and treatment; collaborate with professional and paraprofessional staff to ensure optimum health care. Ensure correct time, dosage and appropriate route of medication administration; monitor patient for medication side effects and/or allergic reaction; observe patient to determine if medication is effective for prescribed treatment and document; if necessary, notify appropriate personnel of action taken.

Maintain safety, health and wellbeing of individuals in the therapeutic environment as allowed in the practice setting; follow facility procedures regarding techniques; notify appropriate personnel of action taken and document as required. Triage and assess patient's physical and mental health status and recommend admission for inpatient or outpatient services according to established policies and criteria. May serve as a community liaison nurse, assisting patients in making the transition from institution to the community or assisting patients which are community based, by providing a broad range of nursing services.

Take timely, effective and proper measures to provide and maintain hygienic environments. Document nurse progress notes in medical charts including patient's health status, changes in condition, and medications administered; review charts for changes in orders and transcribe; prepare written reports, records and summaries; perform quality improvement activities such as auditing charts and compiling statistics; ensure all applicable regulatory standards are met including documentation of the care delivery process. Perform quality assurance and/or utilization review audits and compliance activities; ensure effective and efficient patient care and adherence to community standards of nursing care and/or standards established by accrediting bodies.

Carry out therapeutic procedures which provide for the emotional and physical comfort of patients. Provide education to patients and their families related to good health habits and answer questions regarding prescribed treatment; provide health related education and training to staff. Prepare and maintain medical treatment rooms, ensuring supplies are available and ready for use; order and stock medical and related supplies and equipment as needed.

Supervise paraprofessional and technical staff which may include Mental Health Technicians. Perform related duties as assigned. Under general supervision, incumbents perform the full range of duties described in the series concept.

Positions in this class may have infection control, quality assurance, utilization review, staff training, admissions, outpatient services and/or other specialized assignments as a primary or secondary duty. This is a professional psychiatric nurse, and incumbents function at the journey level. Knowledge, Skills, and Abilities This job specification lists the major knowledge, skills and abilities of the job and is not all inclusive.

Incumbent(s) will be expected to have knowledge, skills and abilities from a previous level. Working knowledge of: current nursing practices, principles, methods and procedures used in psychiatric/mental health nursing; application of the psychiatric nursing process including assessment, diagnosis, planning, intervention and evaluation; uses and effects of psychotropic medications used in nursing; psychiatric principles and therapeutic interventions utilized in nursing care of individuals with mental illness or intellectual disabilities through cooperation with a treatment team and physician; documentation process; operation and use of standard medical equipment; nutrition and personal hygiene as applied to patient care; human growth and development; routine laboratory tests and diagnostic procedures used in the practice setting; client centered care. Ability to: respond to and resolve patient care issues; independently perform specialized assignments such as infection control, quality assurance, utilization review, staff training, admissions and/or outpatient services.

Recruiter Contact Information: Jennifer Kauble - jenniferkauble@admin.nv.gov The State of Nevada is an equal opportunity employer dedicated to building diverse, inclusive, and innovative work environments with employees who reflect our communities and enthusiastically serve them. All applicants are considered without regard to race, color, national origin, religion or belief, age, disability, sex, sexual orientation, gender identity or expression, pregnancy, domestic partnership, genetic information (GINA), or compensation and/or wages. Please send direct Inquiries or correspondence to the recruiter listed on this announcement.


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About State of Nevada

Sourced by ZipRecruiter

The State of Nevada isn't a company in the traditional sense, but rather a governing body that manages and directs the operations of the state of Nevada. Its headquarters are located in Carson City, NV, United States. The organisation is engaged in various sectors like education, transportation, business and industry, health and human services, conservation and natural resources, and many more. It is responsible for implementing and maintaining the law and order of the state, in addition to providing essential services to its residents.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Carson City, NV, US

Year founded

1864