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Utilization Review Jobs in Reno, NV (NOW HIRING)

CCMSI

Nurse Case Manager Senior

Carson City, NV · On-site

$90K - $100K/yr

Candidates with utilization review experience are strongly encouraged to apply, and case management experience is preferred. Responsibilities At CCMSI, we look for clinicians who combine compassion ...

New

CCMSI

Nurse Case Manager Senior

Carson City, NV · Remote

$90K - $100K/yr

Candidates with utilization review experience are strongly encouraged to apply, and case management experience is preferred. At CCMSI, we look for clinicians who combine compassion, critical thinking ...

New

CCMSI

Nurse Case Manager Senior

Carson City, NV · Remote

$90K - $100K/yr

Candidates with utilization review experience are strongly encouraged to apply, and case management experience is preferred. Responsibilities At CCMSI, we look for clinicians who combine compassion ...

New

Reliable Healthcare Services

Psychiatrist

Sparks, NV · On-site

$155/hr

Collaborate with the utilization review nurse to provide required documentation for prior authorizations, continued stay reviews, and discharge medication approvals. * Participate in hospital ...

Dane Street

Orthopedics Physician

Reno, NV · On-site

Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams

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All JobsUtilization Review JobsUtilization Review Jobs in Reno, NV

Utilization Review information

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How much do utilization review jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for utilization review 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 is a utilization review?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What does a utilization review do?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.

What are the key skills and qualifications needed to thrive in utilization review?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.

What are the most commonly searched types of Utilization Review jobs in Reno, NV?

The most popular types of Utilization Review jobs in Reno, NV are:

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

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

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

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

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

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

Utilization Review jobs near you
Infographic showing various Utilization Review 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.

RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)

Carson City, NV • On-site

Universal Health Services
Health Care and Social Assistance • 10K+ employees

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

459th of 895 rated healthcare providers

People enjoy working here

Recommended by students

Respectful managers

Learn more about Universal Health Servicesexternal

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 25 days ago

Job description

Job Title

The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center, Henderson Hospital, Valley Health Specialty Hospital, and West Henderson Hospital.

Benefit Highlights:

  • Comprehensive education and training center
  • Competitive compensation & generous paid time off
  • Excellent medical, dental, vision and prescription drug plans
  • 401(K) with company match and discounted stock plan
  • Career opportunities within VHS and UHS
  • Subsidies
  • Challenging and rewarding work environment

Job Description:

To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all patient visits. These goals can be achieved through proactive collaboration with the patient, family and healthcare team.

Qualifications:

  • Education: Graduate of an accredited school of nursing.
  • Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources to meet post discharge clinical and social needs.
  • Technical Skills: Computer proficiency to include word processing, spreadsheet, and data collection/management computer programs.
  • License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada.
  • Other: Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department.

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.

Notice: At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US

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