RN Case Manager

Sunrise Hospital; Las Vegas (NV); On-site; USD 72,000 - 109,000; Full time

Benefits offered by this job

Medical, prescription, dental, vision

Time away from work: PTO and family/di

401(k) with company match

Tuition and certification support

Job summary

Sunrise Hospital and Medical Center in Las Vegas, NV is seeking a Registered Nurse Case Manager to coordinate care, manage length of stay, and ensure safe discharge planning in collaboration with the multidisciplinary team.

You will review admissions for medical necessity, coordinate with payors and hospital staff, and facilitate referrals to Home Health, DME, and community resources; we value teamwork and patient-centered care.

Qualifications

• Graduate of an accredited School of Nursing program.
• Current licensure as a Registered Nurse in the state of Nevada.
• Current Basic Cardiac Life Support (BLS) certification.
• Two years in hospital case management; three years nursing experience preferred.
• Knowledge of CMS Rules and Regulations (including Patient Status and Level of Care).
• Ability to maintain documentation directed by the Case Management Plan.

Responsibilities

• Perform admission reviews to determine appropriateness and medical necessity and provide payor reviews as requested.
• Maintain system for monitoring all admissions and ensure timely concurrent reviews.
• Make referrals related to medical necessity, utilization, quality, or risk management and coordinate on-going care with hospital staff, physicians, and services.
• Plan, coordinate, and facilitate all discharge needs for patients including Home Health, DME, placement, community resources, and hospice care.

Education

Graduate of an accredited School of Nursing program

Current licensure as a Registered Nurse in the state of Nevada

Current Basic Cardiac Life Support (BLS)

Job description

Hourly Wage Estimate: $52.55 - $78.85 / hour

Learn More About The benefits Offered For This Job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Ready for a role that supports your unique calling in patient care and fits your life? At Sunrise Hospital and Medical Center, you’ll find clear pathways to advance backed by our unmatched nationwide transfer policy that lets you grow your career when the time is right for you. With mentorship opportunities, clinical education courses, professional certification support, and educational assistance, you will have all the resources you need to build the career of a lifetime.

Job Summary And Qualifications

The Registered Nurse Case Manager will be responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Our team is amazing, we consider ourselves a family who work hard to support each other and we are looking for someone who feels patient care is as meaningful as we do.

• You will be performing admission review to determine appropriateness and medical necessity based on approved criteria and standards and providing payors with admission and concurrent reviews as requested
• You will be maintaining system for monitoring all admissions and assure timely concurrent reviews
• You will be making appropriate referrals related to medical necessity, utilization, quality, or risk management and coordinating on-going care and utilization with hospital staff, physicians, ancillary services, and patient
• You will plan, coordinate, and facilitate all discharge needs for patients including Home Health, DME, placement, community resources, and hospice care

Qualifications

• Graduate of an accredited School of Nursing program
• Current licensure as a Registered Nurse in the state of Nevada
• Current Basic Cardiac Life Support (BLS)
• Two years in hospital case management with three years nursing experience preferred
• Will consider a minimum of five years of clinical nursing experience with two years critical care or nursing leadership experience in lieu of case management experience
• Must have knowledge of CMS Rules and Regulations (including Patient Status and Level of Care)
• Can maintain accurate and specific documentation directed by the Case Management Plan
• Interprets clinical data compiled by hospital medical records for the purpose of admission/concurrent review for Medicare and self-pay patients
• Identifies potential utilization and quality management issues, reporting all issues to the appropriate department or personnel
• Knowledge of DRGs and GMLOS

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

Sunrise Hospital & Medical Center provides Las Vegas and the Southwest region with high-quality, advanced healthcare services. We have been serving our community for nearly 60 years. Sunrise Hospital has been a Consumer Choice Award recipient for 15 consecutive years. We are the largest acute care facility in Nevada and the state's only fresh post-op Pediatric CICU. Our facility offers an advanced comprehensive stroke center which received the Gold Plus Performance Achievement Award from the GWTG.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

“Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future.”

Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC

Senior Vice President and Chief Nurse Executive

HCA Healthcare

Join a family that cares about every stage in your career!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.