Top 46 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
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
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 Review Nurse
Dynamic Computing Services —Las Vegas, NV
- $40 - $63 an hour
- Weekends as needed
- Nursing
- RN License
- Office
- Health savings account
- Health 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
Nurse Educator/Review Coordinator
Commence —Nevada
- $85,000 - $93,000 a year
- Extended hours
- Remote
- Nursing
- RN License
- HIPAA
Utilization Review Nurse
Access Healthcare Staffing & Recruitment —Las Vegas, NV
- $40 - $63 an hour
- Weekends as needed
- Nursing
- RN License
- Office
Quick Apply
Utilization Review RN - Per Diem*
Carson Valley Heath —Gardnerville, NV
- Per diem
- Nursing
- RN License
- Hospital
Utilization Review RN - Per Diem*
CARSON VALLEY HEALTH —Gardnerville, NV
- Per diem
- Nursing
- RN License
- Hospital
Quick Apply
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
Nurse Practitioner - F/T - Reno, NV
MEDEVAL —Reno, NV
- $120,000 - $150,000 a year
- Extended hours
- Nursing
- Blood sampling
- Microsoft Excel
Quick Apply
RN Case Manager - Hospital Utilization and Transitions of Care
Optum —Las Vegas, NV
- $35 - $63 an hour
- Full-time
- RN License
- Hospital
- Computer literacy
Quick Apply
Utilization Specialist
Seven Hills Hospital —Henderson, NV
- Full-time
- CPR Certification
- Nursing
- RN License
Travel RN - Case Management/Utilization Review - Case Management
American Traveler —Las Vegas, NV
- $3,958 a week
- Contract
- RN License
- BLS Certification
- Mid-level
- Travel reimbursement
- Health insurance
Quick Apply
RN Care Manager
Intermountain Healthcare —Las Vegas, NV
- $41.20 - $62.17 an hour
- Full-time
- Nursing
- Clean driving record
- RN License
- Health insurance
4d
RN Care Manager - Tucson, AZ and Las Vegas, NV
ArchWell Health —Las Vegas, NV
- Full-time
- Nursing
- RN License
- Mid-level
Utilization Review Specialist
WESTCARE NEVADA INC —Henderson, NV
- $24.03 - $24.75 an hour
- Full-time
- Nursing
- Computer literacy
- Writing skills
Quick Apply
CORRECTIONAL NURSE 2
State of Nevada —Carson City, NV
- Full-time
- Nursing
- RN License
- Mid-level
CORRECTIONAL NURSE 3 - LOVELOCK
State of Nevada —Lovelock, NV
- Full-time
- Nursing
- RN License
- Mid-level
Case Manager PRN | Henderson Rehab
PAM Health, LLC —Henderson, NV
- PRN
- RN License
- Hospital
- BLS Certification
- Opportunities for advancement
- Referral program
Quick Apply

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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 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 nurse jobs in nevada

Utilization Review Nurse

RN CASE MANAGER - VALLEY HOSPITAL (PER DIEM)

Per Diem Utilization Review Nurse

Utilization Review Nurse

RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)

Nurse Educator/Review Coordinator

Utilization Review Nurse

Utilization Review RN - Per Diem*

Utilization Review RN - Per Diem*

Director of Clinical Services (RN) Home Health

Nurse Practitioner - F/T - Reno, NV

RN Case Manager - Hospital Utilization and Transitions of Care

Utilization Specialist

Travel RN - Case Management/Utilization Review - Case Management

RN Care Manager

RN Care Manager - Tucson, AZ and Las Vegas, NV

Utilization Review Specialist

CORRECTIONAL NURSE 2

CORRECTIONAL NURSE 3 - LOVELOCK

Case Manager PRN | Henderson Rehab

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