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

Renown Health

Transfer Center and Virtual Care RN

Reno, NV · On-site +1

$34.67 - $52.01/hr

Position Purpose The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource utilization, and seamless ...

Renown Health

Transfer Center and Virtual Care RN

Reno, NV · On-site +1

$34.67 - $52.01/hr

Position Purpose The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource utilization, and seamless ...

Renown Health

Transfer Center and Virtual Care RN

Reno, NV · On-site +1

$34.67 - $52.01/hr

Position Purpose The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource utilization, and seamless ...

Renown Health

Transfer Center and Virtual Care RN

Reno, NV · On-site +1

$34.67 - $52.01/hr

Position Purpose The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource utilization, and seamless ...

Renown Health

Clinical Coordinator-RN

Reno, NV

... case review, designs, and implements practice guidelines, supports community education, and ... collection and utilization of operational and benchmarking data; recommends targets for ...

Renown Health

Clinical Coordinator-RN

Reno, NV

... case review, designs, and implements practice guidelines, supports community education, and ... collection and utilization of operational and benchmarking data; recommends targets for ...

Renown Health

Clinical Coordinator-RN

Reno, NV · On-site

$34.40 - $48.16/hr

... case review, designs, and implements practice guidelines, supports community education, and ... collection and utilization of operational and benchmarking data; recommends targets for ...

UHS

RN Care Manager (Clinic)

Reno, NV · On-site

$69K - $103K/yr

The RN In-Clinic Care Manager will adhere to the CMSA Standards of Practice for Case Management ... utilization, and improve outcomes for high-risk and high-need members. By pairing the primary care ...

UHS

RN Care Manager (Clinic)

Reno, NV · On-site

$81K - $112K/yr

The RN In-Clinic Care Manager will adhere to the CMSA Standards of Practice for Case Management ... utilization, and improve outcomes for high-risk and high-need members. By pairing the primary care ...

UHS

RN Care Manager (Clinic)

Reno, NV · On-site

The RN In-Clinic Care Manager will adhere to the CMSA Standards of Practice for Case Management ... utilization, and improve outcomes for high-risk and high-need members. By pairing the primary care ...

UHS

RN Care Manager (Clinic)

Reno, NV · On-site

The RN In-Clinic Care Manager will adhere to the CMSA Standards of Practice for Case Management ... utilization, and improve outcomes for high-risk and high-need members. By pairing the primary care ...

DaVita

Registered Nurse

Carson City, NV

$37 - $52/hr

Notes signs of trauma, patients' general physical and mental condition, reviews dialysis orders ... Registered Nurse Opportunity w/ DaVita #LI-EC4 At DaVita, we strive to be a community first and a ...

US Navy

Registered Nurse

Truckee, CA · On-site

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

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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 Jul 1, 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:
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 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.
Transfer Center and Virtual Care RN

Transfer Center and Virtual Care RN

Renown Health

Reno, NV • On-site, Remote

$34.67 - $52.01/hr

Part-time

Posted yesterday

Key responsibilities

  • Facilitates patient transfers and manages seamless communication between care teams, facilities, and physicians.

  • Provides telehealth services including virtual assessments, documentation, and patient education.

  • Coordinates patient flow and collaborates with healthcare teams to ensure optimal placement and transfer processes.

Renown Health rating

7.4

Company rating: 7.4 out of 10

Based on 96 frontline employees who took The Breakroom Quiz

256th of 877 rated healthcare providers

Job description

Position Purpose
The Transfer Center & Virtual Care RN provides leadership, accountability, and comprehensive nursing services to ensure optimal patient care, resource utilization, and seamless patient flow. This role is challenged with facilitating patient flow into and within the healthcare system by collaborating with Renown leadership, clinical staff, unit staff, providers and transfer center personnel, along with coordinating patient care across the continuum, from admission through discharge, and ensuring effective two-way communication between the medical staff, referring physicians, and other healthcare team members. In collaboration with members of the bedside interdisciplinary healthcare team, participates in the multidisciplinary plan of care for patients, and ensuring effective quality and cost-efficient outcomes. Must demonstrate competence in a fast paced, stressful environment due to demands from multiple sources. In this unpredictable environment, the individual must possess the ability to organize, prioritize and reprioritize shift priorities as needed.
Nature and Scope
This role performs various RN functions within the RTOC, including Transfer Center RN and Virtual Care RN. The position involves facilitating patient transfers, managing virtual care, and ensuring smooth patient flow across Renown Health.
• Transfer Center RN: Coordinates incoming and outgoing patient transfers, ensuring seamless communication between care teams, facilities, and physicians while utilizing a strong knowledge of acute care and patient treatment. While operating as the RTOC Charge Nurse, this role also takes on leadership responsibilities in patient flow management, ensuring optimal placement and transfer processes, and collaborating with healthcare teams to meet safety and compliance standards.
• Virtual Care RN: Provides telehealth services, including virtual assessments, documentation, and patient education, using advanced systems to support multidisciplinary care teams and patients.
This position does provide direct patient care.
Disclaimer
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum Qualifications
Requirements - Required and/or Preferred
Name
Description
Education:
Must have working-level knowledge of the English language, including reading, writing and speaking English. Appropriate education to obtain and maintain State of Nevada Registered Nurse licensure. Bachelor of Science degree in Nursing preferred.
Experience:
Minimum three years of RN experience in an acute patient care setting in medical/surgical, Emergency Department or critical care. Nurses with five or more years' experience preferred.
License(s):
Ability to obtain and maintain a State of Nevada Registered Nurse license.
Certification(s):
Ability to obtain and maintain an Acute-Care Virtual Nurse Certification within three (3) years of hire.
Computer / Typing:
Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

What Renown Health employees say

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About Renown Health

Sourced by ZipRecruiter

Renown Health is a leading and respected player in the healthcare industry, based in Reno, NV, US. Established in 1862, the company has a deep-rooted history in providing high-quality healthcare services to the community. Renown Health offers a wide array of services including urgent care centers, lab services, x-ray and imaging services, primary care doctors and specialists. Its central values include excellence in quality and service, caring for people first, being proactive in the community, fiscal responsibility, integrity, and respecting every person.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Reno, NV, US

Year founded

1862

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