Case Manager (RN)

Prime Healthcare; North Las Vegas (NV); On-site; USD 90,000 - 110,000; Full time

Job summary

North Vista Hospital in North Las Vegas, NV, part of Prime Healthcare, seeks an experienced RN to join as a Case Management/Quality liaison. This role supports admission processes, care coordination, and patient trajectory across the continuum.

You will lead discharge planning, advocate for cost containment, and collaborate with physicians and care teams to ensure high-quality, efficient patient outcomes. Full-time days shift, hospital setting.

Qualifications

• Minimum 5 years of nursing work experience post-graduation.
• Current state Registered Nurse license.
• At least 1 year experience in case management or discharge planning.
• Experience with basic to intermediate computer skills.

Responsibilities

• Quality and resource management of all admitted patients across the care continuum.
• Advocate for cost containment and coordinate care with providers.
• Promote seamless delivery of care through team integration.
• Conduct admission and concurrent chart reviews for necessity and intensity.

Skills

Case management

Discharge planning

Nursing leadership

Electronic medical records

Education

Bachelor's degree in Nursing

CCM certification

Tools

Milliman Criteria

InterQual Criteria

Basic computer skills

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