ZipRecruiter

Log In

1

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

State of Nevada (NV)

FLEET SPECIALIST

Carson City, NV · On-site

$54K - $80K/yr

This position ensures proper acquisition, utilization, maintenance, tracking, financial planning ... Job Duties Assist in composing, reviewing, and updating referenced technical specifications.

Renown Health

Referral Specialist

Reno, NV · On-site

$17.37 - $24.32/hr

... utilization of resources, timeliness of treatment and quality of care.. The Referral Specialist ... review of service request for completeness of information • Collection and transfer of non ...

Renown Health

Referral Specialist

Reno, NV · On-site

... utilization of resources, timeliness of treatment and quality of care.. The Referral Specialist ... review of service request for completeness of information • Collection and transfer of non ...

Renown Health

Referral Specialist

Reno, NV · On-site

... utilization of resources, timeliness of treatment and quality of care.. The Referral Specialist ... review of service request for completeness of information • Collection and transfer of non ...

Carson Tahoe Health

LEAVE SPECIALIST

Carson City, NV · On-site

$65 - $95/hr

Reviews and processes leave requests and medical certifications, tracking key dates and following ... Generates regular reports on leave utilization, trends, and compliance metrics for HR leadership.

Carson Tahoe Health

LEAVE SPECIALIST

Carson City, NV · On-site

Reviews and processes leave requests and medical certifications, tracking key dates and following ... Generates regular reports on leave utilization, trends, and compliance metrics for HR leadership.

Netflix

Event Planning Specialist

Beckwourth, CA · On-site

... utilization of the Ranch. * Oversee Ranch Agenda preparation for each event and work closely with ... Lead weekly event review meetings to ensure all events are thoroughly planned and all vendors are ...

Netflix

Event Planning Specialist

Beckwourth, CA · On-site

... thoughtful utilization of the Ranch. Oversee Ranch Agenda preparation for each event and work ... Lead weekly event review meetings to ensure all events are thoroughly planned and all vendors are ...

Renown Health

Senior Coding Specialist-Outpt

Reno, NV · On-site

Coding of highly complex medical records as well as medical record review. This class differs from ... staff including Utilization and Quality Assurance Departments when needed. • Knowledge of ...

Carson Tahoe Health

CODER INPATIENT

Carson City, NV · On-site

$21.25 - $25.75/hr

Carson City Health Information Management Full Time Summary As senior level coding specialist ... Monitors and reviews regulatory changes that impact clinical documentation and reimbursement ...

next page

Showing results 1-20

All JobsUtilization Review Specialist JobsUtilization Review Specialist Jobs in Reno, NV

Utilization Review Specialist information

See Reno, NV salary details

$15

$31

$53

How much do utilization review specialist jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for utilization review specialist in Reno, NV is $31.85, according to ZipRecruiter salary data. Most workers in this role earn between $22.31 and $40.53 per hour, depending on experience, location, and employer.

What is a utilization review specialist?

Utilization review specialists assess plans for patient care and determine what treatment is appropriate and most cost-effective. They investigate disputed medical claims, coordinate utilization training for the medical staff, analyze electronic medical records, and inform medical staff whether a medical claim is denied, approved, under review, or under appeal. In many cases, the utilization review specialist serves as an advocate for quality patient care, cost reduction, and hospital quality standards.

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

To thrive as a Utilization Review Specialist, you need a background in healthcare, strong analytical abilities, and typically a degree in nursing, social work, or a related field, often with relevant licensure. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance and regulatory guidelines are essential. Excellent communication, critical thinking, and attention to detail are crucial soft skills for collaborating with providers and advocating for appropriate patient care. These competencies ensure accurate assessments, regulatory compliance, and optimal resource utilization in healthcare settings.

How does a utilization review specialist typically interact with healthcare providers and insurance companies?

Utilization Review Specialists serve as a key liaison between healthcare providers and insurance companies, reviewing patient records to ensure medical necessity and compliance with coverage guidelines. They frequently communicate with physicians and clinical staff to clarify documentation or treatment plans, as well as with insurance representatives to justify or appeal coverage decisions. This collaborative environment requires strong communication skills and a thorough understanding of medical protocols and payer requirements, making teamwork and attention to detail essential aspects of the role.

What is the difference between Utilization Review Specialist vs Claims Reviewer?

AspectUtilization Review SpecialistClaims Reviewer
CredentialsOften requires healthcare-related certifications (e.g., RN, CPC)Typically requires insurance or billing certifications
Work EnvironmentHealthcare settings, insurance companies, hospitalsInsurance companies, healthcare payers, third-party administrators
Job FocusAssess medical necessity and appropriateness of servicesReview insurance claims for accuracy and coverage

While both roles involve reviewing healthcare-related information, the Utilization Review Specialist primarily evaluates the medical necessity of treatments, whereas the Claims Reviewer focuses on verifying insurance claims for correctness and coverage. Both positions require knowledge of healthcare and insurance processes but serve different functions within the healthcare and insurance industries.

How much does a utilization review specialist make in California?

The average salary for a utilization review specialist in California ranges from $60,000 to $80,000 annually, depending on experience, certifications, and location. Salaries may also vary based on the employer and whether the role is full-time or part-time, with some positions offering additional benefits or bonuses.

Is utilization review a good job?

Utilization Review Specialists evaluate medical necessity and appropriateness of healthcare services, often working in healthcare or insurance settings. The role typically requires strong analytical skills, attention to detail, and knowledge of healthcare regulations, with opportunities for certification and career advancement. It can offer stable employment and a predictable schedule, but job satisfaction depends on individual preferences and work environment.
More about Utilization Review Specialist jobs

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

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

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

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

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

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

Utilization Review Specialist jobs near you
Infographic showing various Utilization Review Specialist job openings in Reno, NV as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $66,241 per year, or $31.8 per hour.

FLEET SPECIALIST

State of Nevada (NV)

Carson City, NV • On-site

$54K - $80K/yr

Full-time

Re-posted 21 days ago

State Of Nevada rating

7.1

Company rating: 7.1 out of 10

Based on 56 frontline employees who took The Breakroom Quiz

40th 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 Nevada Department of Wildlife is recruiting for a Fleet Specialist responsible for the coordination, oversight and lifecycle management of all Department owned assets to include vehicles, vessels, specialized equipment, trailers and ATVs/UTVs. This position ensures proper acquisition, utilization, maintenance, tracking, financial planning, and disposal of assets while ensuring compliance with all applicable state and federal laws, regulations, and administrative requirements.

Using agency databases, the incumbent will support budgeting and planning for fleet needs, including forecasting replacement cycles and maintenance costs. Fleet Specialists facilitate fleet operations including vehicle and equipment acquisition, utilization, maintenance, and disposal. Essential Qualifications One or more years of applicable experience as described in the job duties and graduation from high school or equivalent education.

Job Duties Assist in composing, reviewing, and updating referenced technical specifications. Facilitate registration, payment, and insurance processes. Input, update, retrieve, maintain, and ensure the integrity of data in either electronic or paper records.

Manage the agency's fleet fuel card program and processes. Perform related duties as assigned. Knowledge, Skills, and Abilities Knowledge of: Applicable federal and State laws, regulations, and agency policies and procedures.

Business practices applicable to fleet management; vehicle and equipment acquisition and disposition; data processing systems and procedures. Skill in: Interpersonal and communication, both verbal and written. Use and operation of office and job-related equipment and software.

Ability to: Establish and maintain effective and cooperative working relationships; process, format, and generate computer data for reports; organize information and resources systematically. Recruiter Contact Information: Susan Ashley - q.ashley@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.

What State Of Nevada employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

State of Nevada logo

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

View All State of Nevada Jobs

Apply