RN Case Manager: Discharge & Utilization Lead

The Valley Health System; Henderson (NV); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Education & Training

Competitive Compensation & PTO

Medical, Dental, Vision

401(k) with company match

Career opportunities

Challenging environment

Job summary

The Valley Health System in Southern Nevada seeks an experienced registered nurse to lead discharge planning and utilization management. You will coordinate with patients, families and the care team to maximize appropriate reimbursements and ensure smooth transitions.

Ideal candidates bring 3+ years varied clinical experience, with 2+ years in utilization review or case management, plus knowledge of community resources and strong computer skills.

Qualifications

• Graduate of an accredited school of nursing.
• Minimum three years experience in varied clinical settings; two years in Utilization Review/Management or Case Management preferred.
• Knowledge of social and physical factors affecting discharge and knowledge of community resources.
• Computer proficiency including word processing, spreadsheets, and data collection/management software.
• Current license to practice as a Registered Nurse in Nevada.

Responsibilities

• Discharge planning to achieve quality healthcare outcomes.
• Provide proficient timely utilization management to maximize reimbursement.
• Collaborate with patient, family and healthcare team for care coordination.

Skills

Utilization Review knowledge

Case Management

Social factors assessment

Functional status assessment

Care team collaboration

Computer proficiency

Education

Graduate of an accredited school of nursing

Tools

Word processing

Spreadsheets

Data collection/management software

Job description

The Valley Health System in Southern Nevada seeks an experienced registered nurse to lead discharge planning and utilization management. You will coordinate with patients, families and the care team to maximize appropriate reimbursements and ensure smooth transitions.

Ideal candidates bring 3+ years varied clinical experience, with 2+ years in utilization review or case management, plus knowledge of community resources and strong computer skills.