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

Ageless Men's Health

Registered Nurse (RN)

Reno, NV · On-site

$87K/yr

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.

Fastaff Travel Nursing

Travel Telemetry RN

Reno, NV · On-site

$2.0K - $2.7K/wk

MS/Tele RNs closely monitor the patients' condition, including heart function, so you must be able to accurately review telemetry readouts. Fastaff Travel Nursing Job ID #2131372. Pay package is ...

Fastaff Travel Nursing

Travel Med Surg Telemetry RN

Reno, NV · On-site

$2.0K - $2.7K/wk

MS/Tele RNs closely monitor the patients' condition, including heart function, so you must be able to accurately review telemetry readouts. Fastaff Travel Nursing Job ID #1690377. Pay package is ...

Fastaff Travel Nursing

Travel Med Surg Telemetry RN

Reno, NV · On-site

$2.0K - $2.7K/wk

MS/Tele RNs closely monitor the patients' condition, including heart function, so you must be able to accurately review telemetry readouts. Fastaff Travel Nursing Job ID #1687881. Pay package is ...

Fastaff Travel Nursing

Travel Med Surg Telemetry RN

Reno, NV · On-site

$2.0K - $2.7K/wk

MS/Tele RNs closely monitor the patients' condition, including heart function, so you must be able to accurately review telemetry readouts. Fastaff Travel Nursing Job ID #1690374. Pay package is ...

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Utilization Review Rn information

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$42

$68

How much do utilization review rn jobs pay per hour?

As of Aug 12, 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.

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.

How to get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or knowledge of medical coding and insurance processes can enhance your qualifications. Gaining experience in case management or health insurance companies can also improve your chances of entering the field.

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.

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:
What are popular job titles related to Utilization Review Rn jobs in Reno, NV? For Utilization Review Rn jobs in Reno, NV, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Reno, NV look for? The top searched job categories for Utilization Review Rn jobs in Reno, NV are:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Reno, NV as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, and 4% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% 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 9 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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