Top 28 Utilization review Jobs in Reno Nv

Utilization Review Specialist
Thrive Wellness of Reno, LLC —Reno, NV
- $24 - $28 an hour
- Full-time
- Hybrid work
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
3d
UTILIZATION REVIEW AND APPEALS RN
Carson Tahoe Health —Carson City, NV
- Full-time
- Nursing
- RN License
- Bachelor of Science
Quick Apply
10d
UTILIZATION REVIEW NURSE (RN), Case Management - Per Diem
Northern Nevada Medical Center —Sparks, NV
- $42.48 - $60.26 an hour
- Weekends as needed
- Acute care
- Nursing
- RN License
Case Manager
Renown Health —Reno, NV
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Case Manager (Maternal Child)
Renown Health —Reno, NV
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
9d
Director of Case Management
Saint Mary's Regional Medical Center —Reno, NV
- Full-time
- Acute care
- Nursing
- Hospital
PATIENT ACCESS & PRE SERVICES REP
Carson Tahoe Health —Carson City, NV
- Day shift
- Hospital
- Writing skills
- Mid-level
Quick Apply
Manager Network Management & Performance
Liberty Dental Plan Careers —Reno, NV
- $105,000 - $115,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Up to 50% travel
- AD&D insurance
- Paid holidays
Quick Apply
13h
Nurse Practitioner - F/T - Reno, NV
MEDEVAL —Reno, NV
- $120,000 - $150,000 a year
- Extended hours
- Nursing
- Blood sampling
- Microsoft Excel
Quick Apply
Medical Director (Nevada Licensed)
Bumblebee Health —Nevada
- Part-time
- Remote
- Medicine
- Management
- Psychiatry
Quick Apply
Occupational Therapist Senior Living
Reliant Rehabilitation —Reno, NV
- $50 - $55 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Psychiatrist
Reliable Health Care Services of Southern Nevada, Inc —Sparks, NV
- From $155 an hour
- Full-time
- Acute care
- Medicine
- Psychiatry
Quick Apply
DIRECTOR OF VALUE BASED CARE AND POPULATION HEALTH
Carson Tahoe Health —Carson City, NV
- Full-time
- 5 years
- Master's degree
- Bachelor's degree
Quick Apply
8d
PSYCHIATRIC NURSE 2
State of Nevada —Sparks, NV
- Full-time
- Nursing
- Psychiatry
- Patient monitoring
- Paid holidays
- Disability insurance
4d
Office Manager for Medical Practice/ ASC
COMPREHENSIVE SURGICAL CARE —Reno, NV
- $25 - $40 an hour
- Part-time
- Customer service
- Administrative experience
- Supervising experience
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse
Caring Hand Home Health Solutions, Inc. —Truckee, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
Registered Nurse
Premier Home Health Providers Inc. —Truckee, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
Physical Therapist Senior Living
Reliant Rehabilitation —Reno, NV
- $50 - $55 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills

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UTILIZATION REVIEW NURSE (RN), Case Management - Per Diem
Northern Nevada Medical Center —Sparks, NV
Current license as a RN in the State of Nevada required. Two (2) years of clinical experience in an acute care hospital setting with (1) year in an inpatient or…
$42.48 - $60.26 an hour
Utilization Review Specialist
Thrive Wellness of Reno, LLC —Reno, NV
Previous experience in utilization review or related healthcare field (preferred). Conduct utilization review to assess medical necessity of various treatment…
$24 - $28 an hour
Quick Apply
3d

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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
UR Coordinator, Full Time
RiverVista Behavioral Hospital —Columbus, OH
High school diploma required; associate or bachelor’s degree in nursing, healthcare administration, or related field preferred. Must be 21 or older.
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utilization review jobs near reno nv

Utilization Review Specialist

Thrive Wellness of Reno, LLC -
Reno, NV

Quick Apply

Job Details

Full-time
$24 - $28 an hour
3 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Interpersonal skills
HIPAA
Attention to detail
Adaptability
Health information management

Full Job Description

Thrive Wellness of Reno Job Description
Utilization Review/Higher Level of Care Specialist
Location: Reno, NV

Pay Range: $24-$28/hour pending experience

Our Utilization team is seeking a dedicated and compassionate Utilization Review Specialist to join our team. This position will report directly to the Director of Utilization Review. The ideal candidate will play a crucial role in ensuring the quality and appropriateness of healthcare services provided to patients. This position is classified as salaried, exempt, and full-time.

Qualifications:

Bachelor’s Degree preferred.
Previous experience in utilization review or related healthcare field (preferred).
Strong understanding of medical terminology and procedures.
Proficiency in medical documentation practices.
Excellent communication and interpersonal skills.
Ability to work collaboratively in a multidisciplinary team environment.
Detail-oriented with strong analytical skills.
Proficient in spelling, grammar, multi-tasking.
Strong commuter skills - EMR, Microsoft/Google programs, insurance web portals.
Self-starter who learns quickly.
Demonstrates competency and sensitivity in the areas of multicultural, racial, religious/spiritual, gender, gender identity, gender expression and sexual orientation issues.

Requirements:

Must pass a federal background check at hire.
Must adhere to the drug-free workplace act.
Demonstrate maturity of judgment, attitude, and life skills.
Must demonstrate an ability to adapt to change and remain flexible.
Must be a strong team player that works well in a busy environment.
Must have strong communication skills and be upbeat, positive, and professional when interacting with clients, providers and fellow co-workers.
Must have excellent interpersonal, verbal, and written communication skills, as well as the ability to effectively prioritize and manage your time unsupervised & independently.

Duties:

Conduct utilization review to assess medical necessity of various treatment programs.
Review medical documentation for accuracy and completeness.
Collaborate with doctors to optimize patient care and outcomes.
Implement health information management practices to maintain patient records.
Assist in discharge planning to ensure smooth transitions for patients.
Adhere to HIPAA regulations for patient confidentiality.
Participate in medical management processes to enhance patient care.
Engage in case management activities for comprehensive patient support.
Other duties as assigned.

Core Values:

The ability to demonstrate, understand and apply our company core values in every aspect of your role is a MUST. The selected candidate will be expected to demonstrate the core values in their everyday work.

Courageously Optimistic
Wholeheartedly Steadfast
Rooted in Community
Keep Growing

Thrive Wellness does not discriminate any person based on race, creed, color, religion, national origin, sex, age, physical or mental disability, gender, gender identity or gender expression, and genetic information unrelated to an individual’s ability to perform the essential functions of a particular job, status as a military veteran or qualified disabled veteran, any other characteristic or any other projected class status in accordance with applicable federal, state and local laws.

Job Type: Full-time

Pay: $24.00 - $28.00 per hour

Benefits:

Dental insurance
Health insurance
Paid time off
Vision insurance

Work Location: Hybrid remote in Reno, NV 89501

Quick Apply

Refine Your Search

utilization review jobs in reno nv

Utilization Review Specialist

UTILIZATION REVIEW AND APPEALS RN

UTILIZATION REVIEW NURSE (RN), Case Management - Per Diem

Case Manager

Case Manager (Maternal Child)

Director of Case Management

PATIENT ACCESS & PRE SERVICES REP

Manager Network Management & Performance

Nurse Practitioner - F/T - Reno, NV

Medical Director (Nevada Licensed)

Occupational Therapist Senior Living

Psychiatrist

DIRECTOR OF VALUE BASED CARE AND POPULATION HEALTH

PSYCHIATRIC NURSE 2

Office Manager for Medical Practice/ ASC

Registered Nurse

Registered Nurse

Physical Therapist Senior Living

Appeals Professional III (Licensed Clinician)

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