Top 70 Utilization review Jobs in Las Vegas Nv

Utilization Review Nurse
University Medical Center of Southern Nevada —Las Vegas, NV
- $40.72 - $63.12 an hour
- Weekends as needed
- Nursing
- RN License
- Office
- Health insurance
- Dental insurance
Quick Apply
Clinical Documentation Improvement (CDI) Manager
University Medical Center of Southern Nevada —Las Vegas, NV
- $90,584.00 - $144,934.40 a year
- Full-time
- Nursing
- Management
- Hospital
- Free parking
- Relocation assistance
Quick Apply
Clinical Manger - Case Management
University Medical Center of Southern Nevada —Las Vegas, NV
- $54,215.02 - $84,034.32 a year
- Full-time
- Background check
- Anatomy knowledge
- HIPAA
- Relocation assistance
- Health insurance
Quick Apply
14d
CLINICAL DOCUMENTATION COORD - VALLEY HEALTH SYSTEM (VARIED POSITIONS)
Valley Health System Consolidated Services —Las Vegas, NV
- Nursing
- RN License
- 5 years
- Health insurance
- Dental insurance
3d
Utilization Review Nurse
Dynamic Computing Services —Las Vegas, NV
- $40 - $63 an hour
- Weekends as needed
- Nursing
- RN License
- Office
- Health savings account
- Health insurance
Per Diem Utilization Review Nurse
University Medical Center of Southern Nevada —Las Vegas, NV
- $59.13 an hour
- Weekends as needed
- Nursing
- RN License
- Office
Utilization Specialist
Seven Hills Hospital —Henderson, NV
- Full-time
- CPR Certification
- Nursing
- RN License
Utilization Review Specialist
WESTCARE NEVADA INC —Henderson, NV
- $24.03 - $24.75 an hour
- Full-time
- Nursing
- Computer literacy
- Writing skills
Quick Apply
Utilization Management Manager Full Time
Kindred Hospitals Mountain District Office —Las Vegas, NV
- Full-time
- Nursing
- Microsoft Outlook
- Hospital
12d
Utilization Review Nurse
Access Healthcare Staffing & Recruitment —Las Vegas, NV
- $40 - $63 an hour
- Weekends as needed
- Nursing
- RN License
- Office
Quick Apply
11d
Nurse Auditor
University Medical Center of Southern Nevada —Las Vegas, NV
- $40.23 - $62.36 an hour
- Weekends as needed
- Nursing
- RN License
- HIPAA
- Dental insurance
- Vision insurance
RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)
Valley Health System Consolidated Services —Las Vegas, NV
- $85,400 - $113,100 a year
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
8d
Med Mgmt Clinician Sr (contract)
Elevance Health —Las Vegas, NV
- Contract
- Hybrid work
- 6 years
- LVN
- RN License
- Health savings account
- Disability insurance
14h
Registered Nurse - Utilization Manager
ERP International —Nellis AFB, NV
- $34.26 - $60.00 an hour
- Online Application
- Background check
- Nursing
- Microsoft Excel
- Health savings account
- Paid holidays
Outpatient Navigator
Seven Hills Hospital —Henderson, NV
- Full-time
- LMFT
- Psychiatry
- Licensed Clinical Social Worker
Director of Clinical Services (RN) Home Health
Adaptive Home Health —Las Vegas, NV
- Full-time
- RN License
- Office
- Ability to lift 50 pounds
- Dental insurance
- Paid time off
Quick Apply
Director Case Management
Texas Nursing Services —Las Vegas, NV
- $135,000 - $202,500 a year
- Full-time
- Acute care
- Nursing
- RN License
- Relocation assistance
- Health insurance
Quick Apply
Family Nurse Practitioner
Rise Health —North Las Vegas, NV
- $119,637 - $124,726 a year
- Extended hours
- Background check
- Spanish
- Nursing
- Health savings account
- Health insurance
Quick Apply
RN CASE MANAGER - SUMMERLIN (FULL-TIME)
Valley Health System Consolidated Services —Las Vegas, NV
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
3d
RN CASE MANAGER - VALLEY HOSPITAL (PER DIEM)
Valley Health System Consolidated Services —Las Vegas, NV
- Per diem
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
3d

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utilization review jobs near las vegas nv

Utilization Review Nurse

University Medical Center of Southern Nevada -
Las Vegas, NV

Quick Apply

Job Details

Full-time
$40.72 - $63.12 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Pension plan
Vision insurance
Life insurance
Retirement plan

Qualifications

TJC
Nursing
Inpatient experience
Utilization review
Electronic health records (EHR) management
RN License
Investigative interviewing techniques
Medical software
Acute care facility experience
EMR/EHR
Health insurance knowledge
InterQual
Case management
Utilization management
Clinical documentation
Discharge planning
Computer skills
Milliman Care Guidelines (MCG Health)
Clinical documentation standards
Nursing

Full Job Description

EMPLOYER-PAID PENSION PLAN (NEVADA PERS)
COMPETITIVE SALARY & BENEFITS PACKAGEAs an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients.

We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status.
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 Requirement

Education/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.

Knowledge, Skills, Abilities, and Physical Requirements

Knowledge of:
Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies and procedures; Joint Commission Accredited Health care Organizations standards, state statutes governing hospital services and health care, and other relevant regulations and standards; clinical medical and nursing procedures; disease processes; department and hospital safety practices and principles; patient rights; age specific patient care practices; infection control policies and practices; department and hospital emergency response policies and procedures.

Skill in:
Interpreting patient charts to determine whether care given is within best practice, appropriate for the diagnosis and properly documented; excellent ability to collaborate, co-ordinate and communicate findings; interpreting regulations and standards for others; writing reports, meeting minutes and other technical documents; analyzing statistical and other quantitative data; applying investigative and interviewing techniques; using a computer and a variety of software applications; communicating with a wide variety and establishing interpersonal relationships to interact effectively with co-workers, supervisor, staff in other work units and exchange or convey information.

Physical Requirements and Working Conditions:
Mobility to work in a typical office setting and use standard equipment, stamina to remain seated for extended periods of time, vision to read printed materials and a computer screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. May work shifts and weekends. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.

Job Type: Full-time

Pay: $40.72 - $63.12 per hour

Benefits:

Dental insurance
Health insurance
Life insurance
Paid time off
Retirement plan
Vision insurance

Experience:

acute hospital clinical nursing: 5 years (Required)
Utilization Management: 3 years (Required)
InterQual, and ability to pass the InterQual exam: 1 year (Required)
Milliman: 1 year (Required)

License/Certification:

Registered Nurse License by the State of NV. (Required)

Work Location: In person

Quick Apply

Refine Your Search

utilization review jobs in las vegas nv

Utilization Review Nurse

Clinical Documentation Improvement (CDI) Manager

Clinical Manger - Case Management

CLINICAL DOCUMENTATION COORD - VALLEY HEALTH SYSTEM (VARIED POSITIONS)

Utilization Review Nurse

Per Diem Utilization Review Nurse

Utilization Specialist

Utilization Review Specialist

Utilization Management Manager Full Time

Utilization Review Nurse

Nurse Auditor

RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)

Med Mgmt Clinician Sr (contract)

Registered Nurse - Utilization Manager

Outpatient Navigator

Director of Clinical Services (RN) Home Health

Director Case Management

Family Nurse Practitioner

RN CASE MANAGER - SUMMERLIN (FULL-TIME)

RN CASE MANAGER - VALLEY HOSPITAL (PER DIEM)

I want to receive the latest job alert for utilization review in las vegas nv

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