Utilization Review Nurse Location: Las Vegas, NV **This position is on-site in Las Vegas, NV, 89102. A relocation bonus would be given to candidates that are willing to relocate to Las Vegas ...
Quick apply
Utilization Review Nurse Location: Las Vegas, NV **This position is on-site in Las Vegas, NV, 89102. A relocation bonus would be given to candidates that are willing to relocate to Las Vegas ...
Quick apply
Utilization Review Nurse Location: Las Vegas, NV **This position is on-site in Las Vegas, NV, 89102. A relocation bonus would be given to candidates that are willing to relocate to Las Vegas ...
Las Vegas, NV · On-site
$43 - $63/hr
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Review Nurse plays a critical role in assessing patient admissions to ensure appropriate care, resource efficiency, and adherence to third-party payer requirements. This position ...
Quick apply
Las Vegas, NV · On-site
$43 - $63/hr
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Review Nurse plays a critical role in assessing patient admissions to ensure appropriate care, resource efficiency, and adherence to third-party payer requirements. This position ...
Las Vegas, NV · On-site
$40 - $63/hr
Medical
Dental
Vision
Life
Retirement
PTO
Title: Utilization Review Nurse (RN) Department: Case Management Job Type: Full-Time Facility Details * Academic Medical Center * Nevada's: * * Level I Trauma Center * Verified Burn Center
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Las Vegas, NV · On-site
$40 - $63/hr
Medical
Dental
Vision
Life
Retirement
PTO
Title: Utilization Review Nurse (RN) Department: Case Management Job Type: Full-Time Facility Details * Academic Medical Center * Nevada's: * * Level I Trauma Center * Verified Burn Center
Henderson, NV · On-site
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Henderson, NV · On-site
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Direct and manage the day-to-day operations of the Utilization Review department. ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility while maximizing ...
Direct and manage the day-to-day operations of the Utilization Review department. ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility while maximizing ...
Las Vegas, NV · On-site
$43 - $63/hr
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Review Nurse plays a key role in evaluating patient admissions to ensure appropriate levels of care, efficient resource utilization, and compliance with third-party payer requirements.
Quick apply
Las Vegas, NV · On-site
$43 - $63/hr
Medical
Dental
Vision
Life
Retirement
PTO
The Utilization Review Nurse plays a key role in evaluating patient admissions to ensure appropriate levels of care, efficient resource utilization, and compliance with third-party payer requirements.
Las Vegas, NV · On-site
$42 - $65/hr
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Review Nurse Location: Las Vegas, NV Job Type: Full-Time Pay: $42-$65/hr + Sign-On Bonus Job Summary Review patient admissions and continued stays to ensure medical necessity, appropriate ...
Quick apply
Las Vegas, NV · On-site
$42 - $65/hr
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Review Nurse Location: Las Vegas, NV Job Type: Full-Time Pay: $42-$65/hr + Sign-On Bonus Job Summary Review patient admissions and continued stays to ensure medical necessity, appropriate ...
Utilization Review Nurse (RN) This Utilization Review Nurse (RN) is Per Diem on our Case Management ... Must be available to work weekends and holidays. Job Duties/Responsibilities: * Conducts admission ...
Utilization Review Nurse (RN) This Utilization Review Nurse (RN) is Per Diem on our Case Management ... Must be available to work weekends and holidays. Job Duties/Responsibilities: * Conducts admission ...
Utilization Review Nurse (RN) This Utilization Review Nurse (RN) is Per Diem on our Case Management ... Must be available to work weekends and holidays. Job Duties/Responsibilities: * Conducts admission ...
Utilization Review Nurse (RN) This Utilization Review Nurse (RN) is Per Diem on our Case Management ... Must be available to work weekends and holidays. Job Duties/Responsibilities: * Conducts admission ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Henderson, NV · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Henderson, NV · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Henderson, NV · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Henderson, NV · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Henderson, NV · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Henderson, NV · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Henderson, NV · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Henderson, NV · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
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 ...
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 ...
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 ...
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 ...
Las Vegas, NV · On-site
Medical
Dental
Vision
Retirement
PTO
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 ...
Las Vegas, NV · On-site
Medical
Dental
Vision
Retirement
PTO
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 ...
Utilization Review & Medical Necessity: Conduct timely medical necessity determinations for inpatient admissions, continued stays, and post-acute care settings (SNF, IRF, LTACH, Home Health) for ...
Utilization Review & Medical Necessity: Conduct timely medical necessity determinations for inpatient admissions, continued stays, and post-acute care settings (SNF, IRF, LTACH, Home Health) for ...
$21.79 - $26.19
2% of jobs
$26.19 - $30.60
9% of jobs
$33.61 is the 25th percentile. Wages below this are outliers.
$30.60 - $35
21% of jobs
The median wage is $38.57 / hr.
$35 - $39.41
23% of jobs
$39.41 - $43.82
13% of jobs
$47.24 is the 75th percentile. Wages above this are outliers.
$43.82 - $48.22
10% of jobs
$48.22 - $52.63
8% of jobs
$52.63 - $57.04
5% of jobs
$57.04 - $61.44
5% of jobs
$61.44 - $65.85
2% of jobs
$65.85 - $70.25
2% of jobs
$21
$43
$70
Weekend Utilization Review professionals typically work independently, reviewing patient cases for medical necessity, appropriateness of care, and compliance with payer guidelines during non-standard business hours. You will analyze patient charts, interact with clinical staff, and document findings, often collaborating remotely with other care coordinators or medical teams. While much of the role is desk-based, quick decision-making and effective communication are essential due to faster-paced weekend workflows. This schedule can offer greater autonomy and flexibility, but may also require prioritizing tasks and managing multiple cases efficiently to ensure continuous patient care.
A Weekend Utilization Review job involves assessing patient care and medical services during weekends to ensure they meet medical necessity and insurance guidelines. Professionals in this role review clinical documentation, coordinate with healthcare providers, and determine appropriate levels of care for patients. They typically work for hospitals, insurance companies, or other healthcare organizations. Strong analytical skills, medical knowledge, and familiarity with regulatory requirements are essential for success in this role.
Success as a Weekend Utilization Review professional requires a strong background in nursing or healthcare, critical thinking skills, and a thorough understanding of medical necessity criteria, such as InterQual or Milliman guidelines. Familiarity with electronic medical records (EMR) systems and utilization management software is highly beneficial, and RN or healthcare-related licensure is often required. Exceptional communication, attention to detail, and the ability to work independently on weekends are crucial soft skills. Mastering these areas allows efficient and accurate reviews of patient care, supporting optimal healthcare resource allocation outside of standard work hours.
The most popular types of Utilization Review jobs in Nevada are:
For Weekend Utilization Review jobs in Nevada, the most frequently searched job titles are:
The top searched job categories for Weekend Utilization Review jobs in Nevada are:
Cities in Nevada with the most Weekend Utilization Review job openings:

We are hiring!!
Position: Utilization Review Nurse
Location: Las Vegas, NV
**This position is on-site in Las Vegas, NV, 89102. A relocation bonus would be given to candidates that are willing to relocate to Las Vegas.
** Full time job with excellent benefits
** Salary depends on experience
If interested, please send your resume to nwarden@globalforce-us.com
Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts, determining whether care provided is within established parameters.
Job RequirementEducation/Experience:
Graduation from an accredited school of nursing and five (5) years of acute hospital clinical nursing experience, one (1) year of which was in Utilization Management, Case Management, or Clinical Documentation Improvement.
Licensing/Certification Requirements:
Valid license by the State of Nevada to practice as a Registered Nurse.
Additional Position Requirements
Minimum three (3) years of Utilization Management experience.
Minimum of three (3) year's experience with discharge planning in an acute care facility.
Recent documented experience with InterQual, and ability to pass the InterQual exam.
Recent documented experience with Milliman experience.
Sourced by ZipRecruiter
Recruiting and staffing services
51 - 200 Employees
Houston, TX, US
2007