Top 78 utilization review nurse Jobs in nevada

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
Utilization Management Nurse Consultant
CVS Health —Nevada
- $26.01 - $68.55 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
1d
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
Medical Care Coordinator
Sterling St James LLC —Las Vegas, NV
- Nursing
- RN License
- Hospital
Quick Apply
RN Hospital Case Manager
Elios Talent —Las Vegas, NV
- $85,000 - $130,000 a year
- Full-time
- Acute care
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Medical Record Audit Manager
Sterling St James LLC —Las Vegas, NV
- Acute care
- Nursing
- Medicine
Quick Apply
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
CLINICAL DOCUMENTATION COORD -VALLEY HEALTH SYSTEM (FULL-TIME)
Valley Health System Consolidated Services —Las Vegas, NV
- Full-time
- Nursing
- RN License
- 5 years
- Health insurance
- Dental insurance
5d
RN CASE MANAGER - SUMMERLIN (FULL-TIME)
Valley Health System Consolidated Services —Las Vegas, NV
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
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
RN CASE MANAGER - VALLEY HOSPITAL (FULL-TIME)
Valley Health System Consolidated Services —Las Vegas, NV
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Per Diem Utilization Review Nurse
University Medical Center of Southern Nevada —Las Vegas, NV
- $57.58 an hour
- Weekends as needed
- Nursing
- RN License
- Office
Utilization Specialist
Seven Hills Hospital —Henderson, NV
- Part-time
- CPR Certification
- Nursing
- RN License
Medicaid Clinical Reviewer LPN LVN
Sunrise Hospital and Medical Center —Las Vegas, NV
- $23.62 - $35.44 an hour
- Full-time
- Remote
- Mid-level
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Clinical Care Reviewer II - Must be Nevada Licensed and Work PST Hours
CareSource —Nevada
- $62,700 - $100,400 a year
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
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
Nurse Educator/Review Coordinator
Commence —Nevada
- Extended hours
- Remote
- Nursing
- RN License
- HIPAA
Nurse Case Manager - Part-time
University Medical Center of Southern Nevada —Las Vegas, NV
- $40.72 - $63.12 an hour
- Part-time
- Nursing
- RN License
- BLS Certification
- Dental insurance
- Vision insurance
Utilization Review RN - Per Diem*
CARSON VALLEY HEALTH —Gardnerville, NV
- Per diem
- Nursing
- RN License
- Hospital
Quick Apply
6d
Per Diem Nurse Case Manager
University Medical Center of Southern Nevada —Las Vegas, NV
- $60.47 an hour
- Per diem
- Nursing
- RN License
- BLS Certification

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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
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 nurse jobs in nevada

Utilization Review Nurse

Utilization Management Nurse Consultant

Family Nurse Practitioner

Medical Care Coordinator

RN Hospital Case Manager

Medical Record Audit Manager

RN CASE MANAGER - VALLEY HOSPITAL (PER DIEM)

CLINICAL DOCUMENTATION COORD -VALLEY HEALTH SYSTEM (FULL-TIME)

RN CASE MANAGER - SUMMERLIN (FULL-TIME)

CLINICAL DOCUMENTATION COORD - VALLEY HEALTH SYSTEM (VARIED POSITIONS)

RN CASE MANAGER - VALLEY HOSPITAL (FULL-TIME)

Per Diem Utilization Review Nurse

Utilization Specialist

Medicaid Clinical Reviewer LPN LVN

Clinical Care Reviewer II - Must be Nevada Licensed and Work PST Hours

Utilization Review Nurse

Nurse Educator/Review Coordinator

Nurse Case Manager - Part-time

Utilization Review RN - Per Diem*

Per Diem Nurse Case Manager

I want to receive the latest job alert for utilization review nurse in nevada

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