... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
Occupational Therapist Senior Living
Reno, NV · On-site
$40.25 - $52.75/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
Occupational Therapist Senior Living
Reno, NV · On-site
$40.25 - $52.75/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
Occupational Therapist Senior Living
Reno, NV · On-site
$50 - $55/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
Occupational Therapist Senior Living
Reno, NV · On-site
$50 - $55/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
Occupational Therapist Senior Living
Reno, NV · On-site
$50 - $55/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
Occupational Therapist Senior Living
Reno, NV · On-site
$50 - $55/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
Occupational Therapist Senior Living
Reno, NV · On-site
$40.25 - $52.75/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
Occupational Therapist Senior Living
Reno, NV · On-site
$40.25 - $52.75/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
Occupational Therapist Senior Living
Reno, NV · On-site
$40.25 - $52.75/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
Occupational Therapist Senior Living
Reno, NV · On-site
$40.25 - $52.75/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications; * establishing and maintaining a good working ...
Participate in chart reviews, quality improvement initiatives, utilization review activities, and operational workflow improvements. * Demonstrate awareness of and sensitivity to claimant rights ...
Participate in chart reviews, quality improvement initiatives, utilization review activities, and operational workflow improvements. * Demonstrate awareness of and sensitivity to claimant rights ...
Participate in chart reviews, quality improvement initiatives, utilization review activities, and operational workflow improvements. * Demonstrate awareness of and sensitivity to claimant rights ...
Participate in chart reviews, quality improvement initiatives, utilization review activities, and operational workflow improvements. * Demonstrate awareness of and sensitivity to claimant rights ...
Physical Therapist Senior Living
Reno, NV · On-site
$1.6K - $2.1K/wk
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
New
Physical Therapist Senior Living
Reno, NV · On-site
$1.6K - $2.1K/wk
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
New
Physical Therapist Senior Living
Reno, NV · On-site
$50 - $55/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
Physical Therapist Senior Living
Reno, NV · On-site
$50 - $55/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
Physical Therapist Senior Living
Reno, NV · On-site
$1.6K - $2.1K/wk
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
Physical Therapist Senior Living
Reno, NV · On-site
$1.6K - $2.1K/wk
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
QUALITY ASSURANCE SPECIALIST 2
Carson City, NV · On-site
$64K - $95K/yr
... utilization review activities for a human resources program; OR one year of experiance as a Quality Assurance Specialist I in Nevada State Service; OR an equivalent combination of experiance and ...
QUALITY ASSURANCE SPECIALIST 2
Carson City, NV · On-site
$64K - $95K/yr
... utilization review activities for a human resources program; OR one year of experiance as a Quality Assurance Specialist I in Nevada State Service; OR an equivalent combination of experiance and ...
... utilization review, case management, administrative staff / department head, and family conference activities and communications, as directed by the PT; * establishing and maintaining a good working ...
... utilization review, case management, administrative staff / department head, and family conference activities and communications, as directed by the PT; * establishing and maintaining a good working ...
Physical Therapist Assistant Senior Living
Reno, NV · On-site
$38 - $40/hr
... utilization review, case management, administrative staff / department head, and family conference activities and communications, as directed by the PT; * establishing and maintaining a good working ...
Physical Therapist Assistant Senior Living
Reno, NV · On-site
$38 - $40/hr
... utilization review, case management, administrative staff / department head, and family conference activities and communications, as directed by the PT; * establishing and maintaining a good working ...
... utilization review, case management, administrative staff / department head, and family conference activities and communications, as directed by the PT; * establishing and maintaining a good working ...
... utilization review, case management, administrative staff / department head, and family conference activities and communications, as directed by the PT; * establishing and maintaining a good working ...
Physical Therapist Senior Living
Reno, NV · On-site
$50 - $55/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
New
Physical Therapist Senior Living
Reno, NV · On-site
$50 - $55/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
New
Physical Therapist Assistant Senior Living
Reno, NV · On-site
$38 - $40/hr
... utilization review, case management, administrative staff / department head, and family conference activities and communications, as directed by the PT; * establishing and maintaining a good working ...
Physical Therapist Assistant Senior Living
Reno, NV · On-site
$38 - $40/hr
... utilization review, case management, administrative staff / department head, and family conference activities and communications, as directed by the PT; * establishing and maintaining a good working ...
PSYCHIATRIC NURSE 2 - PART-TIME
$80K - $120K/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 ...
PSYCHIATRIC NURSE 2 - PART-TIME
$80K - $120K/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 ...
Grad Pharmacist
Sparks, NV · On-site
$17.25 - $21.25/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Grad Pharmacist
Sparks, NV · On-site
$17.25 - $21.25/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Utilization Review information
See Reno, NV salary details
$21.33 - $25.65
2% of jobs
$25.65 - $29.96
9% of jobs
$32.91 is the 25th percentile. Wages below this are outliers.
$29.96 - $34.27
21% of jobs
The median wage is $37.77 / hr.
$34.27 - $38.59
23% of jobs
$38.59 - $42.90
13% of jobs
$46.26 is the 75th percentile. Wages above this are outliers.
$42.90 - $47.22
10% of jobs
$47.22 - $51.53
8% of jobs
$51.53 - $55.85
5% of jobs
$55.85 - $60.16
5% of jobs
$60.16 - $64.47
2% of jobs
$64.47 - $68.79
2% of jobs
$21
$42
$68
How much do utilization review jobs pay per hour?
Is utilization review work from home?
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.
Is utilization review a stressful job?
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 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?
- Remote Utilization Review Rn
- Remote Utilization Review Nurse
- Remote Utilization Management Nurse
- Utilization Review Specialist
- Per Diem Utilization Review Nurse
- No Experience Utilization Review Nurse
- Temporary Utilization Review Nurse
- Night Utilization Review Nurse
- Flex Schedule Remote Utilization Review Nurse
- Remote Hedis Review Nurse
- Remote Lpn Utilization Review
- Volunteer Navihealth Utilization Review
- Full Time Cigna Utilization Review Nurse
- Utilization Review Physician Assistant
- Registered Nurse Case Review
- Temporary Aetna Utilization Review Nurse
- Senior Rn Utilization Review Nurse
- Remote Aetna Utilization Review Nurse
- Utilization Review 1099
- Remote Occupational Therapy Utilization Review

Other
Re-posted 15 days ago
Reliant Rehabilitation rating
6.3
Based on 45 frontline employees who took The Breakroom Quiz
670th of 887 rated healthcare providers
Job description
#LI-RT1
*This role is based in an Assisted Living, Independent Living, and Memory Care setting.
Summary:
Provide Speech-Language Pathology Therapy and related services for patients while maintaining positive levels of interaction with facilities and clients in accordance with the principles and practices of Speech-Language Pathology therapy and within Reliant Rehabilitation guidelines. Provide quality patient care including screening and evaluation of patients, development of initial and ongoing treatment plans of care, discharge plan, supervision of assistants and Rehab Techs, and case management responsibilities. Maintain professional conduct that represents Reliant Rehabilitation's commitment to quality and service in all interactions with clients, including positive levels of interaction and rapport with facilities and clients. Adhere to all state and federal regulations regarding speech-language pathology therapy.
ResponsibilitiesEssential Duties and Responsibilities:
- Optimize communication, cognitive-linguistic abilities, and swallowing skills of patients by providing, directing, and/or overseeing speech therapy in the following:
- Directly supervise Rehab techs in tasks during group and individual treatment in a manner that promotes efficient and effective utilization of resources and facilitates the ongoing development of clinical skills in accordance with State Practice Acts, Omnibus Reconciliation Act (OBRA), and Reliant Rehabilitation policy.
- Build a strong Speech-Language Pathology (SLP) therapy program by participating in the following activities:
- actively integrating SLP therapy's role into community and interdisciplinary treatment team;
- contributing to community patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications;
- establishing and maintaining a good working relationship with other health care professionals and colleagues in the community;
- making appropriate referrals to other members of the rehabilitation team,
- developing and implementing new programs/techniques to enhance rehabilitation services;
- adhering to Reliant Rehabilitation and client specific policies and procedures related to environmental safety, orderliness, risk management, infection control, and emergency preparedness; and
- adhering to the requirements of the patient's rights and privacy.
- Enhance clinical expertise, professional and management skills through interaction with managers, therapists and other professional staff, self-study, and other continuing education activities.
- Maintain valid state license (where appropriate). Maintain awareness of issues related to the profession of speech-language pathology therapy and the health care environment.
- Understands various relevant payment models related to billing and treatment guidelines, as well as clinically appropriate means/modes of delivery. Provide quality care as well as reasonable goals and outcomes within the guidelines.
- Be compliant with infection control procedures and environmental safety protocol within a community.
- This position requires patient lifting using appropriate biomechanical techniques frequently throughout the course of a workday/shift. Must be capable of lifting thirty (30) pounds of dead weight alone.
- Maintain confidentiality of Reliant Rehabilitation, community, and patient information.
- Must conduct self in an ethical, legal, and responsible manner at all times.
- Must adhere to the policies, principles, and guidance within the Team Member Handbook and Code of Business Conduct.
- Must be able to travel between facilities during scheduled hours.
- Must be able to work varying hours and shifts, including weekends and holidays.
- Attends all mandatory meetings, trainings, and assignments as delegated.
- Perform other duties and responsibilities as assigned.
Competency:
Prior to beginning patient care for Reliant Rehabilitation, a peer SLP may complete a Competency Checklist.
To perform the job successfully, an individual should demonstrate the following competencies:
- Effective clinical problem-solving skills to include but not limited to: identify and prioritize issues in a responsive manner, develop sound and innovative action plans, execute action plans on a timely basis, and ensure appropriate results
- Be a strong team player
- Strong verbal & written communication skills
- Ability to build strong relationships with a diverse population
- Ability to read, write, speak, and comprehend in English: instructions, correspondence, charts, memos, and reports
- Ability to work in a fast-paced, productive work environment
Education/Experience:
- Master's Degree, or equivalent, in Speech Language Pathology.
Computer Skills:
- Proficient knowledge of Microsoft Office (Outlook, Word, Excel, Power Point, etc.)
- Basic Internet navigation skills
Certificates and Licenses:
- Valid Speech-Language Pathologist state license (where appropriate)
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