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Utilization Review Jobs in Reno, NV (NOW HIRING)

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 ...

State of Nevada (NV)

PSYCHIATRIC NURSE 2

Carson City, NV · On-site

$79K - $119K/yr

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 ...

Prime Healthcare

Director of Case Management

Reno, NV · On-site

Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses needs ...

Actalent

Scheduling Coordinator

Dayton, NV · On-site

$17 - $21.50/hr

Determine manufacturing resource requirements, including materials, labor, and equipment, and schedule these resources for optimal utilization. * Review resource constraints such as material ...

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All JobsUtilization Review JobsUtilization Review Jobs in Reno, NV

Utilization Review information

See Reno, NV salary details

$21

$42

$68

How much do utilization review jobs pay per hour?

As of Jul 1, 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 jobs pay $10,000 a month without a degree?

Utilization Review roles typically do not pay $10,000 a month without relevant experience or certifications; most positions in this field pay lower salaries. High-paying jobs that can reach this level without a degree often include specialized sales, real estate, or entrepreneurship, but they usually require significant skills, networking, or business acumen. Achieving such income without a degree generally involves gaining expertise, certifications, or building a successful independent business.

What does a typical day look like for someone working in Utilization Review?

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 skills do you need for utilization review?

Utilization review professionals need strong analytical skills to assess medical necessity and appropriateness of care, attention to detail, and knowledge of healthcare regulations and insurance policies. Good communication skills are essential for coordinating with healthcare providers and explaining decisions. Familiarity with electronic health records (EHR) systems and relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ), can also be beneficial.

What is a Utilization Review job?

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 are the key skills and qualifications needed to thrive in the Utilization Review position, and why are they important?

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.

What is the least stressful healthcare job?

Utilization review is often considered a less stressful healthcare job because it typically involves reviewing medical cases and insurance claims in a predictable, office-based environment. It usually requires strong analytical skills and certification but involves less direct patient interaction and emergency situations compared to clinical roles.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare professional such as a registered nurse, licensed social worker, or physician completes relevant education and obtains certification in utilization review or case management. Gaining experience in healthcare settings and understanding insurance policies and medical coding can also improve job prospects. Certification programs like the Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM) are often preferred by employers.
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 June 2026, with employment types broken down into 71% Full Time, 23% Part Time, and 6% Contract. Highlights an 88% In-person, and 12% Remote job distribution, with an average salary of $87,689 per year, or $42.2 per hour.
Psychiatrist

Psychiatrist

Reliable Healthcare Services

Sparks, NV • On-site

$155/hr

Other

Medical, PTO

Posted 7 days ago

Key responsibilities

  • Provide direct psychiatric evaluation, diagnosis, and treatment for an assigned inpatient caseload.

  • Oversee and supervise University of Nevada psychiatry residents participating in patient care.

  • Complete all required clinical documentation in the AVATAR electronic health record, including progress notes, orders, treatment plans, admission assessments, forensic evaluations (when applicable), and discharge summaries.

Job description

Location: Northern Nevada Adult Mental Health Services - Dini-Townsend Hospital (Sparks, Nevada)
Schedule: Monday-Friday, 8:00 AM - 5:00 PM
Assignment Type: Full-Time
Salary: Highly Competitive, starting at $155/hour
Position Overview
Dini-Townsend Hospital, a 30-bed state-operated inpatient psychiatric facility under Northern Nevada Adult Mental Health Services (NNAMHS), is seeking a full-time Attending Psychiatrist to provide comprehensive psychiatric care to adult patients in an acute inpatient setting.
This role requires strong clinical judgment, leadership, and collaboration within a multidisciplinary environment. The attending psychiatrist manages a patient caseload of approximately 8-15 patients, oversees University of Nevada psychiatry residents, and ensures high-quality, trauma-informed, and recovery-focused care. Residents contribute to patient care activities; however, the Attending Psychiatrist retains full responsibility for all assigned patients, including all documentation, orders, assessments, and clinical decisions.
Responsibilities:
  • Provide direct psychiatric evaluation, diagnosis, and treatment for an assigned inpatient caseload (average 8-15 patients).
  • Oversee and supervise University of Nevada psychiatry residents participating in patient care.
  • Complete all required clinical documentation in the AVATAR electronic health record, including progress notes, orders, treatment plans, admission assessments, forensic evaluations (when applicable), and discharge summaries.
  • Participate actively in interdisciplinary treatment team meetings, contributing to individualized treatment planning, patient progress review, and coordination of services.
  • Conduct and manage psychiatric admission evaluations and determine appropriateness of referrals from external sources.
  • Facilitate safe and timely discharge planning in collaboration with social services, nursing, case management, and utilization review staff.
  • Coordinate ongoing medical maintenance care, collaborate with internal medical providers, and ensure continuity of treatment.
  • Collaborate with the utilization review nurse to provide required documentation for prior authorizations, continued stay reviews, and discharge medication approvals.
  • Participate in hospital committees such as Denial of Rights and other quality and oversight groups as assigned.
  • Support operational coverage during colleague absences (sick or personal time off) as needed.
  • Maintain compliance with Joint Commission, state, federal, and NNAMHS policies and standards of psychiatric care.
  • Uphold safety protocols and maintain awareness of risks associated with an inpatient psychiatric population, including patients with aggression, psychosis, or complex behavioral needs.
Qualifications:
  • Medical degree (MD or DO) from an accredited institution.
  • Completion of an accredited Psychiatry residency training program.
  • Board Certified or Board Eligible in Psychiatry.
  • Current Nevada medical license or eligibility for licensure.
  • Current DEA registration and ability to prescribe controlled substances in Nevada.
  • Strong knowledge of psychiatric assessment, psychopharmacology, crisis stabilization, trauma-informed care, and inpatient psychiatric treatment models.
  • Experience working with multidisciplinary teams in an inpatient psychiatric setting.
  • Ability to provide resident supervision, mentoring, and clinical oversight.
  • Excellent clinical documentation and EHR proficiency (AVATAR experience preferred but not required).

About Reliable Health Care Services:
Since 1991, Reliable Health Care Services has placed highly qualified professionals in premier public and private healthcare settings. We are Joint Commission Certified and dedicated to connecting compassionate clinicians with opportunities that make a real difference.

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