Supporting Utilization Review for NV Medicaid members, the full-time Nevada Licensed Care Review RN will assess services for medical necessity, analyze clinical requests, and collaborate with multidisciplinary teams in a remote setting, working Monday through Friday from 8:00 AM to 5:00 PM PST. Key responsibilities Assesses services for members to ensure optimum outcomes and compliance with regulations Analyzes clinical service requests against evidence-based clinical guidelines Conducts reviews for prior authorization and financial responsibility for treatments and procedures Required qualifications At least 2 years of experience in hospital acute care, inpatient review, or managed care Active and unrestricted Nevada RN license Ability to prioritize and manage multiple deadlines Proficiency in Microsoft Office suite and applicable software programs Strong organizational and critical-thinking skills