Case Manager (RN)

Prime Healthcare; Las Vegas (NV); Hybrid; USD 90,000 - 120,000; Full time

Job summary

North Vista Hospital in North Las Vegas, NV, part of Prime Healthcare, seeks an experienced RN leader to manage admissions and care coordination. You will oversee quality and resources across the patient continuum from admission to discharge, ensuring clinical and financial effectiveness.

The role emphasizes case management, discharge planning, and leadership in a high-volume hospital setting, with opportunities for professional growth and ongoing development.

Qualifications

• Must have RN license in good standing.
• Minimum 5 years' nursing experience post-graduation.
• Experience in case management, discharge planning, or nursing management.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Current BCLS certificate, preferred.

Responsibilities

• Oversee quality and resource management for admitted patients from admission through discharge.
• Promote cost containment and integrate care across providers.
• Lead admission and concurrent review of medical records for necessity and intensity.

Skills

Case management experience

Discharge planning

Nursing leadership

Basic computer skills

Education

Registered Nurse license

Tools

Milliman Criteria

InterQual Criteria

Job description

Overview

At North Vista Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, North Vista Hospital is actively seeking new members to join its award-winning team!

North Vista Hospital is an accredited 177-bed state-of-the-art hospital located in North Las Vegas, Nevada.North Vista offers comprehensive healthcare services, including mental health care, emergency care, heart care, advanced surgical procedures, diagnostic imaging and help for a broad range of medical conditions. Equipped with advanced medical technology and staffed by a team of highly skilled healthcare professionals, North Vista is committed to providing high-quality care in a friendly hospital environment. The hospital has achieved numerous quality award distinctions including Patient Safety Excellence Award, Bariatric Surgery Excellence Award, Heart Failure recognition and more. For more information, please visit www.northvistahospital.com.

Responsibilities

Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and ensure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required Qualifications:

• Minimum 5 years' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
• At least one year experience in case management, discharge planning or nursing management
• Experience and knowledge in basic to intermediate computer skills.

Preferred Qualifications:

• Five years of acute care nursing experience. preferred
• CCM or obtained within 1year
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Current BCLS certificate, preferred

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf